Perioperative medicine & outcomes
Perioperative trends in neck and leg fluid volume in surgical patients: a prospective observational proof-of-concept study
Authors' conclusion
This proof-of-concept study showed the feasibility and variability of segmental fluid volumes in the perioperative period using BIA.
Study context
- Population
- Adults undergoing elective inpatient noncardiac surgery under GA20/35 females
- Participants
- 35 adults
- Outcome
- Feasibility of bioelectrical impedance analysis (BIA) (recruitment, protocol adherence) and trend of segmental fluid volumes (NFV, NFV phase angle, LFV)
- Follow-up
- Preop, PACU, 10 pm night after surgery (N 0), 10 am POD 1
Methodological detailsproof-of-concept
- Proof-of-concept
Main finding
As reported in the abstract
Feasibility and segmental fluid volume trends
Recruitment
50 of 66
76%
Protocol adherence: fluid measurements
34/39, 87%
Protocol adherence: preoperative sleep study
35/39, 90%
Observational data: associations, not effects.
Further findings
Predictors of overall NFV changes (linear regression)
- Associated with preop apnea-hypopnea index (AHI), body mass index (BMI) and opioids after adjusting for body position and pneumoperitoneum
Original publication
Perioperative trends in neck and leg fluid volume in surgical patients: a prospective observational proof-of-concept study. Can J Anaesth. Published 30 November 2022. doi:10. 1007/ s12630-022-02362-6
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