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The bioimpedance spectroscopy as useful tool for measuring the fluid excess and fluid management in severe polytrauma patients
V. Joskova, A. Patkova, E. Havel, S. Najpaverova, D. Uramova, M. Kovarik, Z. Zadak, M. Hronek
Language English Country Czech Republic
Document type Journal Article, Observational Study
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- MeSH
- Adult MeSH
- Cohort Studies MeSH
- Middle Aged MeSH
- Humans MeSH
- Pilot Projects MeSH
- Multiple Trauma diagnosis physiopathology therapy MeSH
- Prospective Studies MeSH
- Aged MeSH
- Body Composition physiology MeSH
- Spectrum Analysis methods MeSH
- Severity of Illness Index * MeSH
- Fluid Therapy methods MeSH
- Water-Electrolyte Balance physiology MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Observational Study MeSH
Although the fluid therapy plays a fundamental role in the management of polytrauma patients (PP), a tool which could determine it appropriately is still lacking. The aim of this study was to evaluate the application of a bioimpedance spectroscopy (BIS) for body fluids volume and distribution monitoring in these patients. This prospective, observational study was performed on 25 severe PP and 25 healthy subjects. The body fluids composition was repeatedly assessed using BIS between days 3 to 11 of intensive care unit stay while the impact of fluid intake and balance was evaluated. Fluid intake correlated significantly with fluid excess (FE) in edemas, and their values were significantly higher in comparison with the control group. FE was strongly associated with cumulative fluid balance (p<0.0001; r=0.719). Furthermore, this parameter was associated with the entire duration of mechanical ventilation (p=0.001, r=0.791) independently of injury severity score. In conclusion, BIS measured FE could be useful in PP who already achieved negative fluid balance in prevention the risk of repeated hypovolemia through inappropriate fluid restriction. What is more, measured FE has a certain prognostic value. Further studies are required to confirm BIS as a potential instrument for the improvement of PP outcome.
Department of Research and Development University Hospital Hradec Kralove Czech Republic
Department of Surgery University Hospital Hradec Kralove Czech Republic
References provided by Crossref.org
Literatura
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