Breath selection for analysis
Methods and systems are described to obtain and analyze a gas sample from a desired section of the breath of a person, while accounting for erratic, episodic or otherwise challenging breathing patterns that may otherwise make the capturing of a gas sample from the desired section of breath difficult. These techniques may provide more reliable, accurate and adequate samples of gas such as end-tidal gas, and ultimately an accurate analysis of the sample captured.
1. An apparatus for analyzing an exhaled breath, comprising:
a sensor;
a breath sampling system;
a gas analyzer; and
a control system comprising a processor that operates the sensor, the breath sampling system, and the gas analyzer using a plurality of algorithms,
wherein the sensor measures a first parameter of a first exhaled breath to determine a threshold criteria according to a first algorithm run by the processor, the sensor also measuring a second parameter of a next exhaled breath,
wherein the breath sampling system captures the next exhaled breath according to a second algorithm run by the processor when the second parameter meets the threshold criteria, or initiates capture of an alternative breath according to a third algorithm when the threshold criteria are not met, and
wherein the gas analyzer
applies a gas sampling and analysis algorithm to the captured next exhaled breath, and applies a correction factor to the gas sampling and analysis algorithm for the captured alternative breath.
2. The apparatus of claim 1 , further comprising a physiologic sensor that monitors a physiological parameter of a patient, wherein the breath sampling system captures the next exhaled breath when a fourth algorithm determines the physiological parameter meets a predetermined physiological criteria.
3. The apparatus of claim 2 , wherein the physiologic parameter comprises at least one selected from the group consisting of a blood pressure, a heart rate, chest impedance, a weight, a height, an age, a race, a sex, a diagnosis, a respiratory rate, a tidal volume, a minute volume, an inspiratory:expiratory ratio, a blood gas, a cardiac output, an end tidal CO 2 concentration, a pulmonary perfusion, a base excess, an O 2 saturation, and a ventilation:perfusion ratio.
4. The apparatus of claim 1 , wherein the predetermined criteria comprises a minimum duration.
5. The apparatus of claim 1 , wherein the predetermined criteria comprises at least one selected from the group consisting of: a peak amplitude value, a baseline value, a time duration above the peak amplitude value, a time duration below the baseline value, and a percent comparison of a current breath to a trending algorithm.
6. The apparatus of claim 1 , wherein the predetermined criteria comprises an amplitude value and a baseline value representing a complete tidal volume breath.
7. The apparatus of claim 1 , wherein the predetermined criteria comprises a breath rate of less than or equal to 60 breaths per minute.
8. The apparatus of claim 1 , wherein the threshold criteria are based on at least one selected from the group consisting of an expiratory time, a portion of an expiratory time, an airway pressure, a CO 2 value over time, an O 2 value over time, an airway temperature, a breath flow rate, a breath rate, a depth of breath, a duration of breath, an inspiratory time, a pre-end-tidal time, an end-tidal time, a post-expiratory time, an inspiratory pause, a peak inspiratory pressure, a peak expiratory pressure, a characteristic waveform for sneeze, cough, stacked breath or non-full breath, an inspiratory amplitude, an expiratory amplitude, and a historical breath criteria.
9. The apparatus of claim 1 , wherein the predetermined criteria is based upon at least one selected from the group consisting of a breath hold, a deep breath, a forced exhaled breath, an inspiratory pause, an expiratory pause, a resting respiration, and a breath pattern repetition.
10. The apparatus of claim 1 , wherein the predetermined criteria is based upon a predetermined number of repetitive breaths.
11. The apparatus of claim 10 , wherein the number of repetitive breaths is between 1 and 5 breaths.
12. The apparatus of claim 10 , wherein the number of repetitive breaths is between 2 and 4 breaths.