Why is respiratory rate monitoring so important?
Increased demand on the respiratory system from an acute episode, such as a chest infection, influenza, Coronavirus, or long-term conditions, such as chronic pulmonary disease, the respiratory rhythm, changes the chest movement rate as a response.
These changes are compensatory mechanisms resulting from a chemical imbalance, and the primary cause may be mechanical, metabolic, or neurological. The changes result in an increase or decrease in RR, depth of breathing, and breathing pattern.
Why do we measure respiratory rate continuously?
Respiratory rate changes in response to the patient's metabolic requirement for oxygen and their perfusion. In between spot checks, however frequent, the patient's condition may change.
What is the difference between continuous respiration and rate and pulse oximetry?
RR increases in response to inadequate gaseous exchange. SpO2 is an indicator of the patient's perfusion. Patients can deteriorate rapidly once SpO2 breaches the current 90% thresholds for intervention. Continuous monitoring of RR changes allows for earlier detection and intervention than current care standards of manual recording and calculated RR from ECG or pulse oximetry.
How does RespiraSense measure continually measure respiration rate?
The sensor applied to the patient at the lower rib and abdomen measures both the chest and abdomen's movements and analyses these movements to measure the respiration rate. The monitor uses motion sensors to detect non-respiratory signs, including moving in bed, coughing, walking, eating, and talking to ensure only the breathing rate is recorded.
Is RespiraSense accurate?
The combination of direct measurement of respiratory movement on the body and the motion-sensing to ensure that non-breathing activity is not recorded as a breath is proven to be accurate to within one breath up to a tested maximum rate of sixty breaths per minute.
What does the system look like?
RespiraSense consists of a single-use patient wearable sensor applied to the patient at the midline level of the lowest rib, a reusable rechargeable transmitter unit that clips into the wearable, and an iPad.
How do I use it?
RespiraSense is quick to apply and easy to use. The three steps to start monitoring a patient are.
Using an iPad with the RespiraSense app, the three stages are.
Name the sensor with the patient's MRN.
Pair it with an oximeter if you are using one.
Place the sensor on the patient.
The observations are streamed to the iPads on the ward.
How do I choose which patients are monitored?
Local policy will inform this decision but patients requiring oxygen support, breathing at faster than twenty-four breaths per minute, showing signs of distress or at risk are typical candidates. An oximeter can be added to the system if required if SpO2 and pulse rate are needed.
Do I have to have someone watching the central station?
This is not necessary as the RespiraSense system is intended to cover the gap between spot check observations. Depending upon your ward's layout, you will have two or more iPads as necessary to ensure that all patients can be observed.
How do I clean the RespiraSense?
The patient sensor is disposable, and the Lobe is designed to be cleaned following local policies for hard surface cleaning of bodily fluids.
Can I use it on patients on CPAP and AirVo?
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