Acoustic Respiration Rate

Rainbow Acoustic Sensor

Acoustic Respiration Rate (RRa) is part of the upgradable Masimo rainbow SET® platform—the first to noninvasively and continuously monitor blood constituents and respiration rate.

Accurate, Easy-to-Use, Patient Tolerant

Sleeping patient with RRa sensor

When used with other clinical variables, RRa may help clinicians assess respiratory status and help determine treatment options.

How It Works

Masimo rainbow Acoustic Monitoring noninvasively and continuously measures respiration rate using an innovative adhesive sensor with an integrated acoustic transducer that is easily and comfortably applied to the patient's neck.

Using acoustic signal processing that leverages Masimo's patented revolutionary Signal Extraction Technology (SET®), the respiratory signal is separated and processed to display continuous respiration rate.

Acoustic Signal
Nurse monitoring patient's breathing

"Breathing adequately is what matters most. Masimo Acoustic Respiration Rate provides clinicians with the ability to automatically and continuously monitor the breathing status of post-surgical patients in general care or post-anaesthesia settings—alerting them to the first sign of an abnormal or compromised breathing pattern that may be indicative of airway obstruction or respiratory distress."

Michael Ramsay, M.D.
Chief of the Department of Anaesthesiology and Pain Management
Baylor University Medical Center, Dallas, TX

Clinical Benefits

Respiration rate is a critical vital sign that provides early detection of respiratory compromise and patient distress

  • > Continuous monitoring of respiration rate is especially important for post-surgical patients receiving patient-controlled analgesia (PCA) for pain management as the sedation can induce respiratory depression and place patients at considerable risk of serious injury or death.1-5
  • > Although the Anesthesia Patient Safety Foundation (APSF) guidelines include oxygenation and ventilation monitoring in all patients receiving opioids6, current methods for respiration rate monitoring can be limited by reliability or patient tolerance.5-7
  • > Masimo rainbow SET Pulse CO-Oximetry and rainbow Acoustic Monitoring help you meet APSF guidelines for monitoring post-operative patients.

Technology Platform

The upgradable Masimo rainbow SET technology platform features the following measurements and calculations:

Masimo Radical-7 upgraded with RRa
Masimo Rad-87 upgraded with RRa
  • > Acoustic Respiration Rate (RRa)
  • > Oxygen Saturation (SpO2)
  • > Pulse Rate (PR)
  • > Perfusion Index (PI)
  • > Total Haemoglobin (SpHb®)
  • > Oxygen Content (SpOC)
  • > Pleth Variability Index (PVI®)
  • > Methaemoglobin (SpMet®)
  • > Carboxyhaemoglobin (SpCO®)

All Masimo rainbow measurements and calculations—including Acoustic Respiration Rate (RRa)—are available on the Radical-7 and Rad-87 monitor.

REFERENCES

  • 1 Joint Commission on Accreditation of Healthcare Organizations. Sentinel event alert: patient controlled analgesia by proxy; JCAHO. 2004.
  • 2 Institute for Safe Medication Practices. Safety issues with patient-controlled analgesia: Part I – How errors occur; ISMP. 2003.
  • 3 Institute for Safe Medication Practices. Safety issues with patient-controlled analgesia: Part II – How to prevent errors; ISMP. 2003.
  • 4 Bird M. Acute pain management: a new area of liability for anesthesiologists; ASA Newsletter. 2007; 71:8.
  • 5 Weinger M.B. Dangers of post-operative opioids: APSF workshop and white paper address prevention of postoperative respiratory complications; APSF Newsletter. 2006; 21(4):61-68.
  • 6 Stoelting R.K, et al. Dangers of post-operative opioids – is there a cure?; APSF Newsletter. 2009; 24(2):25-26.
  • 7 Macknet MR, et al. Accuracy and tolerance of a novel bioacoustic respiratory sensor in pediatric patients; Anesthesiology. 2007; A84.