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- W2223806911 abstract "The respiR8® monitor is a novel device measuring respiratory rates (RR) accurately by quantifying the humidity of exhaled air. So far this monitor has been assessed in volunteers and in patients after abdominal surgery (1). The aim of this observational audit was to assess the frequency of abnormal breathing patterns after cardiac surgery with the respiR8® monitor. A series of patients undergoing cardiac surgery age 60 years and above were connected to the non-invasive respiR8® monitor for up to 5 hours after extubation. We recorded postoperative apnoea (10s of no breathing activity or a RR ≤6 breaths/min), tachypnea (≥18 breaths/min), bradypnoea (≤10 breaths/min), max/min RR and oxygen saturation (SatO2) every 10min during the first hour and every 30min thereafter. 9 patients undergoing bypass and/or valve surgery were studied. All patients were extubated within 6hrs postoperatively, and monitored with the respiR8® monitor within two hours for a median of 2.5hrs (range 2-4.5hrs). 7 patients developed at least one episode and 6 patients at least 5 episodes of postoperative apnoea. All patients had at least 2 episodes of postoperative tachypnea with a median max RR of 31 (range 27-36 breaths/min). One patient showed one episode of SatO2 below 90%. Current clinical practice for measurements of postoperative RR includes ECG recorded chest excursions, which can be misleading as it may indicate a RR without gas movement. Pulse oximetry may only be a late indicator of hypoventilation. However, irregular breathing patterns postoperatively are essential clinical signs for optimizing postoperative clinical care." @default.
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- W2223806911 date "2015-06-01" @default.
- W2223806911 modified "2023-10-18" @default.
- W2223806911 title "Respiratory rate measurements after cardiac surgery - incidence of abnormal breathing patterns in an observational case series" @default.
- W2223806911 doi "https://doi.org/10.1053/j.jvca.2015.05.016" @default.
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