Perioperative medicine & outcomes

Perioperative continuous body weight measurements with load cells under the bed legs in patients undergoing abdominal surgery

Eur J Anaesthesiol Intensive CarePublished Observational exploratory study

Authors' conclusion

Both perioperative fluid balance calculation and body weight measurement may have different but mutually complementary roles in perioperative managements.

Study context

Population
Adults undergoing elective abdominal surgery under GA
Participants
20 adults
Outcome
Body weight (continuous, load cells under bed legs)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Body weight
Body weight increase immediately after surgery (mean ± SD), ≈5% of preoperative weight
2.7 ± 1.3 kg
Increase not correlated with intraoperative fluid balance
P = 0.178
Intraoperative fluid balance; weight increase significantly greater (P < 0.001)
1.5 ± 0.4 kg
Body weight returned to preoperative level
POD3
Body weight at POD6 vs preoperative (P < 0.001)
97%

Observational data: associations, not effects.

Further findings

Nocturnal weight loss pattern

Physiological nocturnal weight loss maintained throughout hospitalisation except when fluid infused

Body movements and bed occupancy

Longer in bed, smaller movements, fewer daytime bed exits until POD3 vs preoperative
Greater nocturnal movements, smaller diurnal variation after POD4

Original publication

Perioperative continuous body weight measurements with load cells under the bed legs in patients undergoing abdominal surgery. Eur J Anaesthesiol Intensive Care. Published 26 June 2023. doi:10.1097/ea9.0000000000000028

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