Goal-directed decision support system for treating perioperative fluid deficits

DESCRIPTION (provided by applicant): Goal-directed decision support system for treating perioperative fluid deficits Gastro-intestinal, cardiac and orthopedic surgeries can result in significant blood and fluid losses. Inappropriate replacement of perioperative fluid losses leads to complications, which increase hospital length and almost double the cost of care. Goal-directed fluid therapy (GDFT) is an evidence-based, proven method of optimizing fluid therapy and improving clinical outcomes. Unfortunately,multiple surveys of anesthesiologists and peer reviewed publications indicate that GDFT is not widely practiced and is not considered the current standard of care. We are developing a decision support software-hardware system for GDFT that provides anesthesiologists and CRNAs an intuitive tool to optimize fluid therapy using proven algorithms. We hypothesize that our algorithmic decision support system will provide greater precision in managing perioperative fluid losses and enhance clinical workflow