Bioelectrical impedance analysis for perioperative water management in adult cardiovascular valve disease surgery
| Autor: | Tomoki Yamatsuji, Ichiro Morita, Kensuke Kondo, Naomasa Ishida, Masahiko Kuinose, Atsuhisa Ishida, Tatsuya Watanabe, Kotone Tsujimoto, Noriyuki Tokunaga, Munenori Takaoka, Hideo Yoshida, Ryutaro Isoda, Takuro Yukawa, Takuya Fukazawa |
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| Rok vydání: | 2020 |
| Předmět: |
Male
Risk Bioelectrical impedance analysis medicine.medical_specialty Body water Heart Valve Diseases Intracellular Space 030232 urology & nephrology Renal function Valve surgery 030204 cardiovascular system & hematology Perioperative Care 03 medical and health sciences 0302 clinical medicine Body Water Predictive Value of Tests Electric Impedance medicine Edema Humans Perioperative Period Edema index Aged Retrospective Studies Aged 80 and over Predictive marker business.industry General Medicine Perioperative Middle Aged medicine.disease Surgery Cardiac surgery Heart failure Perioperative water management Breathing Female Original Article Extracellular Space business Biomarkers Glomerular Filtration Rate |
| Zdroj: | Surgery Today |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-020-02184-3 |
| Popis: | Purpose Bioelectrical impedance analysis (BIA) has been used recently to measure the body water of patients with acute heart failure. We used BIA in this study to better understand, and possibly identify a predictive marker for, perioperative water behavior in cardiac surgery patients. Methods We measured body water and studied its behavior in 44 patients undergoing surgery for cardiac valvular disease at our hospital. Measurements included the levels of extracellular water (ECW), intracellular water (ICW), and total body water, the edema index (EI), and the ratio of ECW to total body water. The first measured EI was defined as the “preoperative EI” and the maximum as the “peak EI”. Results A negative correlation was found between the preoperative EI and the preoperative estimated glomerular filtration rate (eGFR) (R = 0.644, p R = 0.625, p R = 0.366, p R = 0.464, p = 0.026). Conclusion The EI is possibly a predictive marker for perioperative water management in cardiac surgery. |
| Databáze: | OpenAIRE |
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