Diaphragmatic Electromyogram Acquisition & Analysis in Ponemah v5.x
The Diaphragmatic Electromyogram (dEMG) Analysis Module analyzes electrocardiogram signals obtained from the diaphragm to calculate respiratory derived parameters. The analysis calculates derived parameters from the input signal over a user specified logging period.
Acquisition Notes
Ponemah v5.x version is required to be used for the acquisition and analysis and the dEMG analysis module is not available in Ponemah v6.x versions.
Analysis Module Notes
Standard Attributes
The standard attributes allow setting the most common attributes that would need to be changed during acquisition or replay.
Attribute |
Definition |
Min Pulse Height |
Used in the identification of a respiratory cycle. The Averaged EMG signal must rise from its lowest point by Min Pulse Height in order to be recognized as a cycle. |
Percent Drop |
Used in the identification of a respiratory cycle. The Averaged EMG signal must fall by Percent Drop percentage of the rise from its lowest point in order to be recognized as a cycle. |
Start Exp % Drop |
Used in the estimation of the start expiration point. The point at which the Averaged EMG signal drops by Start Exp % Drop is marked as the start of expiration. |
Averaging Interval |
Used in the creation of the Averaged EMG signal. The averaged EMG signal is created by taking a rolling average of the rectified EMG signal. The range of data included in the rolling average is determined by the averaging interval. This is the signal that is used for cycle identification and for placement of cycle marks. NOTE: The longer the averaging interval, the greater the smoothing and the longer the processing time when analyzing a signal
|
TV Scaling |
Used to scale the TV and TV2 derived parameters based on an externally calculated scaling factor. TV and TV2 values calculated from the Rectified EMG signal will be multiplied by the TV Scaling attribute. |
Advanced Attributes
Attribute |
Definition |
Low Pass Filter |
Selection of Low Pass filter in hertz. NOTE: It is not recommend to use the low pass filter since this will dampen the signal, use the Averaging Interval instead |
High Pass Filter |
Selection of High Pass filter in hertz. NOTE: Set a High Pass Filter with a cut off at 30Hz to remove the low frequency components and to bring the signal back to baseline. |
ECG Channel |
Defines the ECG channel that should be used to remove ECG artifact from the EMG signal. This may be set to None if no ECG channel is available. The ECG Channel attribute is used in conjunction with ECG Artifact Width and ECG Artifact Reference. |
ECG Artifact Width |
Defines the time span that will be modified to remove ECG artifact from the rectified EMG signal. In Acquisition, the region affected starts at each Q mark in the channel defined by the ECG Channel attribute. In Review, the region affected is centered on R mark in the channel defined by the ECG Channel attribute. NOTE: If the ECG Channel attribute is set to None, the ECG Artifact Width attribute is disabled. |
ECG Artifact Reference |
Defines the time span over which data will be averaged to generate a replacement value for data affected by the ECG artifact. The time span is split on either side of the ECG Artifact Width.
NOTE: If the ECG Channel attribute is set to None, the ECG Artifact Reference attribute is disabled. |
ECG artifact removal
The ECG artifact can be removed if another channel has a ECG signal. The ECG channel and the dEMG channel may come from the same device or a second device and there is no requirement for these channels to be sampled at the same sample rate. The ECG channel is set in the analysis attribute dialog window under the Adv Attrib1 tab. Note: if a second device is being used to acquire the ECG signal, both devices should be coming from the same CLC to ensure each time point is aligned in time from both channel.
Noise
Attribute |
Definition |
Enable Noise Detection |
When this checkbox is selected, the dEMG analysis will place Bad Data Marks in the data based on the attributes listed below. |
Min Good Data Time
|
This defines the minimum time that must exist between Bad Data Marks. If less than Min Good Data Time exists between two sets of Bad Data Marks, the two sets will be combined into a single set of Bad Data Marks encompassing both regions. |
Maximum BPM |
If a cycle’s respiratory rate exceeds the Maximum BPM attribute, it will be replaced with Bad Data Marks. |
Minimum Inspiratory Time
|
If a cycle’s Inspiratory Time drops below the Minimum Inspiratory attribute, it will be replaced with Bad Data Marks. |
Derived Parameters
Derived parameters are selected by bringing up the Derived Parameters dialog box. This is done by right clicking on the analysis module in the P3 Setup dialog. The derived parameters selected in this dialog box will be calculated, and the results will be placed in the derivation files and the on-line text screens during acquisition or replay.
Name |
Definition |
NUM |
The number of the Respiratory Cycle. This number will appear on a primary graph page when validation marks are turned on and the cycle numbers are enabled. When running in a logging mode other than 1 epoch, the last cycle number will be reported. |
TV |
Tidal Volume is calculated by multiplying the unscaled TV by the TV Scaling attribute. The unscaled TV value is obtained by integrating the Rectified EMG signal between the following points: Start Inspiration of the current cycle and Start Inspiration of the following cycle. NOTE: Start Inspiration on the Rectified signal is located to the right of the Start Inspiration mark by ½ of the Averaging Interval. Tidal volume is reported in arbitrary units since it an estimation of true tidal volume. |
MV |
Minute Ventilation is the product of the TV and BPM. |
BPM |
Breaths Per Minute is calculated from the time interval between Start Inspiration marks. The calculation is 1000/TT * 60 where TT (total time) is the time between Start Inspiration marks in mSec. |
IT |
The Inspiration Time is the time between Start Inspiration and Start Expiration, expressed in mSec. NOTE: Start Inspiration is located to the right of the Start Inspiration mark by ½ of the Averaging Interval. Start Expiration is located to the left of the Start Expiration mark by ½ of the Averaging Interval. |
TT |
Total Time is the time between Start Inspiration of the current cycle and Start Expiration of the following cycle, expressed in mSec. NOTE: Start Inspiration is located to the right of the Start Inspiration mark by ½ of the Averaging Interval. Start Expiration is located to the left of the Start Expiration mark by ½ of the Averaging Interval. |
ET |
Expiration Time is the time between Start Expiration and the following Start Inspiration, expressed in mSec. NOTE: Start Inspiration is located to the right of the Start Inspiration mark by ½ of the Averaging Interval. Start Expiration is located to the left of the Start Expiration mark by ½ of the Averaging Interval. |
TV2 |
Tidal Volume 2 is calculated by multiplying the unscaled TV 2 by the TV Scaling attribute. The unscaled TV 2 value is obtained by integrating the Rectified EMG signal between the following points: Start Inspiration and Start Expiration. NOTE: Start Inspiration is located to the right of the Start Inspiration mark by ½ of the Averaging Interval. Start Expiration is located to the left of the Start Expiration mark by ½ of the Averaging Interval. Tidal volume is reported in arbitrary units since it an estimation of true tidal volume. |
MV2 |
Minute Ventilation 2 is the product of TV2 and BPM. |
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