TY - JOUR T1 - Automated oxygen control in preterm infants, how does it work and what to expect: a narrative review JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed SP - 215 LP - 221 DO - 10.1136/archdischild-2020-318918 VL - 106 IS - 2 AU - Hylke H Salverda AU - Sophie J E Cramer AU - Ruben S G M Witlox AU - Peter A Dargaville AU - Arjan B te Pas Y1 - 2021/03/01 UR - http://fn.bmj.com/content/106/2/215.abstract N2 - Background Automated oxygen control systems are finding their way into contemporary ventilators for preterm infants, each with its own algorithm, strategy and effect.Objective To provide guidance to clinicians seeking to comprehend automated oxygen control and possibly introduce this technology in their practice.Method A narrative review of the commercially available devices using different algorithms incorporating rule-based, proportional-integral-derivative and adaptive concepts are described and explained. An overview of how they work and, if available, the clinical effect is given.Results All algorithms have shown a beneficial effect on the proportion of time that oxygen saturation is within target range, and a decrease in hyperoxia and severe hypoxia. Automated oxygen control may also reduce the workload for bedside staff. There is concern that such devices could mask clinical deterioration, however this has not been reported to date.Conclusions So far, trials involving different algorithms are heterogenous in design and no head-to-head comparisons have been made, making it difficult to differentiate which algorithm is most effective and what clinicians can expect from algorithms under certain conditions. ER -