Fully Automated Anesthesia and Fluid Management Using Multiple Physiologic Closed-Loop Systems in a Patient Undergoing High-Risk Surgery.
Automated delivery of anesthesia guided by processed electroencephalogram monitoring using a closed-loop system is no longer a novel concept. However, combining multiple independent physiologic closed-loop systems together has never been documented before. The purpose of this case report was to evaluate the feasibility of automated anesthesia and fluid management based on a combination of physiological variables (bispectral index, stroke volume, and stroke volume variations) using 2 independent closed-loop systems.
From the *Department of Anesthesiology and Perioperative Care, CUB Erasme, Université Libre de Bruxelles, Brussels, Belgium; †Department of Anesthesiology and Perioperative Medicine, University of California Los Angeles, Los Angeles, California; ‡Department of Anesthesiology and Perioperative Care, University of California Irvine, Irvine, California; and §Department of Vascular Surgery, CUB Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Alexandre
A
Joosten
Amélie
A
Delaporte
Maxime
M
Cannesson
Joseph
J
Rinehart
Jean Philippe
JP
Dewilde
Luc
L
Van Obbergh
Luc
L
Barvais
D000368:Aged; D000698:Analgesia / Q000295:instrumentation / Q000379:methods; D000768:Anesthesia, General / Q000379:methods*; D001331:Automation; D002302:Cardiac Output / Q000502:physiology; D001026:Coronary Artery Bypass / Q000379:methods*; D004562:Electrocardiography; D004566:Electrodes; D005440:Fluid Therapy / Q000295:instrumentation / Q000379:methods*; D006339:Heart Rate / Q000502:physiology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D013318:Stroke Volume / Q000502:physiology; D016896:Treatment Outcome