Research Article

Auditing of Monitoring and Respiratory Support Equipment in a Level III-C Neonatal Intensive Care Unit

Table 3

Rates of appropriate use for the variables evaluated in each device and technology as a whole. SpO2: oxygen saturation; VG: volume guarantee ventilation; MAP: mean airway pressure; CPAP: continuous positive airway pressure; PEEP: positive end-expiratory pressure.

Technological devices
( assessments)
Appropriate use ()Appropriate use %
(confidence interval)

Pulse oximeters ( 94)
 SpO2 alarms61 64.89 (55.24–74.54)
 Heart rate alarms87 92.55 (87.25–97.86)
 Alarm volume94 100 (96.15–100)
 Sensor status 94 100 (96.15–100)
 Appropriate overall use 58 61.70 (51.88–71.53)
Monitors ( 104)
 SpO2 alarms ( 104)58 55.77 (46.22–65.31)
 Heart rate alarms ( 104)84 80.77 (73.19–88.34)
 Respiratory rate alarms ( 66)12 18.18 (8.87–27.49)
 Blood pressure alarms ( 64)30 46.88 (34.49–59.10)
 Alarm volume ( 104)104 100 (96.51–100)
 State of ECG pads ( 75)68 90.67 (84.08–97.25)
 Appropriate overall use ( 104)22 21.15 (13.30–29.00)
Conventional mechanical ventilator ( 53)
 Volume/minute alarms 18 33.96 (21.21–46.71)
 Apnoea alarm48 90.57 (82.69–98.44)
 Peak pressure limit in VG ( 42)38 90.48 (81.59–99.35)
 Flow appropriate to the endotracheal tube size48 90.57 (82.69–98.44)
 Adequate position of the flow sensor33 62.26 (49.21–75.31)
 Change of tubing26 49.06 (35.59–62.52)
 Alarm volume 53 100 (93.27–100)
 Heater temperature53 100 (93.27–100)
 Water in the heater52 98.11 (94.45–100)
 Appropriate overall use 611.32 (2.79–19.85)
High-frequency oscillatory ventilator ( 64)
 MAP alarms33 51.56 (39.32–63.81)
 Position of the tubing 46 71.88 (60.86–82.89)
 Heater temperature63 98.44 (95.40–100)
 Water in the heater61 95.31 (90.13–100)
 Appropriate overall use 24 37.50 (22.64–49.36)
CPAP ( 68)
 PEEP 63 92.65 (86.44–98.85)
 Change of tubing33 48.53 (36.65–60.41)
 Heater temperature 42 61.76 (50.21–73.32)
 Water in the heater68 100 (94.72–100)
 Appropriate overall use 1927.94 (17.28–38.61)
Technology as a whole ( 383)12933.68 (28.81–38.54)