Assessment of Fluid Overload in Critically Ill Patients: Role of Bioelectrical Impedance Analysis

2018 ◽  
pp. 417-436
Author(s):  
M. L. N. G. Malbrain ◽  
E. De Waele ◽  
P. M. Honoré
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Fluid Overload ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

scholarly journals Identifying critically ill patients with low muscle mass: Agreement between bioelectrical impedance analysis and computed tomography

2020 ◽  
Vol 39 (6) ◽  
pp. 1809-1817 ◽  
Author(s):  
Willem G.P.M. Looijaard ◽  
Sandra N. Stapel ◽  
Ingeborg M. Dekker ◽  
Hanna Rusticus ◽  
Sharon Remmelzwaal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Critically Ill ◽  
Muscle Mass ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

Bioelectrical impedance analysis values as markers to predict severity in critically ill patients

2017 ◽  
Vol 40 ◽  
pp. 103-107 ◽  
Author(s):  
Yeon Hee Lee ◽  
Jung-Dong Lee ◽  
Dae Ryong Kang ◽  
Jeong Hong ◽  
Jae-myeong Lee
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis

scholarly journals Monitoring of muscle mass in critically ill patients: comparison of ultrasound and two bioelectrical impedance analysis devices

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Nobuto Nakanishi ◽  
Rie Tsutsumi ◽  
Yoshihiro Okayama ◽  
Takuya Takashima ◽  
Yoshitoyo Ueno ◽  
...  
Keyword(s):  
Critically Ill ◽  
Muscle Mass ◽  
Muscle Atrophy ◽  
Fluid Balance ◽  
Critically Ill Patients ◽  
Bioelectrical Impedance Analysis ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
Skeletal Muscle Atrophy ◽  
Length Of Icu Stay

Abstract Background Skeletal muscle atrophy commonly occurs in critically ill patients, and decreased muscle mass is associated with worse clinical outcomes. Muscle mass can be assessed using various tools, including ultrasound and bioelectrical impedance analysis (BIA). However, the effectiveness of muscle mass monitoring is unclear in critically ill patients. This study was conducted to compare ultrasound and BIA for the monitoring of muscle mass in critically ill patients. Methods We recruited adult patients who were expected to undergo mechanical ventilation for > 48 h and to remain in the intensive care unit (ICU) for > 5 days. On days 1, 3, 5, 7, and 10, muscle mass was evaluated using an ultrasound and two BIA devices (Bioscan: Malton International, England; Physion: Nippon Shooter, Japan). The influence of fluid balance was also evaluated between each measurement day. Results We analyzed 93 images in 21 patients. The age of the patients was 69 (interquartile range, IQR, 59–74) years, with 16 men and 5 women. The length of ICU stay was 11 days (IQR, 9–25 days). The muscle mass, monitored by ultrasound, decreased progressively by 9.2% (95% confidence interval (CI), 5.9–12.5%), 12.7% (95% CI, 9.3–16.1%), 18.2% (95% CI, 14.7–21.6%), and 21.8% (95% CI, 17.9–25.7%) on days 3, 5, 7, and 10 (p <  0.01), respectively, with no influence of fluid balance (r = 0.04, p = 0.74). The muscle mass did not decrease significantly in both the BIA devices (Bioscan, p = 0.14; Physion, p = 0.60), and an influence of fluid balance was observed (Bioscan, r = 0.37, p <  0.01; Physion, r = 0.51, p <  0.01). The muscle mass assessment at one point between ultrasound and BIA was moderately correlated (Bioscan, r = 0.51, p <  0.01; Physion, r = 0.37, p <  0.01), but the change of muscle mass in the same patient did not correlate between these two devices (Bioscan, r = − 0.05, p = 0.69; Physion, r = 0.23, p = 0.07). Conclusions Ultrasound is suitable for sequential monitoring of muscle atrophy in critically ill patients. Monitoring by BIA should be carefully interpreted owing to the influence of fluid change. Trial registration UMIN000031316. Retrospectively registered on 15 February 2018.

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