Non-invasive respiratory monitoring using long-period fiber grating sensors.

In non-invasive ventilation, continuous monitoring of respiratory volumes is essential. Here, we present a method for the measurement of respiratory volumes by a single fiber-grating sensor of bending and provide the proof-of-principle by applying a calibration-test measurement procedure on a set of 18 healthy volunteers. Results establish a linear correlation between a change in lung volume and the corresponding change in a local thorax curvature. They also show good sensor accuracy in measurements of tidal and minute respiratory volumes for different types of breathing. The proposed technique does not rely on the air flow through an oronasal mask or the observation of chest movement by a clinician, which distinguishes it from the current clinical practice.

[1]  N J Douglas,et al.  Accuracy of respiratory inductive plethysmograph in measuring tidal volume during sleep. , 1991, Journal of applied physiology.

[2]  S. Nava,et al.  Non-invasive ventilation in acute respiratory failure , 2009, The Lancet.

[3]  Ian Bennion,et al.  Design and realization of long-period grating devices in conventional and high birefringence fibers and their novel applications as fiber-optic load sensors , 1999 .

[4]  David J. Webb,et al.  Investigations of the spectral sensitivity of long period gratings fabricated in three-layered optical fiber , 2003 .

[5]  J. Mead,et al.  Measurement of the separate volume changes of rib cage and abdomen during breathing. , 1967, Journal of applied physiology.

[6]  Kyriacos Kalli,et al.  Fiber Bragg Gratings: Fundamentals and Applications in Telecommunications and Sensing , 2000 .

[7]  C. Pitoyo,et al.  Non-invasive ventilation in acute respiratory failure. , 2014, Acta medica Indonesiana.

[8]  Ian Bennion,et al.  Application of long-period-grating sensors to respiratory plethysmography. , 2007, Journal of biomedical optics.

[9]  Shmuel Einav,et al.  Automated, real-time calibration of the respiratory inductance plethysmograph and its application in newborn infants. , 2003, Physiological measurement.

[10]  Turan Erdogan,et al.  Cladding-mode resonances in short- and long-period fiber grating filters , 2000 .

[11]  B. Hök,et al.  Critical review of non-invasive respiratory monitoring in medical care , 2003, Medical and Biological Engineering and Computing.

[12]  Martin J. Tobin,et al.  Subjective and Objective Measurement of Tidal Volume in Critically III Patients , 1985 .

[13]  A Pedotti,et al.  Optoelectronic plethysmography in intensive care patients. , 2000, American journal of respiratory and critical care medicine.

[14]  J P Costantino,et al.  Inductance plethysmography measurement of CPAP-induced changes in end-expiratory lung volume. , 1990, Journal of applied physiology.

[15]  H. T. Moriya,et al.  Respiratory inductive plethysmography: a comparative study between isovolume maneuver calibration and qualitative diagnostic calibration in healthy volunteers assessed in different positions. , 2012, Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia.

[16]  G B Drummond,et al.  Thoracic impedance used for measuring chest wall movement in postoperative patients. , 1996, British journal of anaesthesia.

[17]  M A Sackner,et al.  Validation of respiratory inductive plethysmography in patients with pulmonary disease. , 1983, Chest.

[18]  S. James,et al.  Optical fibre long-period grating sensors: characteristics and application , 2003 .

[19]  Armando Malanda,et al.  Independent Component Analysis as a Tool to Eliminate Artifacts in EEG: A Quantitative Study , 2003, Journal of clinical neurophysiology : official publication of the American Electroencephalographic Society.

[20]  Steffen Leonhardt,et al.  Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography , 2008, Intensive Care Medicine.

[21]  Ian Bennion,et al.  Respiratory function monitoring using a real-time three-dimensional fiber-optic shaping sensing scheme based upon fiber Bragg gratings , 2012, Journal of biomedical optics.

[22]  M. Sydow,et al.  Evaluation of respiratory inductive plethysmography in controlled ventilation: measurement of tidal volume and PEEP-induced changes of end-expiratory lung volume. , 1998, Chest.

[23]  Vinzenz von Tscharner,et al.  Removal of the electrocardiogram signal from surface EMG recordings using non-linearly scaled wavelets. , 2011, Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology.

[24]  Douglas G. Altman,et al.  Measurement in Medicine: The Analysis of Method Comparison Studies , 1983 .

[25]  C Davis,et al.  A new fibre optic sensor for respiratory monitoring. , 1997, Australasian physical & engineering sciences in medicine.

[26]  H Fabel,et al.  [Noninvasive ventilation]. , 2000, Der Internist.

[27]  N. O. T. Strömberg,et al.  Error analysis of a natural breathing calibration method for respiratory inductive plethysmography , 2001, Medical and Biological Engineering and Computing.

[28]  C. Carvalho,et al.  Pletismografia respiratória por indutância: estudo comparativo entre calibração por manobra de isovolume e calibração qualitativa diagnóstica em voluntários saudáveis avaliados em diferentes posturas , 2012 .

[29]  M J Tobin,et al.  Subjective and objective measurement of tidal volume in critically ill patients. , 1985, Chest.

[30]  S. Baudouin The pulmonary physician in critical care • 3: Critical care management of community acquired pneumonia , 2002, Thorax.

[31]  J. Montserrat,et al.  Alternative methods of titrating continuous positive airway pressure: a large multicenter study. , 2004, American journal of respiratory and critical care medicine.

[32]  Diederik Gommers,et al.  Lung monitoring at the bedside in mechanically ventilated patients , 2012, Current opinion in critical care.

[33]  A. Danicic,et al.  Fibre-grating sensors for the measurement of physiological pulsations , 2013 .