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Journal of Clinical Monitoring and Computing

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01-04-2020 | Commentary

An easy and accurate respiratory rate monitor is necessary

Authors: Nicolas Marjanovic, Olivier Mimoz, Jérémy Guenezan

Published in: Journal of Clinical Monitoring and Computing | Issue 2/2020

Excerpt

Patients admitted to acute care departments should be monitored very closely to improve their safety. Among the five common vital signs—pulse rate, blood pressure, pulse oximetry, respiratory rate [RR] and temperature—RR is probably the most in need of continuous monitoring. Indeed, as the National Institute for Health and Care Excellence has pointed out [1], RR is the most sensitive parameter to detect any clinical deterioration. In addition, RR monitoring can help to assess the severity of deterioration, to predict occurrence of serious adverse events and to estimate response to treatment [1]. …

National Institute for Health and Care Excellence. Acutely ill adults in hospital: recognising and responding to deterioration. 2007.

Lapi S, Lavorini F, Borgioli G, et al. Respiratory rate assessments using a dual-accelerometer device. Respir Physiol Neurobiol. 2014;1191:60–6.CrossRef

Fieselmann JF, Hendryx MS, Helms CM, et al. Respiratory rate predicts cardiopulmonary arrest for internal medicine inpatients. J Gen Intern Med. 1993;8:354–60.CrossRef

Churpek MM, Yuen TC, Park SY, et al. Derivation of a cardiac arrest prediction model using ward vital signs*. Crit Care Med. 2012;40:2102–8.CrossRef

West J, editor. Respiratory physiology: the essentials. 9th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 1990.

Cuthbertson BH, Boroujerdi M, McKie L, et al. Can physiological variables and early warning scoring systems allow early recognition of the deteriorating surgical patient? Crit Care Med. 2007;35:402–9.CrossRef

Lam T, Mak P, Siu W, et al. Validation of a modified early warning score (mews) in emergency department observation ward patients. Hong Kong J Emerg Med. 2006;13:24–30.CrossRef

Subbe CP, Kinsella S. Continuous monitoring of respiratory rate in emergency admissions: evaluation of the RespiraSense™ sensor in acute care compared to the industry standard and gold standard. Sensors (Basel). 2018;18:2700.CrossRef

Cretikos MA, Bellomo R, Hillman K, et al. Respiratory rate: the neglected vital sign. Med J Aust. 2008;188:657–9.CrossRef

10.

Kellett J, Li M, Rasool S, et al. Comparison of the heart and breathing rate of acutely ill medical patients recorded by nursing staff with those measured over 5 min by a piezoelectric belt and ECG monitor at the time of admission to hospital. Resuscitation. 2011;82:1381–6.CrossRef

11.

Lovett PB, Buchwald JM, Stürmann K, et al. The vexatious vital: neither clinical measurements by nurses nor an electronic monitor provides accurate measurements of respiratory rate in triage. Ann Emerg Med. 2005;45:68–76.CrossRef

12.

Liu H, Allen J, Zheng D, et al. Recent development of respiratory rate measurement technologies. Physiol Meas. 2019. https://doi.org/10.1088/1361-6579/ab299e.CrossRefPubMed

13.

Guechi Y, Pichot A, Frasca D, et al. Assessment of noninvasive acoustic respiration rate monitoring in patients admitted to an Emergency Department for drug or alcoholic poisoning. J Clin Monit Comput. 2015;29:721–6.CrossRef

14.

Hochhausen N, Barbosa Pereira C, Leonhardt S, et al. Estimating respiratory rate in post-anesthesia care unit patients using infrared thermography: an observational study. Sensors (Basel). 2018;18:1618.CrossRef

Title: An easy and accurate respiratory rate monitor is necessary
Authors: Nicolas Marjanovic
Olivier Mimoz
Jérémy Guenezan
Publication date: 01-04-2020
Publisher: Springer Netherlands
Published in: Journal of Clinical Monitoring and Computing / Issue 2/2020
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI: https://doi.org/10.1007/s10877-019-00357-1

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