Routine use of automated FiO2 control in Poland: prospective registry and survey
ObjectiveThe performance of automated control of inspired oxygen (A-FiO2) has been confirmed in dozens of studies but reports of routine use are limited. Broadly adopted in Poland, our aim is to share that experience.MethodsWe used a prospectively planned observational study of the performance, gene...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2023.1213310/full |
| _version_ | 1797730093880049664 |
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| author | M. Wilinska T. E. Bachman P. Piwowarczyk M. Kostuch J. Tousty K. Berła R. Hajdar M. Skrzypek |
| author_facet | M. Wilinska T. E. Bachman P. Piwowarczyk M. Kostuch J. Tousty K. Berła R. Hajdar M. Skrzypek |
| author_sort | M. Wilinska |
| collection | DOAJ |
| description | ObjectiveThe performance of automated control of inspired oxygen (A-FiO2) has been confirmed in dozens of studies but reports of routine use are limited. Broadly adopted in Poland, our aim is to share that experience.MethodsWe used a prospectively planned observational study of the performance, general use patterns, unit practices, and problems with A-FiO2, based on a web registry of case reports, complemented by surveys of subjective impressions.ResultsIn 2019, a total of 92 A-FiO2 systems were in routine use in 38 centers. Of the 38 centers, 20 had agreed in 2013 to participate in the project. In these centers, A-FiO2 was applied in infants of all weights, but some centers restricted its use to weaning from oxygen and unstable infants. A cohort had reported their experience with each use (5/20 centers, 593 cases). A quarter of those infants were managed with a lower target range and three-quarters with alarms looser than European guidelines for manual SpO2 control. The perceived primary advantages of A-FiO2 were as follows: keeping the readings in the target range, reducing exposure to SpO2 extremes, reducing risk from nurse distraction, reducing workload, and reducing alarm fatigue. Practices did evolve with experience, including implementing changes in the alarm strategy, indications for use, and target range. The potential for over-reliance on automation was cited as a risk. There were a few reports of limited effectiveness (moderate 12/593 and poor 2/593).ConclusionsAutomated oxygen control is broadly perceived by users as an improvement in controlling SpO2 with infrequent problems. |
| first_indexed | 2024-03-12T11:39:10Z |
| format | Article |
| id | doaj.art-172dc68ff7fe45c7b37853bae4e05232 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-03-12T11:39:10Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-172dc68ff7fe45c7b37853bae4e052322023-08-31T16:38:07ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-08-011110.3389/fped.2023.12133101213310Routine use of automated FiO2 control in Poland: prospective registry and surveyM. Wilinska0T. E. Bachman1P. Piwowarczyk2M. Kostuch3J. Tousty4K. Berła5R. Hajdar6M. Skrzypek7Department of Neonatology, Centre of Postgraduate Medical Education, Warsaw, PolandDepartment Medical Technology, School of Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech RepublicClinical Department of Neonatology, Independent Public Hospital, Warsaw, PolandDepartment of Neonatology, Centre of Postgraduate Medical Education, Warsaw, PolandDepartment of Neonatology and Intensive Neonatal Care, Pomeranian Medical University, Szczecin, PolandDepartment of Neonatology, Complex of Health Care Facilities, Ostrow Wielkopolski, PolandDepartment of Neonatology, Provincial Specialist Hospital, Biala Podlaska, PolandDepartment of Biostatistics Medical University of Silesia, School of Health Sciences in Bytom, Bytom, PolandObjectiveThe performance of automated control of inspired oxygen (A-FiO2) has been confirmed in dozens of studies but reports of routine use are limited. Broadly adopted in Poland, our aim is to share that experience.MethodsWe used a prospectively planned observational study of the performance, general use patterns, unit practices, and problems with A-FiO2, based on a web registry of case reports, complemented by surveys of subjective impressions.ResultsIn 2019, a total of 92 A-FiO2 systems were in routine use in 38 centers. Of the 38 centers, 20 had agreed in 2013 to participate in the project. In these centers, A-FiO2 was applied in infants of all weights, but some centers restricted its use to weaning from oxygen and unstable infants. A cohort had reported their experience with each use (5/20 centers, 593 cases). A quarter of those infants were managed with a lower target range and three-quarters with alarms looser than European guidelines for manual SpO2 control. The perceived primary advantages of A-FiO2 were as follows: keeping the readings in the target range, reducing exposure to SpO2 extremes, reducing risk from nurse distraction, reducing workload, and reducing alarm fatigue. Practices did evolve with experience, including implementing changes in the alarm strategy, indications for use, and target range. The potential for over-reliance on automation was cited as a risk. There were a few reports of limited effectiveness (moderate 12/593 and poor 2/593).ConclusionsAutomated oxygen control is broadly perceived by users as an improvement in controlling SpO2 with infrequent problems.https://www.frontiersin.org/articles/10.3389/fped.2023.1213310/fullneonatal careoxygen controlautomated oxygen controladoption of technologyroutine use |
| spellingShingle | M. Wilinska T. E. Bachman P. Piwowarczyk M. Kostuch J. Tousty K. Berła R. Hajdar M. Skrzypek Routine use of automated FiO2 control in Poland: prospective registry and survey Frontiers in Pediatrics neonatal care oxygen control automated oxygen control adoption of technology routine use |
| title | Routine use of automated FiO2 control in Poland: prospective registry and survey |
| title_full | Routine use of automated FiO2 control in Poland: prospective registry and survey |
| title_fullStr | Routine use of automated FiO2 control in Poland: prospective registry and survey |
| title_full_unstemmed | Routine use of automated FiO2 control in Poland: prospective registry and survey |
| title_short | Routine use of automated FiO2 control in Poland: prospective registry and survey |
| title_sort | routine use of automated fio2 control in poland prospective registry and survey |
| topic | neonatal care oxygen control automated oxygen control adoption of technology routine use |
| url | https://www.frontiersin.org/articles/10.3389/fped.2023.1213310/full |
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