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Evaluation of a Breath-Indicating Device for Enhanced Respiratory Monitoring and Apnea Detection in Postoperative Care: A Comparative Study.

作者信息

Rowe Dylan, Rowe Mariam, Stubbs Dylan, Pontifex Chase, Melksham Phillip

机构信息

School of Medicine, Griffith University, Brisbane, AUS.

Faculty of Medicine, The University of Queensland, Brisbane, AUS.

出版信息

Cureus. 2025 Apr 7;17(4):e81846. doi: 10.7759/cureus.81846. eCollection 2025 Apr.


DOI:10.7759/cureus.81846
PMID:40337560
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058232/
Abstract

OBJECTIVES: Accurate respiratory monitoring is crucial in post-anesthetic care settings due to increased risks of respiratory complications. This study evaluates the impact of a new breath-indicating device, ApnoLight (PEMDx Pty Ltd, Brisbane, Queensland, Australia), on medical staff's accuracy in recording respiratory rates and detecting apneic events, along with the device's acceptance among nurses. METHODS: Twenty-five nurses from a hospital in Brisbane, Australia, participated. A simulated patient was fitted with the ApnoLight device on an oxygen mask. Nurses conducted six respiratory rate observations at varying distances (bedside, two meters, and five meters), both with and without the device. The patient's respiratory rates varied from eight to 25 breaths per minute. The accuracy of respiratory rate recordings and the time to identify apnea events were compared between simple observation and device-assisted observations. RESULTS: The ApnoLight significantly reduced error rates in respiratory rate recordings: 27.58% at the bedside (P = 0.09, t = 1.31), 90.99% at two meters (P = 0.02, t = 1.98), and 96.37% at five meters (P = 0.0002, t = 4.02). The mean time to identify apnea decreased from 12.96 ± 9.12 seconds (simple observation) to 7.42 ± 2.19 seconds (with ApnoLight device). All apnea events were identified with the device, whereas four were undetected without it. Feedback showed that 96% (N = 24) of nurses found the device improved respiratory rate accuracy, and 100% (N = 25) found it made apnea identification easier. CONCLUSIONS: The ApnoLight device has the potential to enhance respiratory rate monitoring accuracy and apnea detection in postoperative settings. Its implementation could improve patient safety and streamline clinical workflows.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d778/12058232/9b8a8f797747/cureus-0017-00000081846-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d778/12058232/b266eb0e86a1/cureus-0017-00000081846-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d778/12058232/9b8a8f797747/cureus-0017-00000081846-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d778/12058232/b266eb0e86a1/cureus-0017-00000081846-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d778/12058232/9b8a8f797747/cureus-0017-00000081846-i02.jpg

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Evaluation of a Breath-Indicating Device for Enhanced Respiratory Monitoring and Apnea Detection in Postoperative Care: A Comparative Study.

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本文引用的文献

[1]
Advances in Respiratory Monitoring: A Comprehensive Review of Wearable and Remote Technologies.

Biosensors (Basel). 2024-2-6

[2]
Role of continuous pulse oximetry and capnography monitoring in the prevention of postoperative respiratory failure, postoperative opioid-induced respiratory depression and adverse outcomes on hospital wards: A systematic review and meta-analysis.

J Clin Anesth. 2024-6

[3]
Systems of Care Delivery and Optimization in the Postoperative Care Wards.

Anesthesiol Clin. 2023-12

[4]
The Accuracy of Wearable Photoplethysmography Sensors for Telehealth Monitoring: A Scoping Review.

Telemed J E Health. 2023-6

[5]
What is new in respiratory monitoring?

J Clin Monit Comput. 2022-6

[6]
Remote Monitoring of Chronic Critically Ill Patients after Hospital Discharge: A Systematic Review.

J Clin Med. 2022-2-15

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IEEE Rev Biomed Eng. 2022

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Postoperative ward monitoring - Why and what now?

Best Pract Res Clin Anaesthesiol. 2019-7-23

[9]
Respiratory complications of anaesthesia.

Anaesthesia. 2018-1

[10]
Post-operative pulmonary complications after non-cardiothoracic surgery.

Indian J Anaesth. 2015-9

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