Monitoring Respiration in Wheezy Preschool Children by Pulse Oximetry Plethysmogram Analysis

Overview

Journal Med Biol Eng Comput

Publisher Springer

Specialties Biomedical Engineering
Medical Informatics

Date 2013 Apr 2

PMID 23543306

Citations 3

Authors

David Wertheim

Cathy Olden

Liz Symes

Heike Rabe

Paul Seddon

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to investigate whether respiratory information can be derived from pulse oximetry plethysmogram (pleth) recordings in acutely wheezy preschool children. A digital pulse oximeter was connected via 'Bluetooth' to a notebook computer in order to acquire pleth data. Low pass filtering and frequency analysis were used to derive respiratory rate from the pleth trace; the ratio of heart rate to respiratory rate (HR/RR) was also calculated. Recordings were obtained during acute wheezy episodes in 18 children of median age 31 months and follow-up recordings from 16 of the children were obtained when they were wheeze-free. For the acutely wheezy children, frequency analysis of the pleth waveform was within 10 breaths/min of clinical assessment in 25 of 29 recordings in 15 children. For the follow-up measurements, frequency analysis of the pleth waveform showed similarly good agreement in recordings on 15 of the 16 children. Respiratory rate was higher (p < 0.001), and HR/RR ratio was lower (p = 0.03) during acute wheeze than at follow-up. This study suggests that respiratory rate can be derived from pleth traces in wheezy preschool children.

Citing Articles

Non-invasive sensor methods used in monitoring newborn babies after birth, a clinical perspective.

Anton O, Dore H, Rendon-Morales E, Aviles-Espinosa R, Seddon P, Wertheim D Matern Health Neonatol Perinatol. 2022; 8(1):9.

PMID: 36414979 PMC: 9682831. DOI: 10.1186/s40748-022-00144-y.

Photoplethysmographic determination of the respiratory rate in acutely ill patients: validation of a new algorithm and implementation into a biomedical device.

LHer E, NGuyen Q, Pateau V, Bodenes L, Lellouche F Ann Intensive Care. 2019; 9(1):11.

PMID: 30666472 PMC: 6340913. DOI: 10.1186/s13613-019-0485-z.

Breathing Rate Estimation From the Electrocardiogram and Photoplethysmogram: A Review.

Charlton P, Birrenkott D, Bonnici T, Pimentel M, Johnson A, Alastruey J IEEE Rev Biomed Eng. 2018; 11:2-20.

PMID: 29990026 PMC: 7612521. DOI: 10.1109/RBME.2017.2763681.

References

Pinsky M . At the threshold of noninvasive functional hemodynamic monitoring. Anesthesiology. 2007; 106(6):1084-5. DOI: 10.1097/01.anes.0000267588.42250.cd. View

Smyth R . Lessons from normal heart and respiratory rates in children. Lancet. 2011; 377(9770):974-5. DOI: 10.1016/S0140-6736(11)60102-5. View

Shamir M, Eidelman L, Floman Y, Kaplan L, Pizov R . Pulse oximetry plethysmographic waveform during changes in blood volume. Br J Anaesth. 1999; 82(2):178-81. DOI: 10.1093/bja/82.2.178. View

Zotter H, Kerbl R, Reiterer F, Pichler G, Hanzer M, Mueller W . Unchanged heart rate-respiratory frequency ratio in preterm infants during spontaneous arousals. Acta Paediatr. 2008; 98(1):47-51. DOI: 10.1111/j.1651-2227.2008.00995.x. View

Leonard P, Clifton D, Addison P, Watson J, Beattie T . An automated algorithm for determining respiratory rate by photoplethysmogram in children. Acta Paediatr. 2006; 95(9):1124-8. DOI: 10.1080/08035250600612280. View

Leonard P, Beattie T, Addison P, Watson J . Standard pulse oximeters can be used to monitor respiratory rate. Emerg Med J. 2003; 20(6):524-5. PMC: 1726217. DOI: 10.1136/emj.20.6.524. View

Wertheim D, Olden C, Savage E, Seddon P . Extracting respiratory data from pulse oximeter plethysmogram traces in newborn infants. Arch Dis Child Fetal Neonatal Ed. 2008; 94(4):F301-3. DOI: 10.1136/adc.2008.145342. View

Fleming S, Thompson M, Stevens R, Heneghan C, Pluddemann A, Maconochie I . Normal ranges of heart rate and respiratory rate in children from birth to 18 years of age: a systematic review of observational studies. Lancet. 2011; 377(9770):1011-8. PMC: 3789232. DOI: 10.1016/S0140-6736(10)62226-X. View

Shelley K, Jablonka D, Awad A, Stout R, Rezkanna H, Silverman D . What is the best site for measuring the effect of ventilation on the pulse oximeter waveform?. Anesth Analg. 2006; 103(2):372-7, table of contents. DOI: 10.1213/01.ane.0000222477.67637.17. View

10.

. Clinical signs that predict severe illness in children under age 2 months: a multicentre study. Lancet. 2008; 371(9607):135-42. DOI: 10.1016/S0140-6736(08)60106-3. View

11.

Ranganathan S, Goetz I, Hoo A, Lum S, Castle R, Stocks J . Assessment of tidal breathing parameters in infants with cystic fibrosis. Eur Respir J. 2003; 22(5):761-6. DOI: 10.1183/09031936.03.00024703. View

12.

Foo J, Wilson S . Estimation of breathing interval from the photoplethysmographic signals in children. Physiol Meas. 2005; 26(6):1049-58. DOI: 10.1088/0967-3334/26/6/014. View

13.

Al-Khalidi F, Saatchi R, Burke D, Elphick H, Tan S . Respiration rate monitoring methods: a review. Pediatr Pulmonol. 2011; 46(6):523-9. DOI: 10.1002/ppul.21416. View