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Can the INTERCOSTAL EMG be used as an alternative sensor for detection of respiratory effort?

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Can the INTERCOSTAL EMG be used as an alternative sensor for detection of respiratory effort?

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As noted in Section VIII, 1, Note 3 of the scoring manual, “An alternative sensor for detection of effort is diaphragmatic/intercostals EMG.” However, it should be emphasized that an interpretable diaphragmatic/intercostal EMG signal is sometimes difficult to obtain especially in obese patients. Thus, sole use of this sensor to assess respiratory effort is not encouraged. R.14.

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