AI algorithm for enhanced intravascular fluid therapy

This technology is a machine-learning-based system that estimates intravascular volume status in real time for patients receiving extracorporeal membrane oxygenation (ECMO).

Unmet Need: Real-time, objective intravascular volume assessment in patients receiving ECMO

Fluid overload is a major contributor to morbidity and mortality in critically ill children, particularly those in the pediatric intensive care unit requiring extracorporeal membrane oxygenation (ECMO) support. Despite the importance of maintaining optimal intravascular volume, there is no reliable, validated, objective measure to guide fluid therapy, and clinicians must rely on indirect parameters, circuit pressures, and subjective clinical assessment. Drainage pressure is commonly used in decision-making, but it has not been rigorously validated as a true indicator of intravascular volume. This gap increases the risk of inappropriate fluid administration, which can compromise ECMO performance and worsen patient outcomes.

The Technology: Machine learning-based real-time blood volume estimation for ECMO

The technology is a machine-learning system that predicts intravascular volume status in patients on extracorporeal membrane oxygenation (ECMO). It integrates real-time clinical data and ECMO circuit pressure measurements to provide patient-specific guidance for fluid management. The system is based on mathematical models developed from in vitro experiments, and clinical use will help further refine and improve these models. These models have the potential to be integrated into existing ICU data management platforms to support clinical decision-making.

Applications:

  • Therapy for respiratory or cardiac failure
  • Computational fluid mechanics model
  • Improvement to existing extracorporeal membrane oxygenation (ECMO) machines
  • Improved diagnostic/prognostic device for patients on ECMO
  • Clinical decision-making tool
  • Research model for studying fluid mechanics of the circulatory system, cardiovascular diseases, or pulmonary diseases
  • Real-time hemodynamic monitoring in critical care outside ECMO
  • Personalized cardiovascular modeling for drug testing or therapy planning
  • Remote monitoring for critically ill patients

Advantages:

  • Real-time monitoring
  • Patient-specific
  • Improved decision-making
  • Objective measurements for guiding fluid therapy
  • Enhanced treatment safety
  • Research utility for studying fluid dynamics or cardiovascular physiology

Lead Inventor:

Vincent Duron, M.D.

Related Publications:

Tech Ventures Reference:

Quick Facts:
Tags
Blood volumeCirculatory systemData managementDiseaseExtracorporeal membrane oxygenationFluid mechanicsHeart failureHemodynamicsIntensive care medicineMortality ratePediatric intensive care unit
Inventors
Vincent DuronYeu Sanz (Samantha) Wu
Manager
Joan Martinez
Departments
Surgery
Divisions
Columbia University Medical Center (CUMC)
Reference Number
CU25361
Release Date
2026-03-20