Automated oxygen control in preterm infants, how does it work and what to expect: a narrative review
BackgroundAutomated oxygen control systems are finding their way into contemporary ventilators for preterm infants, each with its own algorithm, strategy and effect.ObjectiveTo provide guidance to clinicians seeking to comprehend automated oxygen control and possibly introduce this technology in the...
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Published in | Archives of disease in childhood. Fetal and neonatal edition Vol. 106; no. 2; pp. 215 - 221 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
BMJ Publishing Group LTD
01.03.2021
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Subjects | |
Online Access | Get full text |
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Summary: | BackgroundAutomated oxygen control systems are finding their way into contemporary ventilators for preterm infants, each with its own algorithm, strategy and effect.ObjectiveTo provide guidance to clinicians seeking to comprehend automated oxygen control and possibly introduce this technology in their practice.MethodA 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.ResultsAll 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.ConclusionsSo 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. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
ISSN: | 1359-2998 1468-2052 |
DOI: | 10.1136/archdischild-2020-318918 |