Evaluation of two SpO₂ alarm strategies during automated FiO₂ control in the NICU: a randomized crossover study.

ABSTRACT:

Background

Changes in oxygen saturation (SpO₂) exposure have been shown to have a marked impact on neonatal outcomes and therefore careful titration of inspired oxygen is essential. In routine use, however, the frequency of SpO₂ alarms not requiring intervention results in alarm fatigue and its corresponding risk. SpO₂ control systems that automate oxygen adjustments (Auto-FiO₂) have been shown to be safe and effective. We speculated that when using Auto-FiO₂, alarm settings could be refined to reduce unnecessary alarms, without compromising safety.

Methods

An unblinded randomized crossover study was conducted in a single NICU among infants routinely managed with Auto-FiO₂. During the first 6 days of respirato

SUBMITTER: Warakomska M 

PROVIDER: S-EPMC6501373 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature