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一种用于监测呼吸二氧化碳浓度和气流的主流系统。

A mainstream monitoring system for respiratory CO2 concentration and gasflow.

作者信息

Yang Jiachen, Chen Bobo, Burk Kyle, Wang Haitao, Zhou Jianxiong

机构信息

School of Electronic Information Engineering, Tianjin University, Tianjin, People's Republic of China.

Tianjin Yaan Polytron Technologies Inc, Tianjin, People's Republic of China.

出版信息

J Clin Monit Comput. 2016 Aug;30(4):467-73. doi: 10.1007/s10877-015-9739-y. Epub 2015 Jul 16.

Abstract

Continuous respiratory gas monitoring is an important tool for clinical monitoring. In particular, measurement of respiratory [Formula: see text] concentration and gasflow can reflect the status of a patient by providing parameters such as volume of carbon dioxide, end-tidal [Formula: see text] respiratory rate and alveolar deadspace. However, in the majority of previous work, [Formula: see text] concentration and gasflow have been studied separately. This study focuses on a mainstream system which simultaneously measures respiratory [Formula: see text] concentration and gasflow at the same location, allowing for volumetric capnography to be implemented. A non-dispersive infrared monitor is used to measure [Formula: see text] concentration and a differential pressure sensor is used to measure gasflow. In developing this new device, we designed a custom airway adapter which can be placed in line with the breathing circuit and accurately monitor relevant respiratory parameters. Because the airway adapter is used both for capnography and gasflow, our system reduces mechanical deadspace. The finite element method was used to design the airway adapter which can provide a strong differential pressure while reducing airway resistance. Statistical analysis using the coefficient of variation was performed to find the optimal driving voltage of the pressure transducer. Calibration between variations and flows was used to avoid pressure signal drift. We carried out targeted experiments using the proposed device and confirmed that the device can produce stable signals.

摘要

持续呼吸气体监测是临床监测的一项重要工具。特别是,呼吸[公式:见正文]浓度和气体流量的测量可以通过提供诸如二氧化碳体积、呼气末[公式:见正文]、呼吸频率和肺泡死腔等参数来反映患者的状况。然而,在大多数先前的工作中,[公式:见正文]浓度和气体流量是分别进行研究的。本研究聚焦于一种主流系统,该系统在同一位置同时测量呼吸[公式:见正文]浓度和气体流量,从而能够实现容积式二氧化碳描记法。使用非色散红外监测仪测量[公式:见正文]浓度,使用差压传感器测量气体流量。在开发这种新设备时,我们设计了一种定制的气道适配器,它可以与呼吸回路串联放置,并准确监测相关呼吸参数。由于气道适配器同时用于二氧化碳描记法和气体流量测量,我们的系统减少了机械死腔。采用有限元方法设计气道适配器,使其在降低气道阻力的同时能提供强大的差压。使用变异系数进行统计分析以找到压力传感器的最佳驱动电压。利用变异与流量之间的校准来避免压力信号漂移。我们使用所提出的设备进行了针对性实验,并证实该设备能够产生稳定的信号。

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