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The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™)
BACKGROUND: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environme...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Dental Society of Anesthsiology
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932995/ https://www.ncbi.nlm.nih.gov/pubmed/29744384 http://dx.doi.org/10.17245/jdapm.2018.18.2.97 |
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author | Kim, Jung Ho Chi, Seong In Kim, Hyun Jeong Seo, Kwang-Suk |
author_facet | Kim, Jung Ho Chi, Seong In Kim, Hyun Jeong Seo, Kwang-Suk |
author_sort | Kim, Jung Ho |
collection | PubMed |
description | BACKGROUND: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement. METHODS: We analyzed data from 49 volunteers who underwent scaling under intravenous sedation. Clinical tests were divided into preparation, sedation, and scaling periods; respiratory rate was measured at 2-s intervals for 3 min in each period. Missing values ratios of the RRa during each period were measuerd; correlation analysis and Bland-Altman analysis were performed on respiratory rates measured by RRa and capnogram. RESULTS: Respective missing values ratio from RRa were 5.62%, 8.03%, and 23.95% in the preparation, sedation, and scaling periods, indicating an increased missing values ratio in the scaling period (P < 0.001). Correlation coefficients of the respiratory rate, measured with two different methods, were 0.692, 0.677, and 0.562 in each respective period. Mean capnography-RRa biases in Bland-Altman analyses were −0.03, −0.27, and −0.61 in each respective period (P < 0.001); limits of agreement were −4.84–4.45, −4.89–4.15, and −6.18–4.95 (P < 0.001). CONCLUSIONS: The probability of missing respiratory rate values was higher during scaling when RRa was used for measurement. Therefore, the use of RRa alone for respiration monitoring during ultrasonic scaling may not be safe. |
format | Online Article Text |
id | pubmed-5932995 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Dental Society of Anesthsiology |
record_format | MEDLINE/PubMed |
spelling | pubmed-59329952018-05-09 The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) Kim, Jung Ho Chi, Seong In Kim, Hyun Jeong Seo, Kwang-Suk J Dent Anesth Pain Med Original Article BACKGROUND: Respiration monitoring is necessary during sedation for dental treatment. Recently, acoustic respiration rate (RRa™), an acoustics-based respiration monitoring method, has been used in addition to auscultation or capnography. The accuracy of this method may be compromised in an environment with excessive noise. This study evaluated whether noise from the ultrasonic scaler affects the performance of RRa in respiratory rate measurement. METHODS: We analyzed data from 49 volunteers who underwent scaling under intravenous sedation. Clinical tests were divided into preparation, sedation, and scaling periods; respiratory rate was measured at 2-s intervals for 3 min in each period. Missing values ratios of the RRa during each period were measuerd; correlation analysis and Bland-Altman analysis were performed on respiratory rates measured by RRa and capnogram. RESULTS: Respective missing values ratio from RRa were 5.62%, 8.03%, and 23.95% in the preparation, sedation, and scaling periods, indicating an increased missing values ratio in the scaling period (P < 0.001). Correlation coefficients of the respiratory rate, measured with two different methods, were 0.692, 0.677, and 0.562 in each respective period. Mean capnography-RRa biases in Bland-Altman analyses were −0.03, −0.27, and −0.61 in each respective period (P < 0.001); limits of agreement were −4.84–4.45, −4.89–4.15, and −6.18–4.95 (P < 0.001). CONCLUSIONS: The probability of missing respiratory rate values was higher during scaling when RRa was used for measurement. Therefore, the use of RRa alone for respiration monitoring during ultrasonic scaling may not be safe. The Korean Dental Society of Anesthsiology 2018-04 2018-04-27 /pmc/articles/PMC5932995/ /pubmed/29744384 http://dx.doi.org/10.17245/jdapm.2018.18.2.97 Text en Copyright © 2018 Journal of Dental Anesthesia and Pain Medicine http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kim, Jung Ho Chi, Seong In Kim, Hyun Jeong Seo, Kwang-Suk The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title | The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title_full | The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title_fullStr | The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title_full_unstemmed | The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title_short | The effect of dental scaling noise during intravenous sedation on acoustic respiration rate (RRa™) |
title_sort | effect of dental scaling noise during intravenous sedation on acoustic respiration rate (rra™) |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932995/ https://www.ncbi.nlm.nih.gov/pubmed/29744384 http://dx.doi.org/10.17245/jdapm.2018.18.2.97 |
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