Table 1.
Sensor | Methodology | Advantages | Disadvantages | Recommendation |
---|---|---|---|---|
Thermistor | Detects changes in temperature | Measures oral as well as nasal flow | Provides a qualitative rather than quantitative assessment of airflow | AASM recommends use for detection of apnea |
Nasal pressure | Detects changes in nasal pressure | Provides a semi- quantitative assessment of airflow | Poor signal in mouth-breathing patients. Frequently obstructed by secretions etc. |
AASM recommends use for detection of hypopnea |
End-tidal CO2 | Measures PCO2 | Provides a quantitative assessment of the PCO2. | Poor signal in mouth-breathing patients. Frequently obstructed by secretions etc. May be over-sensitive in detecting airflow. |
Use as a quantitative measure of PCO2 rather than a primary measure of airflow. |
Respiratory inductance plethysmography sum signal | Derives tidal volume from changes in inductance of coils | Tolerated well as no sensors on face. | Difficult to maintain calibrated. Cannot distinguish between obstructive apnea and paradoxing from other causes, e.g., in a young child or child with neuromuscular disease. | Useful for assessing respiratory effort in addition to airflow. |
Pneumotachometer | Measurement of airflow by measuring pressure differences across a known resistance | Quantitative assessment of airflow | Requires a snug-fitting face mask | Use in CPAP studies |