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Assessment of Fluid Overload in Critically Ill Patients: Role of Bioelectrical Impedance Analysis

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Annual Update in Intensive Care and Emergency Medicine 2018

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

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References

  1. Vincent JL, Sakr Y, Sprung CL et al (2006) Sepsis in European intensive care units: results of the SOAP study. Crit Care Med 34:344–353

    Article  Google Scholar 

  2. Murphy CV, Schramm GE, Doherty JA et al (2009) The importance of fluid management in acute lung injury secondary to septic shock. Chest 136:102–109

    Article  Google Scholar 

  3. Acheampong A, Vincent JL (2015) A positive fluid balance is an independent prognostic factor in patients with sepsis. Crit Care 19:251

    Article  Google Scholar 

  4. Silversides JA, Major E, Ferguson AJ et al (2017) Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis. Intensive Care Med 43:155–170

    Article  Google Scholar 

  5. Malbrain ML, Marik PE, Witters I et al (2014) Fluid overload, de-resuscitation, and outcomes in critically ill or injured patients: a systematic review with suggestions for clinical practice. Anaesthesiol Intensive Ther 46:361–380

    Article  Google Scholar 

  6. Claure-Del Granado R, Mehta RL (2016) Fluid overload in the ICU: evaluation and management. BMC Nephrol 17:109

    Article  Google Scholar 

  7. Vaara ST, Korhonen AM, Kaukonen KM et al (2012) Fluid overload is associated with an increased risk for 90-day mortality in critically ill patients with renal replacement therapy: data from the prospective FINNAKI study. Crit Care 16:R197

    Article  Google Scholar 

  8. Malbrain MLNG, Huygh J, Dabrowski W, De Waele J, Wauters J (2014) The use of bio-electrical impedance analysis (BIA) to guide fluid management, resuscitation and deresuscitation in critically ill patients: a bench-to-bedside review. Anaesthesiol Intensive Ther 46:381–391

    Article  Google Scholar 

  9. National Institute of Health (1994) Bioelectrical Impedance Analysis in Body Composition Measurement. NIH Technol Assess Statement Dec 12–14:1–35

    Google Scholar 

  10. Wabel P, Chamney P, Moissl U, Jirka T (2009) Importance of whole-body bioimpedance spectroscopy for the management of fluid balance. Blood Purif 27:75–80

    Article  Google Scholar 

  11. Plank LD, Hill GL (2000) Similarity of changes in body composition in intensive care patients following severe sepsis or major blunt injury. Ann N Y Acad Sci 904:592–602

    Article  CAS  Google Scholar 

  12. Savalle M, Gillaizeau F, Maruani G et al (2012) Assessment of body cell mass at bedside in critically ill patients. Am J Physiol Endocrinol Metab 303:E389–E396

    Article  CAS  Google Scholar 

  13. Streat SJ, Beddoe AH, Hill GL (1985) Measurement of total body water in intensive care patients with fluid overload. Metabolism 34:688–694

    Article  CAS  Google Scholar 

  14. Macedo E, Bouchard J, Soroko SH et al (2010) Fluid accumulation, recognition and staging of acute kidney injury in critically-ill patients. Crit Care 14:R82

    Article  Google Scholar 

  15. Hoste EA, Maitland K, Brudney CS et al (2014) Four phases of intravenous fluid therapy: a conceptual model. Br J Anaesth 113:740–747

    Article  Google Scholar 

  16. Marik PE, Monnet X, Teboul JL (2011) Hemodynamic parameters to guide fluid therapy. Ann Intensive Care 1:1

    Article  Google Scholar 

  17. Rhodes A, Evans LE, Alhazzani W et al (2017) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 43:304–377

    Article  Google Scholar 

  18. Marik PE (2014) Iatrogenic salt water drowning and the hazards of a high central venous pressure. Ann Intensive Care 4:21

    Article  Google Scholar 

  19. Cordemans C, De Laet I, Van Regenmortel N et al (2012) Fluid management in critically ill patients: the role of extravascular lung water, abdominal hypertension, capillary leak and fluid balance. Ann Intensive Care 2(Suppl 1):S1

