A Review on methods using capnogram signals for detecting asthmatic patients

Authors

  • Mohsen Kazemi Department of Biomedical Instrumentation and Signal Processing Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia, Malaysia
  • Malarvili M. B. Department of Biomedical Instrumentation and Signal Processing Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia, Malaysia
  • Teo A. H. Emergency Department, Hospital Pulau Pinang, Pinang, Malaysia

DOI:

https://doi.org/10.11113/jt.v62.1179

Keywords:

Monitoring, Asthma, Capnogram, Capnography, Signal processing

Abstract

In this paper, a review on methods for detecting the asthmatic conditions by using capnogram is presented. This is included an investigation on capnography as a new approach for monitoring asthma and related researches. Finally, in this preliminary study, a new method based on signal processing approach is developed to automatic detection of asthmatic patients. This developed algorithm is expected to cluster different states of asthmatic conditions by using the RBF (Radial Basis Function) network, instantaneously. However, manual analysis of capnogram is time-consuming and led to erroneous due to human factor such as tiredness and lack of expertise. In the future, this developed algorithm is expected to help heathcare professional involved in respiratory care as it would be possible to monitor severity of asthma automatically and instantaneously.

Author Biographies

  • Mohsen Kazemi, Department of Biomedical Instrumentation and Signal Processing Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia, Malaysia
  • Malarvili M. B., Department of Biomedical Instrumentation and Signal Processing Faculty of Biomedical Engineering and Health Science, Universiti Teknologi Malaysia, Malaysia
  • Teo A. H., Emergency Department, Hospital Pulau Pinang, Pinang, Malaysia

References

Arthur Guyton, C., E. John Hall. 2006. Medical physiology: 11th edn, Elsevier Inc.

Margaret Varnell Clark. 2011. Asthma: a clinician’s guide: Jones & Bartlett Learning LLC.

Christopher Fanta, H., S. Elisabeth Stieb, L. Elaine Carter, E. Kenan Haver. 2007. The Asthma Educator’s Handbook: McGraw-Hill.

Sebastian Johnston, L., G. Nikolas Papadopoulos. 2003. Respiratory Infections in allergy and Asthma: Marcel Dekker Inc.

Steven Weinberger, E., A. Barbara Cockrill, Jess Mandel. 2008. Principles of pulmonary medicine: 5th edn, Elsevier Inc.

Julie Swenson, N. Piedad Henao-Guerrero, W. James Carpenter. 2008. Clinical Technique: Use of Capnography in Small Mammal Anesthesia. J Exotic Pet Med. 17(3): 234-239.

John Thompson, E., B. Michael Jaffe. 2005. Capnography waveforms in the mechanically ventilated patient. Respir Care J. 50(1): 100-109.

Christian Dang, H., Esmat Sadeddin, C. Krishna Gurram. 2006. A Comparison of Capnography and Pulse Oximetry for the detection of Respiratory Depression in Patients Undergoing Gastrointestinal Endoscopy. Gastrointest Endosc J. 63(5): 236-244.

Elam, J., ES. Brown. 2001. Carbon dioxide homeostasis during anesthesia; ventilation and carbon dioxide elimination. Anesthesiol J. 18: 115-127.

Alexiev, V., E. Tiemey. 2006. Simultaneous display of a capnogram and respiratory trace. J Anesth. 61: 1219-1230.

Shyam Sivaramakrishnan, Rajesh Rajamani, D. Bruce Johnson. 2009. Dynamic Model inversion Techniques for Breath-by-Breath Measurement of Carbon Dioxide from Low Bandwidth Sensors. Proc Int Conf IEEE Eng Med Biol Soc. 978-982.

Bernard Landis, M. Patricia Romano. 1998. A Scoring System for Capnogram Biofeedback: Preliminary Findings. Appl Psychophys Biof J. 23: 98-105.

Carol Rhoades, Frank Thomas. 2002. Capnography: beyond the numbers. Air Med J. 10: 167-178.

