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Bioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients

hal.structure.identifierBioingénierie tissulaire [BIOTIS]
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
dc.contributor.authorDEWITTE, Antoine
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
dc.contributor.authorCARLES, Pauline
hal.structure.identifierCentre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
dc.contributor.authorJOANNES-BOYAU, Olivier
hal.structure.identifierCentre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
dc.contributor.authorFLEUREAU, Catherine
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
dc.contributor.authorROZE, Hadrien
hal.structure.identifierCentre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
hal.structure.identifierBioingénierie tissulaire [BIOTIS]
dc.contributor.authorCOMBE, Christian
hal.structure.identifierService Anesthésie - Réanimation [Bordeaux]
hal.structure.identifierBiologie des maladies cardiovasculaires = Biology of Cardiovascular Diseases
dc.contributor.authorOUATTARA, Alexandre
dc.date.accessioned2021-06-10T07:04:38Z
dc.date.available2021-06-10T07:04:38Z
dc.date.issued2016-04
dc.identifier.issn1387-1307
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/78988
dc.description.abstractEnFluid management is a crucial issue in intensive-care medicine. This study evaluated the feasibility and reproducibility of bioimpedance spectroscopy to measure body-water composition in critically ill patients, and compared fluid balance and daily changes in total body water (TBW) measured by bioimpedance. This observational study included 25 patients under mechanical ventilation. Fluid balance and bioimpedance measurements were recorded on 3 consecutive days. Whole-body bioimpedance spectroscopy was performed with exact or ideal body weights entered into the device, and with or without ICU monitoring. Reproducibility of bioimpedance spectroscopy was very good in all conditions despite ICU monitoring and mechanical ventilation. Bioimpedance measurements using an ideal body weight varied significantly, making the weighing procedure necessary. Comparison of fluid balance and daily changes in body weight provided the best correlation (ρ = 0.74; P < 0.0001). Daily changes in TBW were correlated with fluid balance (Spearman coefficient ρ = 0.31; P = 0.003) and this correlation was improved after exclusion of patients with a SOFA score >10 (ρ = 0.36; P = 0.05) and with extracorporeal circulation (ρ = 0.50; P = 0.005). Regardless of the technique used to estimate volume status, important limits of agreement were observed. Non-invasive determination of body-water composition using bioimpedance spectroscopy is feasible in critically ill patients but requires knowledge of the patient's weight. The best method to assess volume status after fluid resuscitation and the value gained from information about body composition provided by bioimpedance techniques needs further evaluation.
dc.language.isoen
dc.publisherSpringer Verlag
dc.subject.enBioelectric impedance
dc.subject.enBody weight
dc.subject.enCritical care
dc.subject.enWater-electrolyte balance
dc.title.enBioelectrical impedance spectroscopy to estimate fluid balance in critically ill patients
dc.typeArticle de revue
dc.identifier.doi10.1007/s10877-015-9706-7
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologie/Cardiologie et système cardiovasculaire
bordeaux.journalJournal of Clinical Monitoring and Computing
bordeaux.page227-233
bordeaux.volume30
bordeaux.hal.laboratoriesBioingénierie Tissulaire (BioTis) - U1026*
bordeaux.issue2
bordeaux.institutionCNRS
bordeaux.institutionINSERM
bordeaux.institutionCHU de Bordeaux
bordeaux.institutionInstitut Bergonié
bordeaux.peerReviewedoui
hal.identifierinserm-02469671
hal.version1
hal.origin.linkhttps://hal.archives-ouvertes.fr//inserm-02469671v1
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Journal%20of%20Clinical%20Monitoring%20and%20Computing&amp;rft.date=2016-04&amp;rft.volume=30&amp;rft.issue=2&amp;rft.spage=227-233&amp;rft.epage=227-233&amp;rft.eissn=1387-1307&amp;rft.issn=1387-1307&amp;rft.au=DEWITTE,%20Antoine&amp;CARLES,%20Pauline&amp;JOANNES-BOYAU,%20Olivier&amp;FLEUREAU,%20Catherine&amp;ROZE,%20Hadrien&amp;rft.genre=article


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