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Reply to: implementation of closed-loop-assisted intra-operative goal-directed fluid therapy during surgery.
Eur J Anaesthesiol
April 2019
From the Department of Anaesthesiology, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium (SC, PVdL), Department of Anaesthesiology & Perioperative Care, University of California, Irvine, Irvine, California, USA (JR) and Department of Anaesthesiology and Intensive Care, Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Université Paris-Saclay, Hôpital De Bicêtre, Assistance Publique Hôpitaux de Paris (APHP), Paris, France (AJ).
Implementation of closed-loop-assisted intra-operative goal-directed fluid therapy during surgery.
Eur J Anaesthesiol
April 2019
From King's College Hospital NHS Foundation Trust (DG), General Intensive Care Unit, University of Southampton (MJ) and LiDCO Ltd, London, UK (EM).
Implementation of closed-loop-assisted intra-operative goal-directed fluid therapy during major abdominal surgery: A case-control study with propensity matching.
Eur J Anaesthesiol
September 2018
From the Department of Anesthesiology (AJ, SC, AD, BI, LB, LVO), Department of Gastrointestinal Surgery (JC), Department of Urology, CUB Erasme, Université Libre de Bruxelles, Brussels, Belgium (TR), Department of Anesthesiology & Perioperative Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles (MC), Department of Anesthesiology & Perioperative Care, University of California, Irvine, Irvine, California, USA (JR) and Department of Anesthesiology, CHU Brugmann, Université Libre de Bruxelles, Brussels, Belgium (PVdL).
Background: Goal-directed fluid therapy (GDFT) has been associated with improved patient outcomes. However, implementation of GDFT protocols remains low despite growing published evidence and the recommendations of multiple regulatory bodies in Europe. We developed a closed-loop-assisted GDFT management system linked to a pulse contour monitor to assist anaesthesiologists in applying GDFT.
View Article and Find Full Text PDFClosed-loop assisted versus manual goal-directed fluid therapy during high-risk abdominal surgery: a case-control study with propensity matching.
Crit Care
March 2015
Department of Anesthesiology & Perioperative Care, UC Irvine Medical Center, 101 The City Drive South, Orange, CA, 92868, USA.
Introduction: Goal-directed fluid therapy strategies have been shown to benefit moderate- to high-risk surgery patients. Despite this, these strategies are often not implemented. The aim of this study was to assess a closed-loop fluid administration system in a surgical cohort and compare the results with those for matched patients who received manual management.
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