Anti-fatigue ionic gels for long-term multimodal respiratory abnormality monitoring

Wearable electronics integrated with stretchable sensors are considered a promising and non-invasive strategy to monitor respiratory status for health assessment.However,long-term and stable monitoring of respiratory abnormality is still a grand challenge.Here,we report a facile one-step thermal stretching strategy to fabricate an anti-fatigue ionic gel(AIG)sensor with high fatigue threshold(0=1130 J m^(–2)),high stability(>20,000 cycles),high linear sensitivity,and recyclability.A multimodal wearable respiratory monitoring system(WRMS)developed with AIG sensors can continuously measure respiratory abnormality(single-sensor mode)and compliance(multi-sensor mode)by monitoring the movement of the ribcage and abdomen in a long-term manner.For single-sensor mode,the respiratory frequency(Fr),respiratory energy(Er),and inspire/expire time(I/E ratio)can be extracted to evaluate the respiratory status during sitting,sporting,and sleeping.Further,the multi-sensors mode is developed to evaluate patientventilator asynchrony through validated clinical criteria by monitoring the incongruous movement of the chest and abdomen,which shows great potential for both daily home care and clinical applications.