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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
Jazyk angličtina Země Česko
Typ dokumentu časopisecké články, pozorovací studie
NLK
Directory of Open Access Journals
od 1991
Free Medical Journals
od 1998
ProQuest Central
od 2005-01-01
Medline Complete (EBSCOhost)
od 2006-01-01
Nursing & Allied Health Database (ProQuest)
od 2005-01-01
Health & Medicine (ProQuest)
od 2005-01-01
ROAD: Directory of Open Access Scholarly Resources
od 1998
- MeSH
- dospělí MeSH
- kohortové studie MeSH
- lidé středního věku MeSH
- lidé MeSH
- pilotní projekty MeSH
- polytrauma diagnóza patofyziologie terapie MeSH
- prospektivní studie MeSH
- senioři MeSH
- složení těla fyziologie MeSH
- spektrální analýza metody MeSH
- stupeň závažnosti nemoci * MeSH
- tekutinová terapie metody MeSH
- vodní a elektrolytová rovnováha fyziologie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie 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
Citace poskytuje Crossref.org
Literatura
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