Goal-Directed fluid therapy with closed-loop assistance during moderate risk surgery using noninvasive cardiac output monitoring: A pilot study

British Journal of Anaesthesia

Volumn 114, Issue 6, 2015, Pages 886-892

  Joosten, A ^a,b   Huynh, T ^a   Suehiro, K ^a,c   Canales, C ^a   Cannesson, M ^a   Rinehart, J ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b ERASME HOSPITAL   (Belgium)

^c OSAKA CITY UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

Author keywords

Cardiac output; Monitoring; Noninvasive; Safety

Indexed keywords

AGENTS USED IN EMERGENCY MEDICINE; CRYSTALLOID INFUSION; HETASTARCH; INFUSION FLUID; SERUM ALBUMIN; UNCLASSIFIED DRUG;

ADULT; AGED; ANESTHESIST; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; ELECTIVE SURGERY; ERYTHROCYTE TRANSFUSION; FEASIBILITY STUDY; FEMALE; FLUID THERAPY; GENERAL ANESTHESIA; GOAL DIRECTED FLUID THERAPY; HEART INDEX; HEART OUTPUT; HEART PRELOAD; HEMODYNAMIC MONITORING; HUMAN; INTERMEDIATE RISK PATIENT; LENGTH OF STAY; MALE; MICROCOMPUTER; MIDDLE AGED; NON INVASIVE BLOOD PRESSURE MONITOR; OPERATION DURATION; OPERATIVE BLOOD LOSS; PATIENT COMPLIANCE; PILOT STUDY; PRIORITY JOURNAL; PROTOCOL COMPLIANCE; SURGICAL PATIENT; SURGICAL RISK; TARGET CONTROLLED INFUSION PUMP; DEVICES; HEART STROKE VOLUME; HEMODYNAMICS; LONGEVITY; PATIENT MONITORING; PHOTOELECTRIC PLETHYSMOGRAPHY; PHYSIOLOGIC MONITORING; PHYSIOLOGY; PRACTICE GUIDELINE; PROCEDURES; PROSPECTIVE STUDY; STATISTICS AND NUMERICAL DATA;

AGED; ANESTHESIA, GENERAL; BLOOD LOSS, SURGICAL; CARDIAC OUTPUT; FEASIBILITY STUDIES; FEMALE; FLUID THERAPY; GUIDELINE ADHERENCE; HEMODYNAMICS; HUMANS; LONGEVITY; MALE; MIDDLE AGED; MONITORING, INTRAOPERATIVE; MONITORING, PHYSIOLOGIC; PHOTOPLETHYSMOGRAPHY; PILOT PROJECTS; PROSPECTIVE STUDIES; STROKE VOLUME;

EID: 84926417476     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aev002     Document Type: Article

References (31)

