Low-power system for the acquisition of the respiratory signal of neonates using diaphragmatic electromyography

Abstract

IntroductionAn apnea episode is defined as the cessation of breathing for ≥15 seconds or as any suspension of breathing accompanied by hypoxia and bradycardia. Obtaining information about the respiratory system in a neonate can be accomplished using electromyography signals from the diaphragm muscle.ObjectiveThe purpose of this paper is to illustrate a method by which the respiratory and electrocardiographic signals from neonates can be obtained using diaphragmatic electromyography.Materials and methodsThe system was developed using single-supply, micropower components, which deliver a low-power consumption system appropriate for the development of portable devices. The stages of the system were tested in both adult and neonate patients.ResultsThe system delivers signals as those expected in both patients and allows the acquisition of respiratory signals directly from the diaphragmatic electromyography.ConclusionThis low-power system may present a good alternative for monitoring the cardiac and respiratory activity in newborn babies, both in the hospital and at home.SignificanceThe system delivers good signals but needs to be validated for its use in neonates. It is being used in the Neonatal Intensive Care Unit of the Hospital General de Medellín Luz Castro de Gutiérrez.

Surface respiratory electromyography and dyspnea in acute heart failure patients

“…In this connection, future clinical applications could be developed for automatically monitoring patient's dyspnea, in particular at the patient's home (with potential telemetric follow-up). In fact, small, portable and relatively cheap recorders including surface EMG are currently available for home monitoring sleep apnea, and new miniaturized and wireless EMG devices are being developed [31][32][33].…”

Evaluation of a Wearable Device to Determine Cardiorespiratory Parameters From Surface Diaphragm Electromyography

“…Surface EMG of respiratory muscles, acquired by means of surface electrodes positioned at different points on the body, is a noninvasive alternative to invasive EMGdi measurements [16], [17]. Additionally, respiratory EMG signals themselves contain cardiorespiratory information from which RR and HR can be derived in neonates and adults [18], [19], [20]. These two cardiorespiratory parameters provide relevant information for evaluating patients suffering from COPD [21], [22].…”