Evaluation of the respiratory inductive plethysmograph in man

We evaluated the respiratory inductive plethysmograph, (RIP), during tidal breathing in eight men and seven women. This device measures movements of the rib cage and abdomen during breathing and adds the signals to produce an indirect record of ventilation. We recorded on magnetic tape, the rib and abdominal signals separately, with a simultaneous ventilation measurement from a pneumotachograph, and analysed them later using a digital computer. One method of calibration, the simultaneous equation technique, was considered in detail. Agreement between the combined RIP signal and a simultaneous ventilation record was normally within 25% except where the calibration was unsatisfactory or the breathing pattern was irregular. The reproducibility of measurements made 5 min apart was good overall, but some subjects showed marked variability. An alternative calibration method which derives indirect isovolume relationships was also examined, but was found to give very erratic results. The most serious error was the alinearity of the rib and abdominal signals, and the problem of describing thoracic movement using only two sensing elements. We conclude that the RIP is a convenient monitor of ventilation during regular tidal breathing, but that it is not quantitative.