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Avital G, Snider EJ, Berard D, Vega SJ, Hernandez Torres SI, Convertino VA, Salinas J, Boice EN. Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review. J Pers Med 2022; 12:1168. [PMID: 35887665 PMCID: PMC9315597 DOI: 10.3390/jpm12071168] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/14/2022] [Accepted: 07/15/2022] [Indexed: 02/07/2023] Open
Abstract
Physiological Closed-Loop Controlled systems continue to take a growing part in clinical practice, offering possibilities of providing more accurate, goal-directed care while reducing clinicians' cognitive and task load. These systems also provide a standardized approach for the clinical management of the patient, leading to a reduction in care variability across multiple dimensions. For fluid management and administration, the advantages of closed-loop technology are clear, especially in conditions that require precise care to improve outcomes, such as peri-operative care, trauma, and acute burn care. Controller design varies from simplistic to complex designs, based on detailed physiological models and adaptive properties that account for inter-patient and intra-patient variability; their maturity level ranges from theoretical models tested in silico to commercially available, FDA-approved products. This comprehensive scoping review was conducted in order to assess the current technological landscape of this field, describe the systems currently available or under development, and suggest further advancements that may unfold in the coming years. Ten distinct systems were identified and discussed.
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Affiliation(s)
- Guy Avital
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
- Trauma & Combat Medicine Branch, Surgeon General’s Headquarters, Israel Defense Forces, Ramat-Gan 52620, Israel
- Division of Anesthesia, Intensive Care & Pain Management, Tel-Aviv Sourasky Medical Center, Tel-Aviv 64239, Israel
| | - Eric J. Snider
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
| | - David Berard
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
| | - Saul J. Vega
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
| | - Sofia I. Hernandez Torres
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
| | - Victor A. Convertino
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
- Battlefield & Health & Trauma Center for Human Integrative Physiology, JBSA Fort Sam Houston, San Antonio, TX 78234, USA
- Department of Medicine, Uniformed Services University, Bethesda, MD 20814, USA
- Department of Emergency Medicine, University of Texas Health, San Antonio, TX 78234, USA
| | - Jose Salinas
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
| | - Emily N. Boice
- U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA; (G.A.); (E.J.S.); (D.B.); (S.J.V.); (S.I.H.T.); (V.A.C.); (J.S.)
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Enev R, Krastev P, Abedinov F. Prediction of fluid responsiveness: a review. BIOTECHNOL BIOTEC EQ 2021. [DOI: 10.1080/13102818.2021.1960190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Affiliation(s)
- Rostislav Enev
- Department of Anesthesiology and Intensive Care, University Hospital “Sveta Ekaterina”, Medical University of Sofia, Sofia, Bulgaria
| | - Plamen Krastev
- Department of Cardiology, University Hospital “Sveta Ekaterina”, Medical University of Sofia, Sofia, Bulgaria
| | - Filip Abedinov
- Department of Anesthesiology and Intensive Care, University Hospital “Sveta Ekaterina”, Medical University of Sofia, Sofia, Bulgaria
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