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...
Main Authors: | , , , , , , , |
---|---|
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 |