Adaptive closed‐loop resuscitation controllers for hemorrhagic shock resuscitation

Abstract

After hemorrhage control, fluid resuscitation is the most important intervention for hemorrhage. Even skilled providers can find resuscitation challenging to manage, especially when multiple patients require care. In the future, attention‐demanding medical tasks like fluid resuscitation for hemorrhage patients may be reassigned to autonomous medical systems when availability of skilled human providers is limited, such as in austere military settings and mass casualty incidents. Central to this endeavor is the development and optimization of control architectures for physiological closed‐loop control systems (PCLCs). PCLCs can take many forms, from simple table look‐up methods to widely used proportional–integral–derivative or fuzzy‐logic control theory. Here, we describe the design and optimization of multiple adaptive resuscitation controllers (ARCs) that we have purpose‐built for the resuscitation of hemorrhaging patients.

Document Details

Document Type
Pub Defense Publication
Publication Date
May 01, 2023
Source ID
10.1111/trf.17377

Entities

People

  • David Berard
  • Eric J Snider
  • Evan Ross
  • Guy Avital
  • Saul J. Vega

Organizations

  • Tel Aviv Sourasky Medical Center
  • United States Department of Defense

Tags

Fields of Study

  • Medicine

Readers

  • Robotics and Automation.
  • Trauma or Military Medicine