The effect of implementing an automated oxygen control on oxygen saturation in preterm infants
Language English Country Great Britain, England Media print-electronic
Document type Journal Article, Observational Study
PubMed
28209638
DOI
10.1136/archdischild-2016-312172
PII: archdischild-2016-312172
Knihovny.cz E-resources
- Keywords
- Hyperoxaemia, Hypoxaemia, Oxygen, Preterm infant,
- MeSH
- Intubation, Intratracheal MeSH
- Intensive Care Units, Neonatal MeSH
- Oxygen administration & dosage blood MeSH
- Humans MeSH
- Monitoring, Physiologic * MeSH
- Noninvasive Ventilation MeSH
- Infant, Premature MeSH
- Infant, Newborn MeSH
- Oxygen Inhalation Therapy MeSH
- Oximetry * MeSH
- Prospective Studies MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Observational Study MeSH
- Names of Substances
- Oxygen MeSH
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.
References provided by Crossref.org
Routine use of automated FiO2 control in Poland: prospective registry and survey
Automated Oxygen Delivery in Neonatal Intensive Care
European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2019 Update
