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Parsaei, H, Vakily, A, Shafiei, A M. (1395). A Wireless Electronic Esophageal Stethoscope for Continuous Monitoring of Cardiovascular and Respiratory Systems during Anaesthesia. سامانه مدیریت نشریات علمی, 7(1), 69-78.
H Parsaei; A Vakily; A M Shafiei. "A Wireless Electronic Esophageal Stethoscope for Continuous Monitoring of Cardiovascular and Respiratory Systems during Anaesthesia". سامانه مدیریت نشریات علمی, 7, 1, 1395, 69-78.
Parsaei, H, Vakily, A, Shafiei, A M. (1395). 'A Wireless Electronic Esophageal Stethoscope for Continuous Monitoring of Cardiovascular and Respiratory Systems during Anaesthesia', سامانه مدیریت نشریات علمی, 7(1), pp. 69-78.
Parsaei, H, Vakily, A, Shafiei, A M. A Wireless Electronic Esophageal Stethoscope for Continuous Monitoring of Cardiovascular and Respiratory Systems during Anaesthesia. سامانه مدیریت نشریات علمی, 1395; 7(1): 69-78.

A Wireless Electronic Esophageal Stethoscope for Continuous Monitoring of Cardiovascular and Respiratory Systems during Anaesthesia

Journal of Biomedical Physics and Engineering
مقاله 8، دوره 7، شماره 1، خرداد 2017، صفحه 69-78    اصل مقاله (2.1 M)
نوع مقاله: Original Research
نویسندگان
H Parsaei* 1، 2؛ A Vakily1؛ A M Shafiei1
1Department of Medical Physics and Engineering, Shiraz University of Medical Sciences, Shiraz, Iran
2Health Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: The basic requirements for monitoring anesthetized patients during surgery are assessing cardiac and respiratory function. Esophageal stethoscopes have been developed for this purpose, but these devices may not provide clear heart and lung sound due to existence of various noises in operating rooms. In addition, the stethoscope is not applicable for continues monitoring, and it is unsuitable for observing inaccessible patients in some conditions such as during CT scan.Objective: A wireless electronic esophageal stethoscope is designed for continues auscultation of heart and lung sounds in anesthetized patients. The system consists of a transmitter and a receiver. The former acquires, amplifies and transmits the acquired sound signals to the latter via a frequency modulation transmitter. The receiver demodulates, amplifies, and delivers the received signal to a headphone to be heard by anesthesiologist. Results: The usability and effectiveness of the designed system was qualitatively evaluated by 5 anesthesiologists in Namazi Hospital and Shahid Chamran Hospital, Shiraz, Iran on 30 patients in several operating rooms in different conditions; e.g., when electro surgery instruments are working. Fortunately, the experts on average ranked good quality for the heard heart and lung sounds and very good on the user friendly being of the instrument.Conclusion: Evaluation results demonstrate that the developed system is capable of capturing and transmitting heart and lung sounds successfully. Therefore, it can be used to continuously monitor anesthetized patients’ cardiac and respiratory function. Since via the instrument wireless auscultation is possible, it could be suitable for observing inaccessible patients in several conditions such as during CT scan. 
کلیدواژه‌ها
Anesthetic Monitoring؛ Anesthetic Monitoring Equipment؛ Bio instrument؛ esophageal stethoscope؛ Electronic stethoscope؛ Heart Sound؛ Lung Sound
مراجع
  1. Miller RD. Miller’s Anesthesia. 6th ed. Philadelphia: Churchill Livingstone; 2005. p. 1266-1267.
  2. Hansen PB, Luisada AA, Miletich DJ, Albrecht RF. Phonocardiography as a monitor of cardiac performance during anesthesia. Anesth Analg. 1989;68:385-7. doi.org/10.1213/00000539-198903000-00037. PubMed PMID: 2919778.
  3. Watt RC, Mylrea KC. Monitoring the anesthetized patient in the operating room. Med Instrum. 1983;17:383-8. PubMed PMID: 6321921.
  4. Pasch T. Noninvasive monitoring. Anasth Intensivther Notfallmed. 1989;24:3-10. doi.org/10.1055/s-2007-1001519. PubMed PMID: 2653088.
