• Title/Summary/Keyword: 심박산소포화도

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Hemodynamics Effects of $CO_2$ Insufflation During Thoracoscopy (흉강경시 $CO_2$에 의한 혈역학적 영향)

  • 손동섭;원경준
    • Journal of Chest Surgery
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    • v.29 no.7
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    • pp.723-727
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    • 1996
  • An adequate exposure is important in thoracoscopic procedures. The insufflation of $CO_2$has been demonstrated to aid in compressing lung parenchyma, and act as a retractor when combined with changes in patient's position. However, a recent study demonstrated that $CO_2$insufflation during thoracoscopy in the pig has adverse hemodynamic consequences. We prospectively studied 12 patients undergoing thoracoscopy to evaluate the effect of $CO_2$insufflation in the clinical setting. The mean arterial pressure, heart rate, central venous pressure, arterial oxygen saturation, and end-tidal $CO_2$pressure were monitored. Measurements were determined at baseline, at the initiation of one-lung ventilation, and at intrapleural pressure of 5, 10, 15 mmHg and following results were obtained. 1) The insufflation of 5 to 15 mmHg of $CO_2$had no significant effect on the mean arterial pressure, heart rate, arterial oxygen saturation. 2) The end-tidal $CO_2$pressure rose from 31.00$\pm$1.67 mmHg to 38.49$\pm$1.82 mmHg at an intrapleural pressure of 15 mmHg(p<0.05). 3) The central venous pressure rose from 7.75$\pm$0.76 mmHg to 12.83$\pm$1.64 mmHg and 16.16$\pm$l.97mmHg at an intrapleural pressure of 10 and 15 mmHg(p<0.05). 4) The low pressure (<10 mmHg) insufflation is a safe adjunct to the conduct of thoracoscopic surgical procedures.

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Development and Evaluation of the V-Catch Vision System

  • Kim, Dong Keun;Cho, Yongjoo;Park, Kyoung Shin
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.3
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    • pp.45-52
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    • 2022
  • A tangible sports game is an exercise game that uses sensors or cameras to track the user's body movements and to feel a sense of reality. Recently, VR indoor sports room systems installed to utilize tangible sports game for physical activity in schools. However, these systems primarily use screen-touch user interaction. In this research, we developed a V-Catch Vision system that uses AI image recognition technology to enable tracking of user movements in three-dimensional space rather than two-dimensional wall touch interaction. We also conducted a usability evaluation experiment to investigate the exercise effects of this system. We tried to evaluate quantitative exercise effects by measuring blood oxygen saturation level, the real-time ECG heart rate variability, and user body movement and angle change of Kinect skeleton. The experiment result showed that there was a statistically significant increase in heart rate and an increase in the amount of body movement when using the V-Catch Vision system. In the subjective evaluation, most subjects found the exercise using this system fun and satisfactory.

Blood Pressure Reactivity during Nasal Continuous Positive Airway Pressure in Obstructive Sleep Apnea Syndrome (폐쇄성(閉鎖性) 수면무호흡증(睡眠無呼吸症)에서 지속적(持續的) 상기도(上氣道) 양압술(陽壓術)이 혈력학적(血力學的) 변화(變化)에 끼치는 영향(影響))

  • Park, Doo-Heum;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.24-33
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    • 2002
  • Objectives: Nasal continuous positive airway pressure (CPAP) corrected elevated blood pressure (BP) in some studies of obstructive sleep apnea syndrome (OSAS) but not in others. Such inconsistent results in previous studies might be due to differences in factors influencing the effects of CPAP on BP. The factors referred to include BP monitoring techniques, the characteristics of subjects, and method of CPAP application. Therefore, we evaluated the effects of one night CPAP application on BP and heart rate (HR) reactivity using non-invasive beat-to-beat BP measurement in normotensive and hypertensive subjects with OSAS. Methods: Finger arterial BP and oxygen saturation monitoring with nocturnal polysomnography were performed on 10 OSAS patients (mean age $52.2{\pm}12.4\;years$; 9 males, 1 female; respiratory disturbance index (RDI)>5) for one baseline night and another CPAP night. Beat-to-beat measurement of BP and HR was done with finger arterial BP monitor ($Finapres^{(R)}$) and mean arterial oxygen saturation ($SaO_2$) was also measured at 2-second intervals for both nights. We compared the mean values of cardiovascular and respiratory variables between baseline and CPAP nights using Wilcoxon signed ranks test. Delta ($\Delta$) BP, defined as the subtracted value of CPAP night BP from baseline night BP, was correlated with age, body mass index (BMI), baseline night values of BP, BP variability, HR, HR variability, mean $SaO_2$ and respiratory disturbance index (RDI), and CPAP night values of TWT% (total wake time%) and CPAP pressure, using Spearman's correlation. Results: 1) Although increase of mean $SaO_2$ (p<.01) and decrease of RDI (p<.01) were observed on the CPAP night, there were no significant differences in other variables between two nights. 2) However, delta BP tended to increase or decease depending on BP values of the baseline night and age. Delta systolic BP and baseline systolic BP showed a significant positive correlation (p<.01), but delta diastolic BP and baseline diastolic BP did not show a significant correlation except for a positive correlation in wake stage (p<.01). Delta diastolic BP and age showed a significant negative correlation (p<.05) during all stages except for REM stage, but delta systolic BP and age did not. 3) Delta systolic and diastolic BPs did not significantly correlate with other factors, such as BMI, baseline night values of BP variability, HR, HR variability, mean SaO2 and RDI, and CPAP night values of TWT% and CPAP pressure, except for a positive correlation of delta diastolic pressure and TWT% of CPAP night (p<.01). Conclusions: We observed that systolic BP and diastolic BP tended to decrease, increase or remain still in accordance with the systolic BP level of baseline night and aging. We suggest that BP reactivity by CPAP be dealt with as a complex phenomenon rather than a simple undifferentiated BP decrease.

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A Study on U-Healthcare System Based on Mobile Gateway (모바일 게이트웨이 기반의 U-헬스케어 시스템에 대한 연구)

  • Jeon, Jae-Hwan;Heo, Sung-Uk;Kang, Sung-In;Kim, Gwan-Hyung;Choi, Sung-Wook;Oh, Am-Suk
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2013.01a
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    • pp.283-285
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    • 2013
  • 본 논문에서는 헬스케어 시스템 제공업체와 소비자 모두 스마트폰 헬스케어를 향상시킬 도구로 수용할 수 있고 ISO/IEEE11073, HL7 표준을 적용한 홈 헬스케어 시스템을 제안하고자 한다. 이 시스템은 표준 기반의 홈 헬스케어 게이트웨이 플랫폼의 중요성이 부각되는 홈 헬스케어에서 건강측정을 위하여 가장 많이 사용되는 혈당계, 혈압계, 심박측정계, 산소포화도 측정계, 심전도 측정계 등의 홈 헬스케어 의료기기를 제안하였다. 아울러, 표준 핵심 기술 요소인 ISO/IEEE 11073, HL7을 준용하는 게이트웨이 플랫폼을 스마트폰에 적용하여 PMG(personal mobile gateway) 기반의 홈&모바일 헬스케어 시스템이다.

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Detection of Radial Pulse Wave by Photoplethysmogram (광전용적맥파를 이용한 요골동맥 맥파 검출)

  • 정동근;김광년;연규선;최병철;서덕준
    • Journal of Life Science
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    • v.13 no.1
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    • pp.42-46
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    • 2003
  • Photoplethysmogram is widely used to measure heart rate and arterial blood oxygen saturation in human. This paper describes radial pulse waves recorded by photoplethysmogram with 940 nm wavelength infra red light. Radial pulse waves were varied according to the recording site. When recorded on the skin over radial artery, the radial pulse wave was inverted, comparing to the photoplethysmogram at fingertip. The mechanism of inverted pulse wave seemed to be caused by the change of the blood volume in the subcutaneous tissue between radial artery and the skin, which was reduced during systolic period and increased during diastolic period of the cardiac cycle. These results suggest that radial arterial wall may reflect infra red ray.

Design of Home&Mobile Healthcare System Based on Smart Phone PMG(personal mobile gateway) (스마트폰 PMG(personal mobile gateway) 기반의 홈&모바일 헬스케어 시스템 설계)

  • Jean, Jae-Hwan;Kim, Sung-Hyun;Gang, Seong-In;Kim, Kwan-Hyung;Oh, Am-Suk
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.05a
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    • pp.757-759
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    • 2011
  • 본 논문에서는 홈 헬스케어에서 건강측정을 위하여 가장 많이 사용되는 개인 건강 기기(personal health device)인 혈당계, 혈압계, 심박측정계(heart rate monitor), 산소포화도 측정계(pulse-oximeter), 심전도 측정계(ECG monitor)의 5가지 홈 헬스케어 의료기기를 구성하고 표준 핵심 기술 요소인 ISO/IEEE 11073, HL7을 준용하는 게이트웨이 플랫폼을 스마트폰에 적용하여 기존의 홈 헬스케어 시스템을 구성하는 단말기 형태의 게이트웨이나 홈 서버 하드웨어 구성을 필요로 하지 않으면서 집안의 고정된 게이트웨이로 인해서 생기는 위치종속성 문제를 해결할 수 있는 PMG(personal mobile gateway) 기반의 홈&모바일 헬스케어 시스템을 개발하고자 한다.

