Respiratory volume monitoring

Accurate monitoring of the first signs of respiratory changes in non-intubated patients

Respiratory Volume Monitoring

Respiratory volume monitoring is a unique technology that enables clinicians to quickly, accurately and continuously assess non-intubated patient´s respiratory status.

Respiratory volume monitoring uses thoracic impedance technology to continuously measure tidal volume (TV), respiratory rate (RR) and minute ventilation (MV). Monitoring minute ventilation provides the earliest warning of changes in respiratory status and enables you to make confident, proactive decisions.

An unmet clinical need

7 million patients

Respiratory compromise impacts approximately 7 million patients each year in the US and Europe.

5 million extra hospital days

Respiratory compromise is causing 5 million extra hospital days in the US.

60% potentially avoidable

More than 60% of arrests brought on by respiratory compromise are potentially avoidable.

Early detection makes the difference

Respiratory failure can happen anywhere in the hospital and its early detection can often make the difference between life and death.

Minute Ventilation – One Central Parameter

Many patients do not have a primary problem with oxygenation, but rather with ventilation, of moving air into and out of the lungs. This is what ExSpiron measures and reports as Minute Ventilation (MV).

Minute Ventilation is a well-known metric used every day with patients on the mechanical ventilator, there mostly called minute volume.

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Use cases

Post-operative care Intensive care unit Procedural sedation

Post-operative care

The ability to reliably identify patients at risk for postoperative respiratory depression (RD) in the recovery room has remained an unmet need. Non-invasive minute ventilation monitoring with ExSpiron can help identifying risk patients at an early stage and thus facilitate earlier intervention decisions to avoid respiratory failure and arrest.

Proactive quantified clinical insights data guide you to make confident decisions to admit or discharge patients from the PACU and has the potential to reduce PACU length of stay.

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Intensive care unit

In the intensive care unit, non-invasive respiratory volume monitoring with ExSpiron provides a warning for changes in respiration before metabolic changes are detectable which helps assess for care escalation.

Continuous minute ventilation and tidal volume data helps quantify work of breathing and thus support re-intubation decisions as well as flow and pressure titration for non-invasive respiratory support management (NiPPV/CPAP and high flow nasal cannula).

The current standard of care is accepted, but not ideal. Pulse oximetry is a lagging indicator of respiratory depression and capnography has proven to be unreliable in non-intubated patients. Respiratory rate fails to detect more than 80% of respiratory depression. Today´s standard of care compromises patient safety due to late detection of respiratory depression in non-intubated patients.

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Procedural sedation

During procedural sedation ExSpiron adds value by providing continuous data on patients' ventilation status which help better sedation/anesthesia titration.

Early warnings of changes in minute ventilation brings conveniance and safety for high risk patients as well as confidence to treat outside the OR.

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References

Roman Schumann, Brian Harvey, Farhad Zahedi, Iwona Bonney. Minute ventilation assessment in the PACU is useful to predict postoperative respiratory depression following discharge to the floor: A prospective cohort study. Journal of Clinical Anesthesia, Volume 52, 2019, Pages 93-98, ISSN 0952-8180, https://doi.org/10.1016/j.jclinane.2018.09.005.

Respiratory diseases statistics - Statistics Explained (europa.eu) https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Respiratory_diseases_statistics&oldid=541149#In-patient_respiratory_healthcare

Number of surgical procedures (per 100,000 population) - European Union | Data https://data.worldbank.org/indicator/SH.SGR.PROC.P5?locations=EU

Non-invasive monitoring of respiratory changes

References