1. Pearse RM, Harrison DA, MacDonald N, et al. Effect ofaperioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA 2014; 311: 2181-90
2. Hamilton MA, Cecconi M, Rhodes A. A systematic review and meta-analysis on the use of preemptive hemodynamic intervention to improve postoperative outcomes in moderate and high-risk surgical patients. Anesth Analg 2011; 112: 1392-402
3. Sinclair S, James S, Singer M. Intraoperative intravascular volume optimisation and length of hospital stay after repair of proximal femoral fracture: randomised controlled trial. Br Med J 1997; 315: 909-12
4. NICE draft guidance on cardiac output monitoring device published for consultation. 2011. Available from http://www.nice.org.uk/ newsroom/pressreleases/DraftGuidanceOnCardiacOutputMonitoring Device.jsp
5. Vallet B, Blanloeil Y, Cholley B, Orliaguet G, Pierre S, Tavernier B. Guidelines for perioperative haemodynamic optimization. Ann Fr Anesth Reanim 2013; 32: e151-8
6. Gustafsson UO, Scott MJ,SchwenkW, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS((R))) Society recommendations. World J Surg 2013; 37: 259-84
7. National Institute for Health and Clinical Excellence. Medical technologies guidance MTG3: CardioQ ODM oesophageal doppler monitor. 2011. http://www.nice.org.uk/MTG3 (accessed 03/10/2011)
8. CannessonM,Pestel G, Ricks C, Hoeft A,Perel A.Hemodynamicmonitoringandmanagement in patients undergoing high risk surgery:a survey among North American and European anesthesiologists. Crit Care 2011; 15: R197
9. Gill F, Corkish V, Robertson J, Samson J, Simmons B, Stewart D. An exploration of pediatric nurses' compliance with a medication checking and administration protocol. J Spec Pediatr Nurs 2012; 17: 136-46
10. Lipton JA, Barendse RJ, Schinkel AF, Akkerhuis KM, Simoons ML, Sijbrands EJ. Impact of an alerting clinical decision support system for glucose control on protocol compliance and glycemic control in the intensive cardiac care unit. Diabetes Technol Ther 2011; 13: 343-9
11. Spanjersberg WR, Bergs EA, Mushkudiani N, Klimek M, Schipper IB. Protocol compliance and timemanagement in blunt traumaresuscitation. Emerg Med J 2009; 26: 23-7
12. Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med 2006; 34: 1016-24
13. Pytte M, Dybwik K, Sexton J, Straume B, Nielsen EW. Oscillometric brachial mean artery pressures are higher than intra-radial mean artery pressures in intensive care unit patients receiving norepinephrine. Acta Anaesthesiol Scand 2006; 50: 718-21
14. Scheer B, Perel A, Pfeiffer UJ. Clinical review: complications and risk factors of peripheral arterial catheters used for haemodynamic monitoring in anaesthesia and intensive care medicine. Crit Care 2002; 6: 199-204
15. Rinehart J, Chung E, Canales C, Cannesson M. Intraoperative Stroke Volume Optimization Using Stroke Volume, Arterial Pressure, and Heart Rate: Closed-Loop (Learning Intravenous Resuscitator) Versus Anesthesiologists. J Cardiothorac Vasc Anesth 2012; 26: 933-9
16. Rinehart J, Alexander B, Le Manach Y, et al. Evaluation of a novel closed-loop fluid-administration systembased on dynamic predictors of fluid responsiveness: an in silico simulation study. Crit Care 2011; 15: R278
17. Rinehart J, Lee C,Cannesson M,Dumont G. Closed-Loop Fluid Resuscitation: Robustness Against Weight and Cardiac Contractility Variations. Anesth Analg 2013; 117: 1110-8
18. Rinehart J, Lee C, Canales C, Kong A, Kain Z, Cannesson M. Closed-Loop Fluid Administration Compared to Anesthesiologist Management for Hemodynamic Optimization and Resuscitation During Surgery: An In Vivo Study. Anesth Analg 2013; 117: 1119-29
19. Rinehart J, Le Manach Y, Douiri H, et al. First closed-loop goal directed fluid therapy during surgery: A pilot study. Ann Fr Anesth Reanim 2014; 33: e35-41
20. Garson L, Schwarzkopf R, Vakharia S, et al. Implementation of a total joint replacement-focused perioperative surgical home: a management case report. Anesth Analg 2014; 118: 1081-9
21. Kain ZN, Vakharia S, Garson L, et al. The perioperative surgicalhome as a future perioperative practice model. Anesth Analg 2014; 118: 1126-30
22. KimSH, Lilot M, Sidhu KS, et al. Accuracyandprecision of continuous noninvasive arterial pressure monitoring compared with invasive arterial pressure: a systematic reviewand meta-analysis. Anesthesiology 2014; 120: 1080-97
23. Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharmaceut Statist 2005; 4: 287-91
24. Grocott MP, Dushianthan A, Hamilton MA, Mythen MG, Harrison D, Rowan K. Perioperative increase in global blood flow to explicit defined goals and outcomes after surgery: a Cochrane Systematic Review. Br J Anaesth 2013; 111: 535-48
25. Lobo SM, de Oliveira NE. Clinical review: What are the best hemodynamic targets for noncardiac surgical patients? Crit Care 2013; 17: 210
26. Cannesson M, LeManach Y, Hofer CK, et al. Assessing the diagnostic accuracy of pulse pressure variations for the prediction of fluid responsiveness: a "gray zone" approach. Anesthesiology 2011; 115: 231-41
27. Truijen J, van Lieshout JJ,WesselinkWA,Westerhof BE. Noninvasive continuous hemodynamic monitoring. J Clin Monit Comput 2012; 26: 267-78
28. Peyton PJ, Chong SW. Minimally invasive measurement of cardiac output during surgeryand critical care: a meta-analysis of accuracy and precision. Anesthesiology 2010; 113: 1220-35
29. Monnet X, Teboul JL. Volume responsiveness. Curr Opin Crit Care 2007; 13: 549-53
30. Rinehart J, Lee C, Canales C, Kong A, Kain Z, Cannesson M. Closed-loop fluid administration compared to anesthesiologist management for hemodynamic optimization and resuscitation during surgery: an in vivo study. Anesth Analg 2013; 117: 1119-29
31. Muller L, Toumi M, Bousquet PJ, et al.Anincrease in aortic bloodflow afteran infusion of 100 ml colloid over 1 minute can predict fluid responsiveness: the mini-fluid challenge study. Anesthesiology 2011; 115: 541-7