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A recent analysis of a randomized controlled trial highlights the effectiveness of the Acumen Assisted Fluid Management system in guiding fluid challenges and improving stroke volume response during high-risk surgeries.
This finding is crucial for healthcare professionals as it supports the implementation of advanced hemodynamic monitoring technologies to improve patient outcomes through more effective fluid management.
The study conducted a post hoc analysis of a randomized controlled trial to evaluate the efficacy of the Acumen Assisted Fluid Management (AFM) system compared to traditional clinician-initiated fluid challenges during high-risk abdominal surgeries. Results indicate that the AFM system significantly improved fluid responsiveness—defined as an increase in stroke volume of at least 10%—and was associated with a higher mean increase in stroke volume compared to the control group. Specifically, the median rate of fluid responsiveness was 50% in the AFM group compared to 33% in the clinician-initiated group. These findings support the potential of decision support systems to optimize hemodynamic management in complex surgical settings.
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Fluid challenges remain a cornerstone technique in managing fluid therapy during surgery. Intravenous fluid therapy during high-risk surgery aims to optimize stroke volume by evaluating hemodynamic responses through fluid challenges. This process is crucial for determining the patient's need for additional fluid support to maintain adequate blood flow and pressure.
Acumen Assisted Fluid Management significantly improves fluid administration outcomes. The Acumen Assisted Fluid Management system serves as an advanced decision support tool designed to facilitate better administration of fluid challenges. Its application has been shown to improve fluid responsiveness and increase stroke volume more effectively than conventional clinician-guided methods.
'The study using the Acumen Assisted Fluid Management system demonstrates a significant improvement in stroke volume response rates,' said the research team led by Coeckelenbergh.
Decision support systems outperform traditional fluid management approaches. The study revealed that patients managed with the AFM system showed a greater median rate of fluid responsiveness and a higher mean increase in stroke volume compared to those managed by clinicians without the support of a decision-making tool. This suggests that decision support systems can significantly enhance fluid management efficiency in high-risk surgeries.
Coeckelenbergh S, Rinehart J, Desebbe O, Rogoz N, Dagachi Mastouri A, Duranteau J, Maghen B, Cannesson M, Vincent J-L, Joosten A. Decision support guided fluid challenges and stroke volume response during high-risk surgery: a post hoc analysis of a randomized controlled trial. Journal of Clinical Monitoring and Computing. 2025.
Messina A, Calabrò L, Pugliese L, Lulja A, Sopuch A, Morenghi E, Rosalba D, Hernandez G, Monnet X, Cecconi M. Fluid challenge in critically ill patients receiving haemodynamic monitoring: a systematic review and comparison of two decades. Critical Care. 2022;26(1):186.
Vincent J-L, Cecconi M, De Backer D. The fluid challenge. Critical Care. 2020;24(1):703.