Cardiothoracic & vascular anesthesia
Use of Bioimpedance Spectroscopy for Postoperative Fluid Management in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass
Authors' conclusion
BIA measurements in postoperative cardiac surgery patients may be a valuable tool to quantitatively determine fluid status to help guide fluid management in this patient population.
Study context
- Population
- Patients undergoing cardiac surgery with CPB able to undergo BIA measurements, June–November 2023
- Outcome
- Correlations of BIA-measured ECF and TBW volumes with daily weight changes and 24-hour net fluid I/O
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
- Daily extracellular fluid (ECF) volume changes correlated with daily weight changes
- p < 0.01
- Daily ECF volume changes correlated with 24-hour I/O
- p < 0 .01
- Total body water (TBW) volume correlated with daily weight changes
- p < 0.01
- TBW volume correlated with 24-hour I/O
- p = 0.04
- Daily weight changes did not correlate with 24-hour I/O
- p = 0.06
Observational data: associations, not effects.
Further findings
Predischarge Pro-BNP by predischarge ECF%TBW(%) ≥51 vs <51
- Significantly higher predischarge Pro-BNP with ECF%TBW(%) ≥51
- P < 0.01
HF revisits or readmissions after discharge
- Higher predischarge ECF%TBW(%) in patients with HF revisits or admissions vs without
- P = 0.01
Original publication
Use of Bioimpedance Spectroscopy for Postoperative Fluid Management in Patients Undergoing Cardiac Surgery with Cardiopulmonary Bypass. J Cardiothorac Vasc Anesth. Published 6 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →