Methods And Systems For Monitoring A Ventilator Patient With A Capnograph

• US 20120136222A1
• Filed: 11/30/2010
• Published: 05/31/2012
• Est. Priority Date: 11/30/2010
• Status: Abandoned Application

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Inventors: Doyle, Peter, Vandine, Joseph Doug, Sanborn, Warren, Graboi, Dan
• Application Number:
  US12/956,238
• Publication Number:
  US 20120136222A1
• Time in Patent Office: Days
• US Class Current: 600/301
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/721 using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured

Abstract

This disclosure describes systems and methods for monitoring the ventilation of a patient being ventilated by a medical ventilator. The disclosure describes a novel approach of displaying integrated ventilator information with capnography data. The disclosure further describes a novel approach for removing cardiogenic artifacts.

Claims

1. A method for monitoring the ventilation of a patient being ventilated by a medical ventilator-capnograph system, the method comprising:

monitoring a pulse rate of a patient being ventilated by a medical ventilator-capnograph system with at least one of a flow sensor, a pressure sensor, a cardiac monitor, and an oximeter;

monitoring the patient with a capnograph, the capnograph monitors an amount of carbon dioxide in respiration gas from the patient to derive a capnogram;

determining potential cardiogenic artifacts of the capnogram;

correlating the potential cardiogenic artifacts of the capnogram with the pulse rate of the patient to verify cardiogenic artifacts of the capnogram; and

removing verified cardiogenic artifacts of the capnogram.

2. The method of claim 1, further comprising displaying a capnogram wherein the verified cardiogenic artifacts have been removed.

3. The method of claim 2, wherein the capnogram is displayed by at least one of a capnograph display and a ventilator display.

4. The method of claim 1, further comprising receiving height, weight, and gender of the patient from operator input.

5. The method of claim 4, further comprising:

monitoring the pulse rate of the patient with the flow sensor and the pressure sensor based on the height, weight, and gender of the patient.

6. The method of claim 1, further comprising:

monitoring the pulse rate of the patient with the oximeter.

7. The method of claim 1, further comprising:

monitoring the pulse rate of the patient with the cardiac monitor.

8. The method of claim 1, further comprising:

displaying the capnogram with verified cardiogenic artifacts reinserted upon operator selection.

9. The method of claim 1, further comprising:

removing the verified cardiogenic artifacts from a carbon dioxide related parameter derived from the amount of carbon dioxide in the respiration gas from the patient.

10. The method of claim 9, wherein the carbon dioxide related parameter is ETCO₂ and CO₂ volume per minute.

11. The method of claim 1, further comprising:

correcting a monitored volumetric carbon dioxide (VCO₂) for errors based on the verified cardiogenic artifacts.

12. A medical ventilator-capnograph system, comprising:

a pneumatic gas delivery system, the pneumatic gas delivery system adapted to control a flow of gas from a gas supply to a patient via a ventilator breathing circuit;

at least one sensor, the at least one sensor monitors a pulse rate of the patient;

a capnograph, the capnograph monitors an amount of carbon dioxide in respiration gas from the patient in the ventilator breathing circuit to generate a capnogram;

a correlation module, the correlation module is adapted to identify potential cardiogenic artifacts of the capnogram, correlate the potential cardiogenic artifacts with the pulse rate of the patient, and remove verified cardiogenic artifacts of the capnogram; and

a processor in communication with the pneumatic gas delivery system, at least one sensor, the capnograph, and the correlation module.

13. The medical ventilator-capnograph system of claim 12, further comprising a display in communication with processor, the display is adapted to display the capnogram.

14. The medical ventilator-capnograph system of claim 12, further comprising an oximeter in communication with the processor, the oximeter monitors the pulse rate of the patient.

15. The medical ventilator-capnograph system of claim 12, wherein the at least one sensor is a flow sensor and a pressure sensor.

16. The medical ventilator-capnograph system of claim 12, wherein the at least one sensor is a cardiac monitor.

17. The medical ventilator-capnograph system of claim 12, wherein the at least one sensor is an oximeter sensor.

18. A computer-readable medium having computer-executable instructions for performing a method for monitoring the ventilation of a patient being ventilated by a medical ventilator-capnograph system, the method comprising:

repeatedly monitoring a pulse rate of a patient being ventilated by a medical ventilator-capnograph system;

repeatedly monitoring carbon dioxide in breathing gas from the patient to derive a capnogram;

repeatedly determining potential cardiogenic artifacts of a capnogram;

repeatedly correlating the potential cardiogenic artifacts of the capnogram with the pulse rate of the patient to verify cardiogenic artifacts of the capnogram; and

repeatedly removing verified cardiogenic artifacts of the capnogram.

19. The computer-readable medium of claims 18, further comprising:

repeatedly displaying the capnogram without the cardiogenic artifacts.

20. A medical ventilator-capnograph system, comprising:

means for monitoring a pulse rate of a patient being ventilated by a medical ventilator-capnograph system;

means for monitoring carbon dioxide in breathing gas from the patient to derive a capnogram;

means for determining potential cardiogenic artifacts of a capnogram;

means for correlating the potential cardiogenic artifacts of the capnogram with the pulse rate of the patient to verify cardiogenic artifacts of the capnogram; and

means for removing verified cardiogenic artifacts of the capnogram.

21. The medical ventilator-capnograph system of claim 20, further comprising:

means for displaying the capnogram without the cardiogenic artifacts.