Performance and safety of the PRICO closed-loop oxygen saturation targeting system in neonates: pragmatic multicentre cross-over study (TarOx Study).


Journal

BMJ paediatrics open
ISSN: 2399-9772
Titre abrégé: BMJ Paediatr Open
Pays: England
ID NLM: 101715309

Informations de publication

Date de publication:
16 Jul 2024
Historique:
received: 16 02 2024
accepted: 29 05 2024
medline: 18 7 2024
pubmed: 18 7 2024
entrez: 17 7 2024
Statut: epublish

Résumé

This study aims to evaluate the performance of the fabian-Predictive-Intelligent-Control-of-Oxygenation (PRICO) system for automated control of the fraction of inspired oxygen (FiO Multicentre randomised cross-over study. Five neonatal intensive care units experienced with automated control of FiO 39 infants: median gestational age of 27 weeks (IQR: 26-30), postnatal age 7 days (IQR: 2-17), weight 1120 g (IQR: 915-1588), FiO Randomised sequential 24-hour periods of automated and manual FiO Proportion (%) of time in normoxaemia (90%-95% with FiO During automated control, subjects spent more time in normoxaemia (74%±22% vs 51%±22%, p<0.001) with less time above and below (<90% (9%±8% vs 12%±11%, p<0.001) and >95% with FiO This study demonstrates the ability of the PRICO automated oxygen control algorithm to improve the maintenance of SpO

Identifiants

pubmed: 39019542
pii: 10.1136/bmjpo-2024-002583
doi: 10.1136/bmjpo-2024-002583
pii:
doi:

Substances chimiques

Oxygen S88TT14065

Types de publication

Journal Article Multicenter Study Randomized Controlled Trial Pragmatic Clinical Trial

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: All the authors or their institutions received funding for this and additional projects from Vyaire Medical.

Auteurs

Maria Wilinska (M)

Department of Obstetrics and Perinatology, National Medical Institute, Warsaw, Poland wilinska.maria@gmail.com.
Department of Neonatology, Centre for Postgraduate Medical Education, Warsaw, Poland.

Thomas Bachman (T)

Faculty Biomedical Engineering, Czech Technical University in Prague, Kladno, Czech Republic.

Tomasz Szczapa (T)

Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.
II Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.

Katarzyna Wroblewska-Seniuk (K)

Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.
II Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.

Karolina Chojnacka (K)

Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Poland.
II Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.

Beata Loniewska (B)

Department of Neonatology, Pomeranian Medical University in Szczecin, Szczecin, Poland.

Karolina Olszanska (K)

Department of Neonatology, Pomeranian Medical University in Szczecin, Szczecin, Poland.

Beata Rzepecka Weglarz (B)

Department of Neonatology, Ujastek Medical Cetner, Krakow, Poland.

Katarzyna Janusz (K)

Department of Neontology, Ujastek Medical Center, Krakow, Poland.

Pawel Piwowarczyk (P)

Department of Neonatology, Centre for Postgraduate Medical Education, Warsaw, Poland.

Wes Onland (W)

Departent of Neonatology Emma Children's Hospital UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Reproduction & Development Research Institute, UMC, Amsterdam, The Netherlands.

G Jeroen Hutten (GJ)

Departent of Neonatology Emma Children's Hospital UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Reproduction & Development Research Institute, UMC, Amsterdam, The Netherlands.

Ruud W van Leuteren (RW)

Departent of Neonatology Emma Children's Hospital UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Reproduction & Development Research Institute, UMC, Amsterdam, The Netherlands.

Anton H van Kaam (AH)

Departent of Neonatology Emma Children's Hospital UMC, University of Amsterdam, Amsterdam, The Netherlands.
Amsterdam Reproduction & Development Research Institute, UMC, Amsterdam, The Netherlands.

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