    Article  Google Scholar 

  20. Cordemans C, De Laet I, Van Regenmortel N et al (2012) Aiming for a negative fluid balance in patients with acute lung injury and increased intra-abdominal pressure: a pilot study looking at the effects of PAL-treatment. Ann Intensive Care 2(Suppl 1):S15

    Article  Google Scholar 

  21. Powell-Tuck J, Gosling P, Lobo D et al (2009) Summary of the British consensus guidelines on intravenous fluid therapy for adult surgical patients (GIFTASUP). J Intensive Care Soc 10:13–15

    Article  Google Scholar 

  22. Soni N (2009) British consensus guidelines on intravenous fluid therapy for adult surgical patients (GIFTASUP): cassandra’s view. Anaesthesia 64:235–238

    Article  CAS  Google Scholar 

  23. Cecconi M, Fasano N, Langiano N et al (2011) Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia. Crit Care 15:R132

    Article  Google Scholar 

  24. Kirkpatrick AW, Roberts DJ, De Waele J et al (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39:1190–1206

    Article  Google Scholar 

  25. Verbrugge FH, Dupont M, Steels P et al (2013) Abdominal contributions to cardiorenal dysfunction in congestive heart failure. J Am Coll Cardiol 62:485–495

    Article  Google Scholar 

  26. Freitag E, Edgecombe G, Baldwin I, Cottier B, Heland M (2010) Determination of body weight and height measurement for critically ill patients admitted to the intensive care unit: A quality improvement project. Aust Crit Care 23:197–207

    Article  Google Scholar 

  27. Schneider AG, Baldwin I, Freitag E, Glassford N, Bellomo R (2012) Estimation of fluid status changes in critically ill patients: fluid balance chart or electronic bed weight? J Crit Care 27(745):e747–e712

    Google Scholar 

  28. Saugel B, Ringmaier S, Holzapfel K et al (2011) Physical examination, central venous pressure, and chest radiography for the prediction of transpulmonary thermodilution-derived hemodynamic parameters in critically ill patients: a prospective trial. J Crit Care 26:402–410

    Article  Google Scholar 

  29. Perel A, Saugel B, Teboul JL et al (2015) The effects of advanced monitoring on hemodynamic management in critically ill patients: a pre and post questionnaire study. J Clin Monit Comput 30:511–518

    Article  Google Scholar 

  30. Vlachou E, Gosling P, Moiemen NS (2006) Microalbuminuria: a marker of endothelial dysfunction in thermal injury. Burns 32:1009–1016

    Article  CAS  Google Scholar 

  31. Lichtenstein D, Malbrain ML (2015) Critical care ultrasound in cardiac arrest. Technological requirements for performing the SESAME-protocol – a holistic approach. Anaesthesiol Intensive Ther 47:471–481

    PubMed  Google Scholar 

  32. Vermeiren GL, Malbrain ML, Walpot JM (2015) Cardiac Ultrasonography in the critical care setting: a practical approach to asses cardiac function and preload for the “non-cardiologist”. Anaesthesiol Intensive Ther 47:89–104

    Article  Google Scholar 

  33. Agricola E, Bove T, Oppizzi M et al (2005) “Ultrasound comet-tail images”: a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water. Chest 127:1690–1695

    Article  Google Scholar 

  34. Vandervelden S, Malbrain ML (2015) Initial resuscitation from severe sepsis: one size does not fit all. Anaesthesiol Intensive Ther 47:44–55

    Article  Google Scholar 

  35. Hofkens PJ, Verrijcken A, Merveille K et al (2015) Common pitfalls and tips and tricks to get the most out of your transpulmonary thermodilution device: results of a survey and state-of-the-art review. Anaesthesiol Intensive Ther 47:89–116

    Article  Google Scholar 

  36. Foster KR, Lukaski HC (1996) Whole-body impedance – what does it measure? Am J Clin Nutr 64(3 Suppl):388S–396S

    Article  CAS  Google Scholar 

  37. Streat SJ, Plank LD, Hill GL (2000) Overview of modern management of patients with critical injury and severe sepsis. World J Surg 24:655–663

