The smart respiratory monitoring integrated pulmonary index: An overview of the literature

Kaya, Cengiz

doi:10.5222/mmj.2017.050

Cited by 3 publications

(5 citation statements)

References 21 publications

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“…On the other hand, IPI is a monitoring technique that evaluates both oxygenation and ventilation by delivering noninvasive, dynamic, real-time, and continuous measurements. It reflects the respiratory state with high specificity and sensitivity, allowing for early identification of potential issues [ 12 ]. As it provides real-time monitoring of respiratory parameters, the IPI algorithm could help with decision-making during routine follow-up and recovery, according to a study conducted on patients who underwent electroconvulsive therapy [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Magnesium Sulphate on Integrated Pulmonary Index Scores and Propofol Consumption During Endobronchial Ultrasonography: A Retrospective Study

Adıgüzel,

Akyurt,

Gullu Arslan

et al. 2023

Cureus

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Our aim in this study was to investigate the effect of inhaled and intravenous (iv) magnesium (Mg) use on Integrated Pulmonary Index (IPI) score and propofol consumption in patients undergoing endobronchial ultrasonography (EBUS) procedure under sedoanalgesia. Materials and methodsAfter obtaining the approval of the local ethics committee, the files of 96 patients aged 18-75 who underwent EBUS were reviewed retrospectively. Patients using Mg were classified as the M group, and patients not using Mg were classified as the control (C) group. IPI values, amount of propofol consumed, and intubation scores of group M and group C were evaluated. ResultsWhen the intubation score values at the time of the bronchoscope passing through the vocal cords (assessment of vocal cord movement, cough reflex, and leg movement) during the EBUS procedure were compared, the intubation conditions were found to be significantly better in the M group than in the C group (p<0.05). Group M had less cough reflex than group C (p<0.05). IPI scores were significantly higher in the M group than in the C group at the 10th and 15th minutes (p<0.05). Total propofol consumption was found to be significantly lower in the M group (254.61±82.80 mg) than in the C group (321.25±90.04 mg) (p<0.05). ConclusionAccording to our results, the use of intravenous and inhaler Mg in addition to propofol sedation during the EBUS procedure may improve the respiratory parameters and can also significantly reduce the propofol dose.

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Section: Discussionmentioning

confidence: 99%

“…IPI enables the clinician to assess the patient's respiratory status and determine the need for intervention quickly [ 1 , 10 , 11 ]. In addition, the Food and Drug Administration of the United States (FDA) states that IPI monitors can be used to monitor respiratory parameters in sedated patients [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Magnesium Sulphate on Integrated Pulmonary Index Scores and Propofol Consumption During Endobronchial Ultrasonography: A Retrospective Study

Adıgüzel,

Akyurt,

Gullu Arslan

et al. 2023

Cureus

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“…Considering the studies in the literature, the IPI score has been used to monitor patients' respiratory functions in sedation practices and intensive care [8-10, 16, 17]. In these studies, it was stated that IPI detected the hypoxia event that occurred in the patient during the follow-up and after the procedures with high sensitivity and specificity [10,16]. As understood from the studies in the literature, IPI has been found to easily detect respiratory pathologies in a simple, correct and clear manner.…”

Section: Discussionmentioning

confidence: 99%

“…Patients diagnosed with ACS were divided into two groups as STEMI and NSTE-ACS. TIMI, HEART, and GRACE risk scores were calculated as indicated in the literature [16,14,15]. The parameters used in all three risk scores consist of the data obtained during the patients ' application to the ED.…”

Section: Test Methodsmentioning

confidence: 99%

Comparison of the integrated pulmonary index with cardiac risk scores in acute coronary syndromes

Tekin,

Ozlu,

Bayraktar

et al. 2021

Ann Clin Anal Med

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Aim: In this study, we aimed to investigate the availability of the Integrated Pulmonary Index (IPI) score in predicting the risk of the major adverse cardiovascular event (MACE) in patients with acute coronary syndromes (ACS). Material and Methods: This study was planned as a prospective single-centered study and the cardiac risk scores and IPI were calculated on the arrival of patients with ACS in the emergency department. The Thrombolysis in Myocardial Infarction (TIMI), history, ECG, age, risk factors, troponin (HEART), and global registry of acute cardiac events (GRACE) risk scores were compared with the obtained IPI score. The MACE was defined as death within the last month since its arrival; IPI's prediction rates of MACE risk were investigated. Results: In the study, 381 patients were included and analyzed. MACE was detected in 105 (27.6%) patients. AUC values of TIMI, HEART, GRACE scores, and arrival high-sensitive cardiac troponin I in predicting MACE were 0.819, 0.737, 0.695 and 0.731, respectively, and statistically significant differences were found (p<0.001). There were negative correlations and statistically significant differences with the IPI, TIMI, HEART, and GRACE scores (p<0.001). The IPI score was found to predict MACE with 83.0% sensitivity and 74.3% specificity with >4 breakpoints (AUC=0.799). Discussion: Our study is the first study in the literature in which IPI predicts risk factors in the ACS. The IPI has been found to predict cardiovascular events in accordance with cardiac risk scores at 30-day follow-up, and it is beneficial for emergency physicians to use IPI with other cardiac risk scores in the prediction of MACE in ACS.

