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2007, Number 1

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Rev Mex Ing Biomed 2007; 28 (1)

Impedance Neumography as an Alternative for Obstructive Sleep Apnea Assessment

Olmos D, Rodríguez JL, Gaitán MJ, Pimentel AB
Full text How to cite this article

Language: Spanish
References: 10
Page: 36-43
PDF size: 170.86 Kb.


Key words:

Obstructive sleep apnea, Technological assessment, Impedance respirometry.

ABSTRACT

The evaluation of the obstructive sleep apnea is commonly done by polysomnography. During this disease the respiratory signals can be observed as respiratory efforts (thoracic/abdominal movements) without airflow and a consequent oxygen saturation reduction. The technique used to define the respiratory signal by the Instituto Nacional de Enfermedades Respiratorias is the inductance plethysmography. However, in Mexico there is a technology availability trouble for the absence of a technology provider of the instrument itself, transducers or service. In this work, an evaluation of two other technological technologies is presented, the impedance neumography and the displacement respirometry. For the primer, a cost evaluation was also done. Using a Fleish neumotacometer as reference signal, the volume and frequency obtained by these two techniques showed that the impedance neumography presented high correlations and it was capable of follow the respiratory movements in obstructive sleep apnea simulations. Although the cost evaluation resulted in slightly higher costs than the inductance technique, the qualitative costs of using impedance neumography suggest benefits for the technological substitution.


REFERENCES

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  2. American Academy of Sleep Medicine Task Force. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. Sleep 1999; 22: 667-689.

  3. Landon C. Respiratory monitoring: Advantages of inductive plethysmography over impedance pneumography. Disponible en: vivometrics.com/site/pdfs/wpRIPImped.pdf, Última consuta, marzo 2007.

  4. Harding GH, Epstein AL. Technology evaluation. In: Clinical Engineering Handbook, Editor J. Dyro, Elsevier Academic Press, San Diego 2004: pp. 114-117.

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  6. Valencia M, Salin R, Pérez J. Técnicas de diagnóstico: polisomnografía, pruebas de latencias múltiples, actigrafía e instrumentos de informe subjetivo. Mc Graw-Hill Interamericana, 2002: pp. 78-92.

  7. Ernst JM, Litvack DA, Lozano DL, Cacioppo JT, Berntson GG. Impedance pneumography: Noise as signal in impedance cardiography. Psychophysiology 1999; 36: 333-338.

  8. Katz ES, Lutz J, Black C, Marcus CL. Pulse transit time as a measure of arousal and respiratory effort in children with sleep-disordered breathing. Pediatr Res 2003; 53: 580-588.

  9. Olmos D, Rodríguez JL, Gaitán MJ, Pimentel AB. Evaluación de la respirometría por sensores de desplazamiento y de la neumografía por impedancia en la valoración de señales respiratorias en condiciones simuladas de apnea del sueño, XXVIII Congreso Nacional de Ingeniería Biomédica, Acapulco, México, Noviembre 2005.

  10. YasudaY, Umenzu A, Horihata S, Yamamoto K, Miki R, Koike S. Modified thoracic impedance plethismography to monitor sleep apnea syndromes. Sleep Medicine 2005; 6: 215-224.




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Rev Mex Ing Biomed. 2007;28