Respiratory failure & ventilation

A non-invasive continuous and real-time volumetric monitoring in spontaneous breathing subjects based on bioimpedance—ExSpiron®Xi: a validation study in healthy volunteers

J Clin Monit ComputPublished Validation study

Authors' conclusion

Non-invasive TV, TV/IBW and RR estimation by ExSpiron®Xi was strongly correlated with tidal ventilation according to the gold standard spirometer technique. This data was not confirmed for MV. The calibration of the device did not improve its performance.

Study context

Population
Healthy volunteers breathing spontaneously5 men · 8 women
Participants
13 volunteers
Comparison
ExSpiron®Xi vs spirometry, non-calibrated and calibrated
Outcome
Accuracy, precision and trending ability of ExSpiron®Xi TV measurements vs spirometry
Methodological detailsprospective, repeated measurements within each subject
  • Prospective
  • Repeated measurements within each subject

Performance

As reported in the abstract

Agreement and trending ability of TV, TV/IBW, RR and MV

Trending ability excellent for tidal volume (TV), TV/IBW and RR; concordance rate, calibrated and non-calibrated

>95%

Further findings

Determinants of absolute error (TV, TV/IBW, minute ventilation (MV))

Absolute error variably associated with BMI, height and smoking status
  • Accounting for repeated measurements

Original publication

A non-invasive continuous and real-time volumetric monitoring in spontaneous breathing subjects based on bioimpedance—ExSpiron®Xi: a validation study in healthy volunteers. J Clin Monit Comput. Published 19 January 2024. doi:10.1007/s10877-023-01107-0

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