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Automated control of inspired oxygen for preterm infants: What we have and what we need

Citation

Sadeghi Fathabadi, O and Gale, TJ and Olivier, JC and Dargaville, PA, Automated control of inspired oxygen for preterm infants: What we have and what we need, Biomedical Signal Processing and Control, 28 pp. 9-18. ISSN 1746-8094 (2016) [Refereed Article]

Copyright Statement

2016 Elsevier

DOI: doi:10.1016/j.bspc.2016.03.002

Abstract

This review provides the first comprehensive technically focused image of algorithms developed for automation of inspired oxygen control in preterm infants. The paper has three main parts; the first provides an overview of the existing algorithms, the second presents the major design challenges of automation and the third proposes directions for future research and development of improved controllers. In the first section, the algorithms are classified in four categories, namely rule-based, proportional-integral-derivative, adaptive, and robust. The second section discusses variability in oxygenation, technologic shortcomings of infant monitoring and safety considerations as the three major challenges for designing automated controllers. The paper finally proceeds to suggest some future directions for improving automated oxygen control in the preterm infant. It suggests that based on the nature of the physiological system, an optimal algorithm must be capable of making continuous adjustments and it should be adaptive, including to alterations in severity of lung dysfunction and position on the oxygen saturation curve. It is also suggested that future controllers must utilise additional inputs for tasks such as oximeter signal validation and real-time prediction of hypoxic events.

Item Details

Item Type:Refereed Article
Keywords:Oxygen saturation, Hypoxia, Apnoea, Automated control, Preterm infants
Research Division:Medical and Health Sciences
Research Group:Paediatrics and Reproductive Medicine
Research Field:Paediatrics
Objective Division:Health
Objective Group:Specific Population Health (excl. Indigenous Health)
Objective Field:Child Health
Author:Sadeghi Fathabadi, O (Mr Omid Sadeghi Fathabadi)
Author:Gale, TJ (Dr Timothy Gale)
Author:Olivier, JC (Professor JC Olivier)
Author:Dargaville, PA (Professor Peter Dargaville)
ID Code:115284
Year Published:2016
Web of Science® Times Cited:3
Deposited By:Menzies Institute for Medical Research
Deposited On:2017-03-14
Last Modified:2017-04-26
Downloads:0

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