Automated control of inspired oxygen for preterm infants: What we have and what we need

Fathabadi, Omid Sadeghi; Gale, Timothy J.; Olivier, J.C.; Dargaville, Peter A.

doi:10.1016/j.bspc.2016.03.002

Cited by 22 publications

(24 citation statements)

References 61 publications

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“…In a recent review, Fathabadi et al detailed the mean characteristics of algorithms developed for automation of inspired oxygen control in preterm infants and classified them in four categories: rule‐based (fuzzy or non‐fuzzy algorithms), proportional‐integral‐derivative (PID), adaptive, and robust (this algorithm is not available in the clinical practice) …”

Section: Systems For Automated Control Of Fio2mentioning

confidence: 99%

Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review

Dani

2019

Pediatric Pulmonology

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The vast majority (95%) of very preterm infants receive oxygen‐therapy monitored by oxygen pulse saturation (SpO2). However, they spend a significant percentage of time out of the SpO2 target with a high risk of severe complications such as bronchopulmonary dysplasia (BPD) and retinopathy of prematurity (ROP). Recently, systems allowing the automated control of inspired oxygen (FiO2) for patient delivery to maintain target SpO2 has been become commercially available. We reviewed literature and individuated sixteen studies on the effectiveness of automated control of FiO2 in preterm infants. These studies demonstrate that automated devices are significantly more effective than manual control in maintaining target SpO2 and in preventing hyperoxia, while they seem to be less effective in preventing hypoxia. The studies were very heterogeneous for design, population size, duration, and device used, and this precludes firm conclusions regarding effectiveness and best setting of these systems. Moreover, none of the studies investigated if automated control of FiO2 can actually improve outcome in preterm infants. We conclude that further large‐scale studies are warranted to assess the actual clinical relevance of these devices and to decide if they should become the standard of care.

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Section: Systems For Automated Control Of Fio2mentioning

confidence: 99%

Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review

Dani

2019

Pediatric Pulmonology

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“…Additionally, FiO 2 can be titrated automatically 18 19. Randomised trials comparing automated FiO 2 systems with manual titration for short periods demonstrated an increase in the proportion of time spent with SpO 2 within target range varying between 8% and 24% 20–23.…”

Section: Introductionmentioning

confidence: 99%

The effect of implementing an automated oxygen control on oxygen saturation in preterm infants

Zanten

Kuypers

Stenson

et al. 2017

Arch Dis Child Fetal Neonatal Ed

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“…Devices for automated control of oxygen therapy have at their heart an algorithm which compares incoming SpO 2 readings with a desired setpoint (normally the midpoint of the target range), and calculates an updated value for FiO 2 , which is actuated mechanically 5 6. Recently reported algorithms differ considerably one from another, both in their responsiveness and the nature of the algorithm for adjusting FiO 2 7–9.…”

Section: Introductionmentioning

confidence: 99%

Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support

Plottier

Wheeler

Ali

et al. 2016

Arch Dis Child Fetal Neonatal Ed

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Automated control of inspired oxygen for preterm infants: What we have and what we need

Cited by 22 publications

References 61 publications

Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review

Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review

The effect of implementing an automated oxygen control on oxygen saturation in preterm infants

Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support

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Automated control of inspired oxygen for preterm infants: What we have and what we need

Cited by 22 publications

References 61 publications

Automated control of inspired oxygen (FiO2) in preterm infants: Literature review

Automated control of inspired oxygen (FiO2) in preterm infants: Literature review

The effect of implementing an automated oxygen control on oxygen saturation in preterm infants

Clinical evaluation of a novel adaptive algorithm for automated control of oxygen therapy in preterm infants on non-invasive respiratory support

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Product

Resources

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Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review

Automated control of inspired oxygen (FiO₂) in preterm infants: Literature review