Rib-cage-movement measurements as a potential new trigger signal in non-invasive mechanical ventilation

Annu Int Conf IEEE Eng Med Biol Soc. 2015 Aug:2015:4511-4. doi: 10.1109/EMBC.2015.7319397.

Abstract

Non-invasive ventilation performed through an oronasal mask is a standard in clinical and homecare mechanical ventilation. Besides all its advantages, inevitable leaks through the mask cause errors in the feedback information provided by the airflow sensor and, hence, patient-ventilator asynchrony with multiple negative consequences. Here we investigate a new way to provide a trigger to the ventilator. The method is based on the measurement of rib cage movement at the onset of inspiration and during breathing by fibre-optic sensors. In a series of simultaneous measurements by a long-period fibre grating sensor and pneumotachograph we provide the statistical evidence of the 200 ms lag of the pneumo with respect the fibre-optic signal. The lag is registered consistently across three independent delay metrics. Further, we discuss exceptions from this trend and identify the needed improvements to the proposed fibre-sensing scheme.

MeSH terms

  • Fiber Optic Technology
  • Humans
  • Respiration
  • Respiration, Artificial*
  • Ribs