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Two-stage visual speech recognition for intensive care patients
Hendrik Laux1, Ahmed Hallawa2, Julio Cesar Sevarolli Assis3
1Department of Intensive Care and Intermediate Care, University Hospital RWTH Aachen, Pauwelsstreet 30, 52072, Aachen, Germany. hendrik.laux@rwth-aachen.de.
This study introduces a lip-reading framework to help intensive care patients communicate silently after procedures like tracheotomy. The system achieves 6.3% word error rate, improving patient-clinician communication.
Area of Science:
- Biomedical Engineering
- Artificial Intelligence
- Clinical Communication
Background:
- Medical procedures like tracheotomy can impair speech while preserving lip movement.
- Effective communication is vital for intensive care patients but often challenging.
Purpose of the Study:
- To develop and evaluate a visual speech recognition framework for silent speech in intensive care units (ICUs).
- To enhance communication between speech-impaired patients and healthcare professionals.
Main Methods:
- A two-stage deep learning architecture was employed for visual speech recognition.
- Facial image frames were used to predict audio features, then text.
- An audio-visual dataset was recorded in an ICU with a clinically relevant corpus.
Main Results:
- The lip-reading system achieved a word error rate of 6.3%.
- This performance level is considered sufficient for practical application.
Conclusions:
- This is the first approach to apply visual speech recognition in an intensive care setting.
- The framework significantly improves communication quality for speech-impaired patients.
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Acute Respiratory Failure-III
Cardiopulmonary Resuscitation II: ACLS Airway Management
Assessment of Ventilation II: Respiratory Depth and Rhythm
Respiratory depth measures the volume of air inhaled or exhaled during a breath. It can vary from shallow to deep and typically remains consistent when a person is at rest or asleep. Occasionally, individuals will automatically inhale deeply, known as sighing, which inflates the lungs with more air than normal breathing.
To assess respiratory depth, observe the degree of chest excursion or movement:

