Closed-Loop Control for Fluid Resuscitation: Recent Advances and Future Challenges.
Closed-Loop Control for Fluid Resuscitation: Recent Advances and Future Challenges.
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液体复苏的闭环控制：最新进展和未来挑战。
DOI：
10.3389/fvets.2021.642440
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发表时间：
2021
影响因子：
3.2
通讯作者：
Muir WW
中科院分区：
文献类型：
--
作者：
Gholami B;Haddad WM;Bailey JM;Muir WW
液体疗法被广泛用于治疗创伤患者以及手术中的患者。由于患者之间对治疗的反应不同，以及其他复杂因素，如合并症和全身麻醉，液体治疗过程是复杂的。这些复杂性可能导致复苏不足或过度。考虑到流体管理过程的复杂性以及血流动力学监测能力的增强，闭环流体管理可以减轻超负荷工作的临床医生的工作量，同时确保更高精度地满足对血流动力学终点的特定限制。本文的目的是概述液体管理的闭环控制系统，并重点介绍将这种技术从工作台过渡到床边的几个关键步骤。
Fluid therapy is extensively used to treat traumatized patients as well as patients during surgery. The fluid therapy process is complex due to interpatient variability in response to therapy as well as other complicating factors such as comorbidities and general anesthesia. These complexities can result in under- or over-resuscitation. Given the complexity of the fluid management process as well as the increased capabilities in hemodynamic monitoring, closed-loop fluid management can reduce the workload of the overworked clinician while ensuring specific constraints on hemodynamic endpoints are met with higher accuracy. The goal of this paper is to provide an overview of closed-loop control systems for fluid management and highlight several key steps in transitioning such a technology from bench to the bedside.
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影响因子：
8.1
作者：
Libert N;Chenegros G;Harrois A;Baudry N;Cordurie G;Benosman R;Vicaut E;Duranteau J
通讯作者：
Duranteau J
影响因子：
1.4
作者：
Hoskins, SL;Elgjo, GI;Kramer, GC
通讯作者：
Kramer, GC
DOI：
10.1097/ta.0b013e31816bf517
发表时间：
2008-04-01
影响因子：
--
作者：
Kramer, George C.;Kinsky, Michael P.;Mitchell, Charles E.
通讯作者：
Mitchell, Charles E.
影响因子：
1.3
作者：
Gholami, Behnood;Haddad, Wassim M.;Muir, William W.
通讯作者：
Muir, William W.
影响因子：
3.1
作者：
Rafie, AD;Rath, PA;Kramer, GC
通讯作者：
Kramer, GC