Fluid resuscitation based on dynamic predictors of fluid responsiveness: closed loop algorithm versus anesthesiologists
2011
Fluid Management Using a Closed-Loop Algorithm
Sample size: 20
publication
Evidence: moderate
Author Information
Author(s): Rinehart J, Alexander B, Meng L, Cannesson M
Primary Institution: University of California Irvine, Orange, CA, USA
Hypothesis
Can a closed-loop fluid management algorithm improve fluid resuscitation outcomes compared to traditional methods?
Conclusion
Closed-loop management of fluid resuscitation is feasible and can optimize cardiac output.
Supporting Evidence
- Closed-loop groups intervened significantly earlier than practitioners.
- Closed-loop groups administered more fluid than the practitioner group.
- Mean cardiac output was higher in closed-loop groups compared to practitioners.
Takeaway
Using a smart system to manage fluids during emergencies helps doctors give the right amount of fluids faster.
Methodology
Simulation with practicing anesthesiology residents managing fluids for a simulated hemorrhage case.
Participant Demographics
Practicing anesthesiology residents and faculty
Statistical Information
P-Value
P < 0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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