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“…The interpretation of data obtained from these measurements is an important problem, particularly for healthcare practitioners who are unfamiliar with respiratory monitoring. 5 The integrated pulmonary index (IPI) is calculated by computationally integrating SpO2, EtCO2, RR and HR measurements. This index may be constantly monitored on the patient monitor in numerical or wave form.…”

Section: Introductionmentioning

confidence: 99%

Value of integrated pulmonary index monitoring for the detection of adverse respiratory events in patients undergoing sedation for gastrointestinal system endoscopy

Kefeli Celik,

Doganay,

Askin

2023

J Pak Med Assoc

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Objective: To determine if the integrated pulmonary index detects changes in ventilation status early in patients undergoing gastrointestinal endoscopy under sedation, and to determine the risk factors affecting hypoxia. Method: The retrospective study was conducted at the endoscopy unit of a tertiary university hospital in Turkey and comprised data between October 2018 and December 2019 related to patients of either gender aged >18 years who were assessed as American Society of Anaesthesiologists grade I-III and underwent elective lower and upper gastrointestinal endoscopy. Monitoring was done with capnography in addition to standard procedures. Data was analysed using SPSS 23. Results: Of the 154 patients, 94(%) were females and 60(%) were males. Th overall mean age was 50.88±11.8 years (range: 20-70 years). Mean time under anaesthesia was 23.58±4.91 minutes and mean endoscopy time was 21.73±5.06 minutes. During the procedure, hypoxia was observed in 42(27.3%) patients, severe hypoxia in 23(14.9%) and apnoea in 70(45.5%). Mean time between apnoea and hypoxia was 12.59±7.99 seconds, between apnoea and serious hypoxia 21.07±17.64 seconds, between integrated pulmonary index score 1 and hypoxia 12.91±8.17 sec, between integrated pulmonary index score 1 and serious hypoxia 21.59±14.13 seconds, between integrated pulmonary index score <7 and hypoxia 19.63±8.89 seconds, between integrated pulmonary index score <7 and serious hypoxia 28.39±12.66 seconds, between end-tidal carbon dioxide and hypoxia 12.95±8.33 seconds, and between end-tidal carbon dioxide and serious hypoxia 21.29±7.55 seconds. With integrated pulmonary index score 1, sensitivity value for predicting hypoxia and severe hypoxia was 88.1% and 95.7%, respectively, and specificity was 67% and 60.3%, respectively. With integrated pulmonary index score <7, the corresponding values were 100%, 100%, 42% and 64.1%, respectively. Conclusion: Capnographic monitoring, especially the follow-up integrated pulmonary index score, was found to be valuable and reliable in terms of finding both time and accuracy of the risk factor in the diagnosis of respiratory events. Key Words: Endoscopy, Hypoxia, Index monitoring, Pulmonary.

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The smart respiratory monitoring integrated pulmonary index: An overview of the literature

Abstract: GİRİŞAnestezi uygulamalarında hastanın solunum fonksiyonunun doğru olarak değerlendirilmesi büyük önem gösterir. Solunum sayısı (SS) ve arteriyel oksijen satü-rasyonu (SpO 2 ) solunum fonksiyonunun değerlendi-

Cited by 3 publications

References 21 publications

The Effects of Magnesium Sulphate on Integrated Pulmonary Index Scores and Propofol Consumption During Endobronchial Ultrasonography: A Retrospective Study

The Effects of Magnesium Sulphate on Integrated Pulmonary Index Scores and Propofol Consumption During Endobronchial Ultrasonography: A Retrospective Study

Comparison of the integrated pulmonary index with cardiac risk scores in acute coronary syndromes

Value of integrated pulmonary index monitoring for the detection of adverse respiratory events in patients undergoing sedation for gastrointestinal system endoscopy

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