Automated Oxygen Delivery in Neonatal Intensive Care
- PMID: 35813378
- PMCID: PMC9257066
- DOI: 10.3389/fped.2022.915312
Automated Oxygen Delivery in Neonatal Intensive Care
Abstract
Oxygen is the most common drug used in the neonatal intensive care. It has a narrow therapeutic range in preterm infants. Too high (hyperoxemia) or low oxygen (hypoxemia) is associated with adverse neonatal outcomes. It is not only prudent to maintain oxygen saturations in the target range, but also to avoid extremes of oxygen saturations. In routine practice when done manually by the staff, it is challenging to maintain oxygen saturations within the target range. Automatic control of oxygen delivery is now feasible and has shown to improve the time spent with in the target range of oxygen saturations. In addition, it also helps to avoid extremes of oxygen saturation. However, there are no studies that evaluated the clinical outcomes with automatic control of oxygen delivery. In this narrative review article, we aim to present the current evidence on automatic oxygen control and the future directions.
Keywords: automated oxygen; hyperoxemia; hypoxemia; oxygen saturation; preterm.
Copyright © 2022 Nair, Loganathan, Lal and Bachman.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Figures
Similar articles
-
New Methods for Noninvasive Oxygen Administration.Clin Perinatol. 2019 Sep;46(3):449-458. doi: 10.1016/j.clp.2019.05.012. Epub 2019 Jun 12. Clin Perinatol. 2019. PMID: 31345540 Review.
-
Frequency and duration of extreme hypoxemic and hyperoxemic episodes during manual and automatic oxygen control in preterm infants: a retrospective cohort analysis from randomized studies.BMC Pediatr. 2022 Jun 17;22(1):350. doi: 10.1186/s12887-022-03407-x. BMC Pediatr. 2022. PMID: 35715764 Free PMC article.
-
Automated adjustments of inspired fraction of oxygen to avoid hypoxemia and hyperoxemia in neonates - a systematic review on clinical studies.Klin Padiatr. 2014 Jul;226(4):204-10. doi: 10.1055/s-0034-1375617. Epub 2014 Jul 10. Klin Padiatr. 2014. PMID: 25010125 Review.
-
Automated versus Manual Oxygen Control with Different Saturation Targets and Modes of Respiratory Support in Preterm Infants.J Pediatr. 2015 Sep;167(3):545-50.e1-2. doi: 10.1016/j.jpeds.2015.06.012. Epub 2015 Jul 2. J Pediatr. 2015. PMID: 26144575 Clinical Trial.
-
Optimal Target Range of Closed-Loop Inspired Oxygen Support in Preterm Infants: A Randomized Cross-Over Study.J Pediatr. 2018 Jun;197:36-41. doi: 10.1016/j.jpeds.2018.01.077. Epub 2018 Mar 21. J Pediatr. 2018. PMID: 29571932 Clinical Trial.
Cited by
-
Oxygenation Fluctuations Associated with Severe Retinopathy of Prematurity: Insights from a Multimodal Deep Learning Approach.Ophthalmol Sci. 2023 Oct 21;4(2):100417. doi: 10.1016/j.xops.2023.100417. eCollection 2024 Mar-Apr. Ophthalmol Sci. 2023. PMID: 38059124 Free PMC article.
-
Determining an Optimal Oxygen Saturation Target Range Based on Neonatal Maturity: Demonstration of a Decision Tree Analytic.Diagnostics (Basel). 2023 Oct 26;13(21):3312. doi: 10.3390/diagnostics13213312. Diagnostics (Basel). 2023. PMID: 37958208 Free PMC article.
-
Routine use of automated FiO2 control in Poland: prospective registry and survey.Front Pediatr. 2023 Aug 31;11:1213310. doi: 10.3389/fped.2023.1213310. eCollection 2023. Front Pediatr. 2023. PMID: 37719452 Free PMC article.
References
Publication types
LinkOut - more resources
Full Text Sources