SCO2T study

  • Research type

    Research Study

  • Full title

    SCO2T Study Servo Controlled Oxygen Targeting

  • IRAS ID

    272630

  • Contact name

    Fraser G Christie

  • Contact email

    fraserchristie@nhs.net

  • Sponsor organisation

    ACCORD, University of Edinburgh

  • Duration of Study in the UK

    1 years, 0 months, 0 days

  • Research summary

    Most premature babies require oxygen therapy. There is uncertainty about what oxygen levels are the best. The oxygen levels in the blood are measured using a monitor called a saturation monitor and the oxygen the baby breathes is adjusted to keep the level in a target range. Although there is evidence that lower oxygen levels maybe harmful, it is not known how high they need to be for maximum benefit. Very high levels are also harmful. Saturation monitors are not very good for checking for high oxygen levels. For this a different kind of monitor, called a transcutaneous monitor, is better.

    Keeping oxygen levels stable is usually done by nurses adjusting the oxygen levels by hand (manual control). There is also equipment available that can do this automatically (servo control). It is not known which is best.

    Studies of automated control have shown that infants spend more time within their intended target oxygen saturation range. These have not included measurements of transcutaneous oxygen.

    This study aims to show the transcutaneous oxygen levels as well as the oxygen saturation levels when babies have their oxygen adjusted manually or automatically.

    Babies in the study will have both a saturation monitor and a transcutaneous oxygen monitor at the same time. Both types of monitor have been in long term use in neonatal units.

    For a period of 12 hours each baby will have their oxygen adjusted manually and automatically for 6 hours respectively. We will compare the range of oxygen levels that are seen between the two methods of oxygen adjustment.

    We will study babies born at less than 29 weeks gestation, who are at least 2 days old, clinically stable and still require added oxygen.

    We hope that this study will help us to improve the care of babies in the future.

  • REC name

    South East Scotland REC 01

  • REC reference

    19/SS/0118

  • Date of REC Opinion

    21 Nov 2019

  • REC opinion

    Further Information Favourable Opinion