Ayman Soubani, O. 2001. Noninvasive Monitoring of Oxygen and Carbon Dioxide. J Clin Monit Comput. 15: 235-247.

Giner, J., P. Casan. 2004. Pulse Oximetry and Capnography in Lung Function Laboratories. Arch Bronconeumol J. 40: 311-318.

Robinder Khemani, G., D. Robert Bart, J.L. Christopher Newth. 2007. Respiratory Monitoring During Mechanical Ventilation. Paediatr Child Health J. 17(5): 193-201.

Smalhout, B., Z. Kalenda. 1981. An Atlas of Capnography: 2nd edn, Kerckebosche Zeist Press.

Naveen Eipe, Jordan Tarshis. 2007. A System of Classification for the Clinical Applications of Capnography. J Clin Monit Comput. 21: 341-348.

Ajay Bishop, Michelle Rawle, Anne Bruton. 2007. The use of mouth taping in people with asthma: a pilot study examining the effects on end-tidal carbon dioxide levels. J Physiother. 93: 129-136.

Jurg Hammer. 2006. Ventilator strategies – What monitoring is helpful?. J Paediatr Respir Rev. 75: 5183-5185.

Bao, W., P. King, J. Zheng, B. Smith. 1994. Expert capnogram analysis; real-time expert system for measuring CO2 concentrations expands anesthesiologists’ repertoire. Proc Int Conf IEEE Eng Med Biol Soc. 68-71.

Daniel Rayburn, B., M. Thomas Fitzpatrick, A. Stephen Van Albert. 1994. Neural network evaluation of slopes from sequential volume segments of expiratory carbon dioxide curve. Proc Int Conf on Bioinformatics and Biomedical Engineering. 507-511.

Jorn Op Den Buijs, Lizette Warner, W. Nicolas Chbat, K. Tuhin Roy. 2006. Bayesian tracking of a nonlinear model of the capnogram. Proc Int Conf IEEE Eng Med Biol Soc. 198-203.

Folke, M., B. Hok. 2007. A new capnograph based on an electro acoustic sensor. Proc Int Conf IEEE Eng Med Biol Soc. 856-860.

Wesley Frazier, T. 2000. Review: Capnography and mass-spectrometry in anesthesia. Proc Int Conf IEEE Eng Med Biol Soc. 164-168.

Egleston, C., H. Ben Aslam, M. A. Lambert. 1997. Capnography for monitoring non-intubated spontaneously breathing patients in an emergency room setting. Accid Emerg Med J. 14: 222-224.

Einav Sharon, Matot Idit. 2008. Computerized continuous capnography for prediction of survival from resuscitation. J Resuscitation. 10: 10-16.

Melissa Langhan. 2008. Continuous end-tidal carbon dioxide monitoring in pediatric intensive care units. J Crit Care. 26: 188-196.

Alka Grover. 2007. Critical incidents: the respiratory system. Anesth Intensive Care Med J. 23: 89-96.

Kevin Ward, R., M. Donald Yealy. 1998. End-tidal Carbon Dioxide Monitoring in Emergency Medicine, Part1: Basic Principles. Accid Emerg Med J. 5(6): 122-129.

Benallal, H., K.C. Beck, B.D. Johnson, T. Busso. 2005. Evaluation of Cardiac Output from a Tidally Ventilated Homogeneous Lung Model. Eur J Appl Physiol. 95: 153-162.

Michael Poirier, P., A. Javier Gonzalez, M. Constance McAneney, A. Gregg Digiulio. 2000. Utility of monitoring capnography, pulse oximetry, and vital signs in the detection of airway mishaps: A hyperoxemic animal model. Am J Emerg Med. 16(4): 350-357.

You, B., R. Peslin, C. Duvivier, V. Dang Vu, J.P. Grilliat. 1994. Expiratory capnography in asthma. Eur Respir J. 7: 318-323.

