Closed-Loop Hemodynamic Management

Publication date: Available online 27 April 2019Source: Best Practice & Research Clinical AnaesthesiologyAuthor(s): Brenton Alexander, Joseph Rinehart, Maxime Cannesson, Jacques Duranteau, Alexandre JoostenAbstractAs the operating room and intensive care settings become increasingly complex the required vigilance practitioners must dedicate to a wide array of clinical systems has increased concordantly. The resulting shortage of available attention to these various clinical tasks creates a vacuum for the introduction of systems that can administer well established goal-directed therapies without significant provider feedback. Recently there has been an explosion of academic exploration into creating such automated systems, with a strong specific focus on hemodynamic control. Within this field, the largest focus has been on goal directed fluid therapy as systems automating vasopressor administration have only recently become viable options. Our goal in this review article is to summarize the validity of the relevant goal directed hemodynamic systems and explore the expanding role of automation within these systems.
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research