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The Effects of Chest Vibration Prior to Endotracheal Suctioning on Oxygen Saturation, Heart Rate and Lung Secretions in Premature Infants (미숙아의 기관지흡인 전 흉곽진동 간호중재가 산소포화도, 심박동수와 기도분비물의 양에 미치는 영향)

  • Ahn Young Mee
    • Child Health Nursing Research
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    • v.4 no.2
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    • pp.245-254
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    • 1998
  • Prematurity is the main cause for respiratory disorders in neonates. The goal in respiratory management is to maintain respiration with adequate oxygenation. Chest vibration(CV) prior to on dotracheal suctioning(ETS) has been arbitrarily applied to ventilated premature infants without the scientific evaluation of its safety and efficacy. A repeated measure within subjects experimental study was conducted to investigate the effects of CV prior to 875 on oxygenation and lung secretions in twenty-one ventilated premature infants. The independent variable was the type of research protocol, the control type (275 without C.V) and t he intervention(ETS with CV). The dependent variables were oxygen saturation(SpO₂), heart rate (HR), measured by pulse oximeter, and the amount of lung secretions measured in gram. The results showed there was no difference in SpO₂ responses regardless CV employed before ETS. But there was a significant difference in HR responses between the control and the intervention, even without clinical significance. There was a significant difference in the amount of lung secretions retrieved during ETS with CV, compared to ETS without CV. This study suggested the safety of CV by demonstrating no clinically significant changes in SpO₂ and HR in premature infants. The efficacy of CV could be supported by the increases in the amount of sputum during ETS with CV compared to ETS without CV in premature infants.

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Design of Service Delivery System for Stress Relief using Deep Learning Analysis Model (딥러닝 분석 모델 기반 스트레스 완화를 위한 서비스 제공 시스템 설계)

  • Kim, HyunJeong;Yoo, Seoyeon;Im, HyoGyeong;Kim, Kang-Gyoo;Yun, NaRi;Ha, Ok-Kyoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.535-536
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    • 2021
  • 현대의 스트레스 케어는 대부분 비디오 시청, 상담, 취미 활동 등을 통해 진행된다. 시각, 청각을 스트레스 케어에 활용한 사례는 이미 일상에서 쉽게 접할 수 있음으로 다른 새로운 감각을 요구하고 있다. 본 논문에서는 스트레스 케어를 목적으로, 생체정보를 대상으로 딥러닝 기술 기반의 '사용자 스트레스 및 효과적인 스트레스 해소 요소 판단 알고리즘 모델'을 사용하는 서비스 제공 시스템을 설계한다. 생체정보는 손목시계형 웨어러블을 통해 수집된 심박수, 혈압, 체온, 산소포화도, ECG 등 생체데이터를 사용한다. 제시하는 방법은 실시간으로 수집된 생체정보를 알고리즘, 모델을 통해 스트레스 수치를 예측하여 사용자에게 적절한 음악과 조명을 이용한 시청각적 요소와 아로마 요법을 이용한 후각적 요소를 제공한다.

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Driver Drowsiness Detection System using Image Recognition and Bio-signals (영상 인식 및 생체 신호를 이용한 운전자 졸음 감지 시스템)

  • Lee, Min-Hye;Shin, Seong-Yoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.6
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    • pp.859-864
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    • 2022
  • Drowsy driving, one of the biggest causes of traffic accidents every year, is accompanied by various factors. As a general method to check whether or not there is drowsiness, a method of identifying a driver's expression and driving pattern, and a method of analyzing bio-signals are being studied. This paper proposes a driver fatigue detection system using deep learning technology and bio-signal measurement technology. As the first step in the proposed method, deep learning is used to detect the driver's eye shape, yawning presence, and body movement to detect drowsiness. In the second stage, it was designed to increase the accuracy of the system by identifying the driver's fatigue state using the pulse wave signal and body temperature. As a result of the experiment, it was possible to reliably determine the driver's drowsiness and fatigue in real-time images.

COMPARISON OF SEDATIVE EFFECTS BETWEEN THREE ROUTES OF ADMINISTRATION WITH MIDAZOLAM (Midazolam의 투여방법에 따른 진정효과의 비교연구)

  • Kim, Ryoung;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.283-291
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    • 2000
  • The purpose of this study was to compare the sedative effect of three routes of administration - intramuscular, intranasal drop-in, intranasal spray - with midazolam. The twenty two uncooperative children from 23 months to 76 months who required at least three dental appointment. Each patient was assigned randomly to receive intramuscular(Group I, 0.15mg/kg), intranasal drop-in(Group II, 0.20mg/kg), intranasal spray(Group III, 0.20mg/kg) administration at each visit. Sleep, crying, movement, and overall behavior response were evaluated, and the sedative effects were evaluated by Houpt's rating scale In order to monitor the sedated patients, pulse rate and peripheral oxygen saturation were measured by pulse oximeter during treatment procedures. The results were as follows 1. Pulse rate and peripheral oxygen saturation were stable through all the treatment procedures, and there were no statistically significant differences among three routes of administration(P>0.05). 2. The effect on sleep was, III, II, I, in order, III group was the most effective through all the treatment procedures, except rubber-dam placement and filling phase (P<0.0001). 3. The effects on crying, movement, overall behavior were II, III, I, in order, II group was the most effective through all treatment procedures(P<0.0001).

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