Parvinder Sandhu, S., Kulvinder Singh Mann, Ravikant Verma, Ekta Gupta. 2010. Nasal Cavity Temperature Measurement for Non-Invasive Respiratory Rhythm Monitoring and Its Interfacing with Computer. Proc Int Conf on Mechanical and Electrical Technology. 410-414.

Maija Anderson, R. 2006. Capnography: considerations for its use in the emergency department. J Emerg Nurs. 32(2): 149-153.

Edelson, D., J. Eilevestjonn, E. Weidman. 2008. Capnography versus impedance: In search of optimal strategy for ventilation detection during cardiopulmonary resuscitation. J Resuscitation. 20: 110-116.

Karen Zwerneman. 2006. end-tidal carbon dioxide monitoring: a vital sign worth watching. Crit Care Nurs Clin north Am J. 18: 217-225.

McNaughton, G.W., G. Stewart. 2008. Nasal capnography monitoring: making sedation safer in the emergency department. Ann Emerg Med. 51(4): 356-364.

Antonio Muniz, E. 2008. False-negative capnographic reading caused by a malfunctioning bag-valve-mask device resulting in a pneumomediastinum. J Resuscitation. 20: 378-380.

Jonathan Ingham, D. Peter Macnaughton. 2005. Measurement of PO2, PCO2, PH, Pulse Oximetry and Capnography. Anesth Intensive Care Med J. 26: 106-112.

Michael Yaron, Paul Padyk, Molly Hutsinpiller, B. Charles Cairns. 1996. Utility of the expiratory capnogram in the assessment of bronchospasm. Ann Emerg Med. 38: 28-34.

Druck, J., M. Rubio, A. Valley, B. Jaffe, M. Yaron. 2007. Evaluation of the slope of phase III from the volumetric capnogram as a non-effort dependent in acute asthma exacerbation. Ann Emerg Med. 50(3): 288-295.

Tan Teik Kean, A. H. Teo, M. B. Malarvili. 2010. Feature extraction of capnogram for asthmatic patient. Proc Int Conf on Computer Engineering and Applications. 221-224.

Rajendra Acharya, U., Sumeet Dua, Xian Du, S. Vinitha Sree, and Chua Kuang Chua. 2011. Automatic Diagnosis of Glaucoma Using Texture and Higher Order Spectra Features. IEEE Trans Inf Technol Biomed. 15(3): 449-455.

Paul Cabral, T., Jeffrey Feldman, Jeffrey Bronke, John Enderle. 2005. Receiver Operating Characteristic (ROC) Analysis of False Alarms in Capnography (CO2 Monitoring). Proc Int Conf IEEE Eng Med Biol Soc. 125-130.

Abbas Keshavarz, Saeed Mosayyebpour, Mehrzad Biguesh, T. Aaron Gulliver, and Morteza Esmaeili. 2012. Speech-Model Based Accurate Blind Reverberation Time Estimation Using an LPC Filter. IEEE Trans Audio Speech Lang Process. 20(6): 1884-1893.

Guilin, M., Fredrik Gran, Finn Jacobsen, Thomas Agerkvist. 2011. Adaptive Feedback Cancellation with Band-Limited LPC Vocoder in Digital Hearing Aids. IEEE Trans Audio Speech Lang Process. 19(4): 677-687.

Hyungseob Han, Sangjin Cho, Uipil Chong. 2010. Fault Diagnosis System using LPC Coefficients and Neural Network. Proc Int Conf on Signal Processing Systems. 978-982.

Jau-Jia Guo, B. Peter Luh. 2088. Selecting Input Factors for Clusters of Gaussian Radial Basis Function Networks to Improve Market Clearing Price Prediction. IEEE Trans Power Syst. 18(2): 665-672.

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Published

2013-05-27

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Section

Science and Engineering

How to Cite

A Review on methods using capnogram signals for detecting asthmatic patients. (2013). Jurnal Teknologi, 62(1). https://doi.org/10.11113/jt.v62.1179