RT Journal Article
SR Electronic
T1 The effect of implementing an automated oxygen control on oxygen saturation in preterm infants
JF Archives of Disease in Childhood - Fetal and Neonatal Edition
JO Arch Dis Child Fetal Neonatal Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP F395
OP F399
DO 10.1136/archdischild-2016-312172
VO 102
IS 5
A1 Van Zanten, H A
A1 Kuypers, K L A M
A1 Stenson, B J
A1 Bachman, T E
A1 Pauws, S C
A1 te Pas, A B
YR 2017
UL http://fn.bmj.com/content/102/5/F395.abstract
AB Objective To evaluate the effect of implementing automated oxygen control as routine care in maintaining oxygen saturation (SpO2) within target range in preterm infants.Methods Infants <30 weeks gestation in Leiden University Medical Centre before and after the implementation of automated oxygen control were compared. The percentage of time spent with SpO2 within and outside the target range (90–95%) was calculated. SpO2 values were collected every minute and included for analysis when infants received extra oxygen.Results In a period of 9 months, 42 preterm infants (21 manual, 21 automated) were studied. In the automated period, the median (IQR) time spent with SpO2 within target range increased (manual vs automated: 48.4 (41.5–56.4)% vs 61.9 (48.5–72.3)%; p<0.01) and time SpO2 >95% decreased (41.9 (30.6–49.4)% vs 19.3 (11.5–24.5)%; p<0.001). The time SpO2<90% increased (8.6 (7.2–11.7)% vs 15.1 (14.0–21.1)%; p<0.0001), while SpO2<80% was similar (1.1 (0.4–1.7)% vs 0.9 (0.5–2.1)%; ns).Conclusions During oxygen therapy, preterm infants spent more time within the SpO2 target range after implementation of automated oxygen control, with a significant reduction in hyperoxaemia, but not hypoxaemia.