Apnea Monitor Using Pulse Oxymetry with Tactile Stimulation to Reduce Respiration Failure

  • Levana Forra Wakidi Poltekkes Kemenkes Surabaya
  • I Dewa Hari Wisana Poltekkes Kemenkes Surabaya
  • Anita Miftahul Maghfiroh Department of Electromedical Engineering, Poltekkes Kemenkes Surabaya
  • Vijay Kumar Sharma Shyam Lal College University of Delhi
Keywords: Apnea, Apnea Monitor, SPO2, Finger Sensor, Tactile Stimulation

Abstract

Respiratory failure (apnea) often occurs in premature babies, this should be avoided because it causes low oxygen concentrations in the blood so that it can damage brain function and lead to death. Apnea is characterized by a decrease in oxygen saturation (SpO2). The purpose of this study was to design an apnea monitor that was detected with SpO2 parameters, alarms, and vibrating stimulation. This study uses infrared and red LEDs that emit light through the surface of the finger and is detected by a photodiode sensor, this light signal will be converted into an electrical signal and calculated by Arduino to determine the patient's SpO2 and BPM values. If the SpO2 value drops 5% within 5 seconds from the baseline, the device will indicate apnea has occurred and the vibrating motor is working. SpO2 signals and alarms are sent to the nurse station computer via Bluetooth HC-05. The instrument was calibrated with an SpO2 calibrator and the measurement results were compared with a BION pulse oximetry brand. The results of the instrument measurement on two subjects on the SpO2 parameter showed an error value of 2% and the BPM parameter obtained an error value of 4.54%. Testing the BPM parameter using a calibrator at the 30 and 60 BPM settings shows an error value of 0% and at the 120 BPM setting the error value is 0.01%. The vibrating motor to stimulate the baby's body when apnea occurs is functioning properly. The results showed that measurements using subjects tended to have high error values ​​due to several factors. This research can be implemented on patient monitors to improve patient safety and reduce the workload of nurses or doctors

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References

K. Kesavan and E. B. Gauda, “Neonatal apnea,” 5-Minute Pediatr. Consult. 8th Ed., vol. 77, pp. 630–631, 2018, doi: 10.2223/jped.223.

M. Marfuah, W. Barlianto, and D. Susmarini, “Faktor Risiko Kegawatan Nafas Pada Neonatus Di Rsd. Dr. Haryoto Kabupaten Lumajang Tahun 2013,” J. Ilmu Keperawatan, vol. 1, no. 2, p. pp.119-127, 2013.

J. Zhao, F. Gonzalez, and D. Mu, "Apnea of prematurity: From cause to treatment," Eur. J. Pediatr., vol. 170, no. 9, pp. 1097–1105, 2011, doi: 10.1007/s00431-011-1409-6.

World Health Organization, "Core Medical Equipment - Information," Core Med. Equipments-Information, vol. 11.03, no. http://www.who.int/medical_devices/en/index.html, pp. 36, 37, 2011.

U. Krishnaswamy, A. Aneja, R. Kumar, and T. Kumar, "Utility of portable monitoring in the diagnosis of obstructive sleep apnea," Journal of Postgraduate Medicine. 2015, doi: 10.4103/0022-3859.166509.

A. I. Masoud, P. P. Patwari, P. A. Adavadkar, H. Arantes, C. Park, and D. W. Carley, "Validation of the medibyte portable monitor for the diagnosis of sleep apnea in pediatric patients," J. Clin. Sleep Med., 2019, doi: 10.5664/jcsm.7764.

D. Sommermeyer, D. Zou, L. Grote, and J. Hedner, "Detection of sleep disordered breathing and its central/obstructive character using nasal cannula and finger pulse oximeter," J. Clin. Sleep Med., 2012, doi: 10.5664/jcsm.2148.

D. Jain, C. D'Ugard, J. Bello, E. Bancalari, and N. Claure, "Hypoxemia Episodes during Day and Night and Their Impact on Oxygen Saturation Targeting in Mechanically Ventilated Preterm Infants," Neonatology, 2017, doi: 10.1159/000481395.

