Replay - The use of Automated Control of FiO2 in the NICU: an Overview and the Latest Evidence

Given the challenges associated with manual titration of FiO2 for infants in the Neonatal Intensive Care Unit (NICU) (1), automated control of FiO2 systems allow clinicians to maintain their patients' oxygen within the set target (2) and “numerous studies have consistently reported an improved maintenance of the target range and a decrease in high and low FiO extremes” (1,3,4). Today, these systems are more readily available as an option for infants on ventilators the NICU (1).

During this webinar, Anton van Kaam, M.D., PhD. and Tomasz Szczapa, M.D., PhD. will discuss:

•Oxygen supplementation and SpO2 targeting in neonates

•The effects and complications of hypoxia & hyperoxia

•A review of automated control of oxygen delivery systems and algorithms

•Clinical data and evidence to support the use of these systems

•Is future research required to further support the implementation of these systems in the NICU?

References:

1. Wilinska M, Bachman TE, Piwowarczyk P, Kostuch M, Tousty J, Berła K, Hajdar R, Skrzypek M. 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. PMID: 37719452; PMCID: PMC10502171.
2. Dani C. Automated control of inspired oxygen (FiO2 ) in preterm infants: Literature review. Pediatr Pulmonol. 2019 Mar;54(3):358-363. doi: 10.1002/ppul.24238. Epub 2019 Jan 10. PMID: 30632296.
3. Nair V, Loganathan P, Lal MK, Bachman T. Automated oxygen delivery in neonatal intensive care. Front Pediatr. (2022) 10:915312. 10.3389/fped.2022.915312
4. Abdo M, Hanbal A, Asla MM, Ishqair A, Alfar M, Elnaiem W, et al. Automated versus manual oxygen control in preterm infants receiving respiratory support: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. (2022) 35(25):6069–76. 10.1080/14767058.2021.1904875