title: A randomised controlled trial of an automated oxygen delivery algorithm for preterm neonates receiving supplemental oxygen without mechanical ventilation.
abstract: OBJECTIVE
  Providing consistent levels of oxygen saturation (SpO2 ) for infants in neonatal intensive care units is not easy. This study explored how effectively the Auto-Mixer(®) algorithm automatically adjusted fraction of inspired oxygen (FiO2 ) levels to maintain SpO2 within an intended range in extremely low birth weight infants receiving supplemental oxygen without mechanical ventilation.
  
  
  METHODS
  Twenty extremely low birth weight infants were randomly assigned to the Auto-Mixer(®) group or the manual intervention group and studied for 12 h. The SpO2 target was 85-93%, and the outcomes were the percentage of time SpO2 was within target, SpO2 variability, SpO2 >95%, oxygen received and manual interventions.
  
  
  RESULTS
  The percentage of time within intended SpO2 was 58 ± 4% in the Auto-Mixer(®) group and 33.7 ± 4.7% in the manual group, SpO2 >95% was 26.5% vs 54.8%, average SpO2 and FiO2 were 89.8% vs 92.2% and 37% vs 44.1%, and manual interventions were 0 vs 80 (p < 0.05). Brief periods of SpO2  < 85% occurred more frequently in the Auto-Mixer(®) group.
  
  
  CONCLUSIONS
  The Auto-Mixer(®) effectively increased the percentage of time that SpO2 was within the intended target range and decreased the time with high SpO2 in spontaneously breathing extremely low birth weight infants receiving supplemental oxygen.
authors.affiliation: Grupo de Investigación, Centro Medico Imbanaco, Asociación Atem Health Care, Cali, Colombia.
authors.forename: James
authors.initials: J
authors.lastname: Zapata
authors.forename: John Jairo
authors.initials: JJ
authors.lastname: Gómez
authors.forename: Robinson
authors.initials: R
authors.lastname: Araque Campo
authors.forename: Alejandro
authors.initials: A
authors.lastname: Matiz Rubio
authors.forename: Augusto
authors.initials: A
authors.lastname: Sola
mesh_terms: D000465:Algorithms; D004867:Equipment Design; D006801:Humans; D052577:Infant, Extremely Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D010100:Oxygen / Q000378:metabolism; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation* / Q000379:methods*
chemical_list: D010100:Oxygen
keywords: Auto-mixer; Extremely low birth weight infants; Oxygen administration; Oxygen saturation targets; Pulse oximeter