RT Journal Article
SR Electronic
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
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 215
OP 221
DO 10.1136/archdischild-2020-318918
VO 106
IS 2
A1 Hylke H Salverda
A1 Sophie J E Cramer
A1 Ruben S G M Witlox
A1 Peter A Dargaville
A1 Arjan B te Pas
YR 2021
UL http://fn.bmj.com/content/106/2/215.abstract
AB 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.