Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", 00135 Rome, Italy.
Unit of Measurements and Biomedical Instrumentation, Department of Engineering, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 21, 00128 Rome, Italy.
Sensors (Basel). 2020 Nov 9;20(21):6396. doi: 10.3390/s20216396.
Respiratory rate is a fundamental vital sign that is sensitive to different pathological conditions (e.g., adverse cardiac events, pneumonia, and clinical deterioration) and stressors, including emotional stress, cognitive load, heat, cold, physical effort, and exercise-induced fatigue. The sensitivity of respiratory rate to these conditions is superior compared to that of most of the other vital signs, and the abundance of suitable technological solutions measuring respiratory rate has important implications for healthcare, occupational settings, and sport. However, respiratory rate is still too often not routinely monitored in these fields of use. This review presents a multidisciplinary approach to respiratory monitoring, with the aim to improve the development and efficacy of respiratory monitoring services. We have identified thirteen monitoring goals where the use of the respiratory rate is invaluable, and for each of them we have described suitable sensors and techniques to monitor respiratory rate in specific measurement scenarios. We have also provided a physiological rationale corroborating the importance of respiratory rate monitoring and an original multidisciplinary framework for the development of respiratory monitoring services. This review is expected to advance the field of respiratory monitoring and favor synergies between different disciplines to accomplish this goal.
呼吸频率是一个基本的生命体征,对不同的病理状况(如不良心脏事件、肺炎和临床恶化)和应激源敏感,包括情绪压力、认知负荷、热、冷、体力活动和运动引起的疲劳。与大多数其他生命体征相比,呼吸频率对这些情况的敏感性更高,并且有大量合适的技术解决方案可用于测量呼吸频率,这对医疗保健、职业环境和运动都有重要意义。然而,在这些应用领域,呼吸频率仍然经常没有被常规监测。本综述采用多学科方法进行呼吸监测,旨在提高呼吸监测服务的开发和效果。我们已经确定了十三个监测目标,其中呼吸频率的使用是非常有价值的,对于每一个目标,我们都描述了适合的传感器和技术,以在特定的测量场景中监测呼吸频率。我们还提供了一个生理学原理,证实了监测呼吸频率的重要性,并提出了一个用于开发呼吸监测服务的原始多学科框架。预计本综述将推动呼吸监测领域的发展,并促进不同学科之间的协同作用,以实现这一目标。