Published in:
01-06-2020 | Commentary
Bio-electrical impedance analysis in critically ill patients: are we ready for prime time?
Authors:
Ivan Myatchin, Paul Abraham, Manu L.N.G. Malbrain
Published in:
Journal of Clinical Monitoring and Computing
|
Issue 3/2020
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Excerpt
Fluid overload in critically ill patients is defined as a 10% increase in cumulative fluid balance (CFB) from baseline body weight and represents a well-known problem which detrimentally affects intensive care unit (ICU) patient’s clinical course and their outcome [
1‐
3]. Therefore, timely recognition and correction of fluid overload, or even better, identification of patients at risk for fluid accumulation in an early stage is of great importance. However, this remains challenging in clinical practice, as we miss an accurate and reliable tool for correct assessment of fluid status [
4]. Current methods include the calculation of daily and CFB, by recording fluid inputs and outputs, the use of clinical or biochemical signs of fluid overload, monitoring filling pressures, however, none of these methods allow for a close monitoring for fluid balance, and intercompartmental fluid shifts [
1,
5]. …