    Article  CAS  Google Scholar 

  38. Vandervelden S, Teering S, Hoffman B et al (2015) Prognostic value of bioelectrical impedance analysis (BIA) derived parameters in critically ill patients. Anaesth Intensive Ther 47(Suppl 2):14–16

    Google Scholar 

  39. Tattersall J (2009) Bioimpedance analysis in dialysis: state of the art and what we can expect. Blood Purif 27:70–74

    Article  Google Scholar 

  40. Kyle UG, Bosaeus I, De Lorenzo AD et al (2004) Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr 23:1430–1453

    Article  Google Scholar 

  41. Piccoli A, Codognotto M, Cianci V et al (2012) Differentiation of cardiac and noncardiac dyspnea using bioelectrical impedance vector analysis (BIVA). J Card Fail 18:226–232

    Article  Google Scholar 

  42. Basso F, Berdin G, Virzi GM et al (2013) Fluid management in the intensive care unit: bioelectrical impedance vector analysis as a tool to assess hydration status and optimal fluid balance in critically ill patients. Blood Purif 36:192–199

    Article  Google Scholar 

  43. Samoni S, Vigo V, Resendiz LI et al (2016) Impact of hyperhydration on the mortality risk in critically ill patients admitted in intensive care units: comparison between bioelectrical impedance vector analysis and cumulative fluid balance recording. Crit Care 20:95

    Article  Google Scholar 

  44. Padhi S, Bullock I, Li L et al (2013) Intravenous fluid therapy for adults in hospital: summary of NICE guidance. BMJ 347:f7073

    Article  Google Scholar 

  45. Joannes-Boyau O, Honore PM, Perez P et al (2013) High-volume versus standard-volume haemofiltration for septic shock patients with acute kidney injury (IVOIRE study): a multicentre randomized controlled trial. Intensive Care Med 39:1535–1546

    Article  Google Scholar 

  46. Lameire N, Kellum JA, Group KAGW (2013) Contrast-induced acute kidney injury and renal support for acute kidney injury: a KDIGO summary (Part 2). Crit Care 17:205

    Article  Google Scholar 

  47. Dabrowski W, Kotlinska-Hasiec E, Schneditz D et al (2014) Continuous veno-venous hemofiltration to adjust fluid volume excess in septic shock patients reduces intra-abdominal pressure. Clin Nephrol 82:41–50

    PubMed  Google Scholar 

  48. Paterna S, Di Gaudio F, La Rocca V et al (2015) Hypertonic saline in conjunction with high-dose furosemide improves dose-response curves in worsening refractory congestive heart failure. Adv Ther 32:971–982

    Article  CAS  Google Scholar 

  49. Luecke T, Roth H, Herrmann P et al (2003) PEEP decreases atelectasis and extravascular lung water but not lung tissue volume in surfactant-washout lung injury. Intensive Care Med 29:2026–2033

    Article  Google Scholar 

  50. Martin GS, Moss M, Wheeler AP et al (2005) A randomized, controlled trial of furosemide with or without albumin in hypoproteinemic patients with acute lung injury. Crit Care Med 33:1681–1687

    Article  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Dept of Intensive Care, University Hospital Brussels, Brussels, Belgium

    M. L. N. G. Malbrain, E. De Waele & P. M. Honoré

  2. Intensive Care Unit and High Care Burn Unit, Ziekenhuis Netwerk Antwerpen, ZNA Stuivenberg, Antwerp, Belgium

    M. L. N. G. Malbrain

Authors
  1. M. L. N. G. Malbrain
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  2. E. De Waele
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  3. P. M. Honoré
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Corresponding author

Correspondence to M. L. N. G. Malbrain .

Editor information

Editors and Affiliations

  1. Dept. of Intensive Care Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium

    Jean-Louis Vincent

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Malbrain, M.L.N.G., De Waele, E., Honoré, P.M. (2018). Assessment of Fluid Overload in Critically Ill Patients: Role of Bioelectrical Impedance Analysis. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2018. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-73670-9_33

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  • DOI: https://doi.org/10.1007/978-3-319-73670-9_33

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-73669-3

  • Online ISBN: 978-3-319-73670-9

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