This article is about the measurement of breathing. For the parameter used in ecological and agronomical modeling, seerespiration rate.
Therespiratory rate is the rate at whichbreathing occurs; it is set and controlled by therespiratory center of the brain. A person's respiratory rate is usually measured in breaths per minute.
The respiratory rate inhumans is measured by counting the number of breaths for one minute through counting how many times the chest rises. Afibre-optic breath rate sensor can be used for monitoring patients during amagnetic resonance imaging scan.[1] Respiration rates may increase withfever, illness, or other medical conditions.[2]
Inaccuracies in respiratory measurement have been reported in the literature.[3] One study compared respiratory rate counted using a 90-second count period, to a full minute, and found significant differences in the rates.[citation needed]. Another study found that rapid respiratory rates in babies, counted using astethoscope, were 60–80% higher than those counted from beside the cot without the aid of the stethoscope.[citation needed] Similar results are seen with animals when they are being handled and not being handled—the invasiveness of touch apparently is enough to make significant changes in breathing.
Various other methods to measure respiratory rate are commonly used, including impedancepneumography,[4] andcapnography which are commonly implemented in patient monitoring. In addition, novel techniques for automatically monitoring respiratory rate using wearable sensors are in development, such as estimation of respiratory rate from theelectrocardiogram,photoplethysmogram, oraccelerometry signals.[5][6][7][8]
Breathing rate is often interchanged with the term breathing frequency. However, this should not be considered the frequency of breathing because realistic breathing signal is composed of many frequencies.[9]
For humans, the typical respiratory rate for a healthy adult at rest is 12–15 breaths per minute.[10] Therespiratory center sets the quietrespiratory rhythm at around two seconds for an inhalation and three seconds exhalation. This gives the lower of the average rate at 12 breaths per minute.
The value of respiratory rate as an indicator of potential respiratory dysfunction has been investigated but findings suggest it is of limited value.
One study found that only 33% of people presenting to an emergency department with anoxygen saturation below 90% had an increased respiratory rate.[14] An evaluation of respiratory rate for the differentiation of the severity of illness in babies under 6 months found it not to be very useful. Approximately half of the babies had a respiratory rate above 50 breaths per minute, thereby questioning the value of having a "cut-off" at 50 breaths per minute as the indicator of serious respiratory illness.
It has also been reported that factors such ascrying,sleeping, agitation and age have a significant influence on the respiratory rate.[citation needed] As a result of these and similar studies the value of respiratory rate as an indicator of serious illness is limited.
Nonetheless, respiratory rate is widely used to monitor the physiology of acutely-ill hospital patients. It is measured regularly to facilitate identification of changes in physiology along with othervital signs. This practice has been widely adopted as part of early warning systems.[15]
Heart rate andpulse and systolic and diastolicblood pressure measurements and the level ofoxygen saturation- some othervital signs- can provide related information about the heart and lungs and the great vessels, since these systems work with one another, are relatively close together in gross (macroscopic) anatomy, and are physiologically very related.
^Grenvik A, Ballou S, McGinley E, Millen JE, Cooley WL, Safar P (October 1972). "Impedance pneumography. Comparison between chest impedance changes and respiratory volumines in 11 healthy volunteers".Chest.62 (4):439–443.doi:10.1378/chest.62.4.439.PMID5077999.
^abRodríguez-Molinero A, Narvaiza L, Ruiz J, Gálvez-Barrón C (December 2013). "Normal respiratory rate and peripheral blood oxygen saturation in the elderly population".Journal of the American Geriatrics Society.61 (12):2238–2240.doi:10.1111/jgs.12580.PMID24329828.S2CID44700347.