Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review

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...

Full description

Bibliographic Details
Main Authors: Guy Avital, Eric J. Snider, David Berard, Saul J. Vega, Sofia I. Hernandez Torres, Victor A. Convertino, Jose Salinas, Emily N. Boice
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/7/1168
_version_ 1797405919367135232
author Guy Avital
Eric J. Snider
David Berard
Saul J. Vega
Sofia I. Hernandez Torres
Victor A. Convertino
Jose Salinas
Emily N. Boice
author_facet Guy Avital
Eric J. Snider
David Berard
Saul J. Vega
Sofia I. Hernandez Torres
Victor A. Convertino
Jose Salinas
Emily N. Boice
author_sort Guy Avital
collection DOAJ
description 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.
first_indexed 2024-03-09T03:17:11Z
format Article
id doaj.art-a74aebbe6c7548338fed7dea8bd2c02c
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-09T03:17:11Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-a74aebbe6c7548338fed7dea8bd2c02c2023-12-03T15:17:03ZengMDPI AGJournal of Personalized Medicine2075-44262022-07-01127116810.3390/jpm12071168Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping ReviewGuy Avital0Eric J. Snider1David Berard2Saul J. Vega3Sofia I. Hernandez Torres4Victor A. Convertino5Jose Salinas6Emily N. Boice7U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAU.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USAPhysiological 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.https://www.mdpi.com/2075-4426/12/7/1168closed loopdecision supportautonomousautomatedcontrollerartificial intelligence
spellingShingle Guy Avital
Eric J. Snider
David Berard
Saul J. Vega
Sofia I. Hernandez Torres
Victor A. Convertino
Jose Salinas
Emily N. Boice
Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
Journal of Personalized Medicine
closed loop
decision support
autonomous
automated
controller
artificial intelligence
title Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
title_full Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
title_fullStr Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
title_full_unstemmed Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
title_short Closed-Loop Controlled Fluid Administration Systems: A Comprehensive Scoping Review
title_sort closed loop controlled fluid administration systems a comprehensive scoping review
topic closed loop
decision support
autonomous
automated
controller
artificial intelligence
url https://www.mdpi.com/2075-4426/12/7/1168
work_keys_str_mv AT guyavital closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT ericjsnider closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT davidberard closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT sauljvega closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT sofiaihernandeztorres closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT victoraconvertino closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT josesalinas closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview
AT emilynboice closedloopcontrolledfluidadministrationsystemsacomprehensivescopingreview