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Development of an acoustic respiratory monitor.

机译:声学呼吸监测仪的开发。

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摘要

Patients sometimes suffer apnea during sedation procedures or after general anesthesia. Apnea presents itself in two forms: respiratory depression (RD) and respiratory obstruction (RO). During RD the patients' airway is open but they lose the drive to breathe. During RO the patients' airway is occluded while they try to breathe. Patients' respiration is rarely monitored directly, but in a few cases is monitored with a capnometer. This dissertation explores the feasibility of monitoring respiration indirectly using an acoustic sensor. In addition to detecting apnea in general, this technique has the possibility of differentiating between RD and RO. Data were recorded on 24 subjects as they underwent sedation. During the sedation, subjects experienced RD or RO.;The first part of this dissertation involved detecting periods of apnea from the recorded acoustic data. A method using a parameter estimation algorithm to determine the variance of the noise of the audio signal was developed, and the envelope of the audio data was used to determine when the subject had stopped breathing. Periods of apnea detected by the acoustic method were compared to the periods of apnea detected by the direct flow measurement. This succeeded with 91.8% sensitivity and 92.8% specificity in the training set and 100% sensitivity and 98% specificity in the testing set.;The second part of this dissertation used the periods during which apnea was detected to determine if the subject was experiencing RD or RO. The classifications determined from the acoustic signal were compared to the classifications based on the flow measurement in conjunction with the chest and abdomen movements. This did not succeed with a 86.9% sensitivity and 52.6% specificity in the training set, and 100% sensitivity and 0% specificity in the testing set.;The third part of this project developed a method to reduce the background sounds that were commonly recorded on the microphone. Additive noise was created to simulate noise generated in typical settings and the noise was removed via an adaptive filter. This succeeded in improving or maintaining apnea detection given the different types of sounds added to the breathing data.
机译:患者有时在镇静过程中或全身麻醉后遭受呼吸暂停。呼吸暂停表现为两种形式:呼吸抑制(RD)和呼吸阻塞(RO)。在RD期间,患者的呼吸道打开,但他们失去了呼吸的动力。在RO期间,患者尝试呼吸时会阻塞其气道。很少直接监测患者的呼吸,但在少数情况下使用二氧化碳监测仪进行监测。本文探讨了使用声传感器间接监测呼吸的可行性。除了通常检测呼吸暂停外,该技术还可能区分RD和RO。在他们进行镇静时,记录了24位受试者的数据。在镇静期间,受试者经历了RD或RO 。;本论文的第一部分涉及从记录的声学数据中检测呼吸暂停的时间。开发了使用参数估计算法来确定音频信号的噪声方差的方法,并且使用音频数据的包络来确定对象何时停止呼吸。将通过声学方法检测到的呼吸暂停时间与通过直接流量测量检测到的呼吸暂停时间进行比较。这在训练组中达到了91.8%的敏感性和92.8%的特异性,在测试组中达到了100%的敏感性和98%的特异性。本论文的第二部分使用了检测到呼吸暂停的时间来确定受试者是否患有RD。或RO。将根据声音信号确定的分类与基于流量测量以及胸部和腹部运动的分类进行比较。在训练组中灵敏度为86.9%,特异性为52.6%,测试组中灵敏度为100%,特异性为0%的情况下,此方法未成功。在麦克风上。创建了附加噪声以模拟在典型设置中生成的噪声,并通过自适应滤波器消除了噪声。鉴于将不同类型的声音添加到呼吸数据中,这成功改善或维持了呼吸暂停检测。

著录项

  • 作者

    Hill, Bryce Ensign.;

  • 作者单位

    The University of Utah.;

  • 授予单位 The University of Utah.;
  • 学科 Engineering Biomedical.;Engineering Electronics and Electrical.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 202 p.
  • 总页数 202
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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