  5. Pasch T. Goals and methods of patient monitoring. Therapeutische Umschau. Revue therapeutique. 1991;48:395-9.
  6. Harris A, Sutton G, Towers M. Physiological and clinical aspects of cardiac auscultation. London; 2013.
  7. Rence WG, Cullen SC, Hamilton WK. Observations on the heart sounds during anesthesia with cyclopropane or ether. Anesthesiology. 1956;17:26-9. doi.org/10.1097/00000542-195601000-00004. PubMed PMID: 13283338.
  8. Manecke GR, Jr., Nemirov MA, Bicker AA, Adsumelli RN, Poppers PJ. The effect of halothane on the amplitude and frequency characteristics of heart sounds in children. Anesth Analg. 1999;88:263-7. PubMed PMID: 9972738.
  9. Duck Shin Y, Hoon Yim K, Hi Park S, Wook Jeon Y, Ho Bae J, Soo Lee T, et al. The correlation between the first heart sound and cardiac output as measured by using digital esophageal stethoscope under anaesthesia. Pak J Med Sci. 2014;30:276-81. PubMed PMID: 24772126.
  10. Campbell WW. Evaluation and management of peripheral nerve injury. Clin Neurophysiol. 2008;119:1951-65. doi.org/10.1016/j.clinph.2008.03.018. PubMed PMID: 18482862.
  11. Sainsbury DA. Monitoring heart and breath sounds by telemetry. Anaesth Intensive Care. 1985;13:415-6. PubMed PMID: 4073459.
  12. Manecke GR, Jr., Poppers PJ. Esophageal stethoscope placement depth: its effect on heart and lung sound monitoring during general anesthesia. Anesth Analg. 1998;86:1276-9. PubMed PMID: 9620519.
  13. Suzuki A, Makino H, Sanjo Y, Nakai T, Mochizuki K, Shiraishi Y, et al. A visual stethoscope for pediatric patient. Paediatr Anaesth. 2008;18:339. doi.org/10.1111/j.1460-9592.2008.02480.x. PubMed PMID: 18315648.
  14. Gnitecki J, Moussavi ZM. Separating heart sounds from lung sounds. Accurate diagnosis of respiratory disease depends on understanding noises. IEEE Eng Med Biol Mag. 2007;26:20-9. doi.org/10.1109/MEMB.2007.289118. PubMed PMID: 17278769.
  15. Park SH, Shin YD, Bae JH, Kwon EJ, Lee TS, Shin JY, et al. Heart sounds analysis via esophageal stethoscope system in beagles. J Clin Monit Comput. 2013;27:535-9. doi.org/10.1007/s10877-013-9459-0. PubMed PMID: 23529343.
  16. Shindler DM. Practical cardiac auscultation. Crit Care Nurs Q. 2007;30:166-80. doi.org/10.1097/01.CNQ.0000264260.20994.36. PubMed PMID: 17356358.
  17. Henneberg S, Hok B, Wiklund L, Sjodin G. Remote auscultatory patient monitoring during magnetic resonance imaging. J Clin Monit. 1992;8:37-43. doi.org/10.1007/BF01618086. PubMed PMID: 1538251.
  18. Karki S, Kaariainen M, Lekkala J. Measurement of heart sounds with EMFi transducer. Conf Proc IEEE Eng Med Biol Soc. 2007;2007:1683-6. doi.org/10.1109/iembs.2007.4352632. PubMed PMID: 18002298.
  19. Mizutani AR, Ozaki G, Benumof JL. A low-cost, high-fidelity FM wireless precordial radiostethoscope for continuous monitoring of heart and breath sounds. J Clin Monit. 1990;6:61-4. doi.org/10.1007/BF02832184. PubMed PMID: 2295900.
  20. Rao CC, Krishna G. Anaesthetic considerations for magnetic resonance imaging. Ann Acad Med Singapore. 1994;23:531-5. PubMed PMID: 7979128.
  21. Trieger N, Erlichman M, Barkin M, Goldsmith D, Schiffman L, Levin D, et al. Anesthesia monitoring of the ambulatory patient. Anesth Prog. 1976;23:79-87. PubMed PMID: 1065235. PubMed PMCID: 2515797.
  22. Murphy R. Computerized multichannel lung sound analysis. Development of acoustic instruments for diagnosis and management of medical conditions. IEEE Eng Med Biol Mag. 2007;26:16-9. doi.org/10.1109/MEMB.2007.289117. PubMed PMID: 17278768.
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