C. D. Trop and L. V. Simon, "Pulse Oximetry," Vet. Anesth. Pain Manag. Secrets, pp. 1–26, 2019, doi: 10.1378/chest.95.4.713.

N. H. Hillman and H. S. Lam, "Respiratory Disorders in the Newborn," in Kendig's Disorders of the Respiratory Tract in Children, 2019.

M. A. D'Agostino, "Obstructive Sleep Apnea, Diagnosis, Management, and Treatment," Otolaryngologic Clinics of North America. 2016, doi: 10.1016/j.otc.2016.10.001.

B. R.B. et al., "Rules for scoring respiratory events in sleep: Update of the 2007 AASM manual for the scoring of sleep and associated events," J. Clin. Sleep Med., 2012.

R. Brugarolas et al., "Wearable SpO2 and Sleep Posture Monitoring System for Obstructive Sleep Apnea Patients," IEEE Trans. Inf. Technol. Biomed., 2015.

A. S. L. Ng, T. K. S. Wong, M. D. I. Gohel, W. W. M. Yu, J. W. Y. Chung, and K. L. Fan, "Using pulse oximetry level to indicate the occurrence of sleep apnoea events," Stud. Health Technol. Inform., vol. 122, pp. 672–675, 2006.

J.-L. Pépin et al., "Obstructive Sleep Apnea patients adhering to Continuous positive Airway Pressure: A randomized trial," Chest, 2020.

R. Ristanto and A. Zakaria, “Hubungan Respiratory Rate (RR) dan Oxygen Saturation (SpO2) Pada Klien Cedera Kepala,” J. Kesehat. Hesti Wira Sakti, vol. 5, no. 2, pp. 85–90, 2019.

M. Bsoul, H. Minn, and L. Tamil, "Apnea MedAssist: Real-time sleep apnea monitor using single-lead ECG," IEEE Trans. Inf. Technol. Biomed., vol. 15, no. 3, pp. 416–427, 2011, doi: 10.1109/TITB.2010.2087386.

G. Gonzalez-Briceno, J. E. Medow, S. Ortega-Cisneros, D. Lorias-Espinoza, A. Minor-Martinez, and J. G. Webster, “Design and Evaluation of a USB Isolator for Medical Instrumentation,” IEEE Trans. Instrum. Meas., vol. 68, no. 3, pp. 797–806, 2019, doi: 10.1109/TIM.2018.2853319.

S. Alqassim, M. Ganesh, S. Khoja, M. Zaidi, F. Aloul, and A. Sagahyroon, "Sleep Apnea Monitoring Using Mobile Phones," pp. 443–446, 2012.

D. L. D. Olvera, D. S. Lopez, M. A. M. Prado, J. R. Resendiz, and Y. O. Rivera, "Noninvasive monitoring system for early detection of apnea in newborns and infants," IECBES 2016 - IEEE-EMBS Conf. Biomed. Eng. Sci., pp. 494–498, 2016, doi: 10.1109/IECBES.2016.7843500.

Y. Y. Lin, H. T. Wu, C. A. Hsu, P. C. Huang, Y. H. Huang, and Y. L. Lo, "Sleep Apnea Detection Based on Thoracic and Abdominal Movement Signals of Wearable Piezoelectric Bands," IEEE J. Biomed. Heal. Informatics, vol. 21, no. 6, 2017, doi: 10.1109/JBHI.2016.2636778.

I. D. M. Wirayuda, I. D. Gede, H. Wisana, and P. C. Nugraha, “Apnea Monitor based on Bluetooth with Android Interface I Dewa Made Wirayuda, I Dewa Gede Hari Wisana , Priyambada Cahya Nugraha,” vol. 1, no. 2, pp. 50–56, 2019, doi: 10.35882/ijeeemi.v1i2.1.

Published
2021-07-19
How to Cite
[1]
L. Forra Wakidi, I. D. Hari Wisana, A. Miftahul Maghfiroh, and V. K. Sharma, “Apnea Monitor Using Pulse Oxymetry with Tactile Stimulation to Reduce Respiration Failure”, j.electron.electromedical.eng.med.inform, vol. 3, no. 2, pp. 79-84, Jul. 2021.
Section
Electronics