Cargando…
Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass
OBJECTIVE: To evaluate preoperative and postoperative body fluid distribution with a bioelectrical impedance analyzer in patients undergoing cardiopulmonary bypass. METHODS: Fifteen adult patients undergoing cardiopulmonary bypass were included in this study. Total body fluid changes, basal metaboli...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089741/ https://www.ncbi.nlm.nih.gov/pubmed/32270955 http://dx.doi.org/10.21470/1678-9741-2019-0152 |
_version_ | 1783509793382596608 |
---|---|
author | Göz, Mustafa Sert, Cemil Hazar, Abdussamet Aydın, Mehmet Salih Kankılıç, Nazim |
author_facet | Göz, Mustafa Sert, Cemil Hazar, Abdussamet Aydın, Mehmet Salih Kankılıç, Nazim |
author_sort | Göz, Mustafa |
collection | PubMed |
description | OBJECTIVE: To evaluate preoperative and postoperative body fluid distribution with a bioelectrical impedance analyzer in patients undergoing cardiopulmonary bypass. METHODS: Fifteen adult patients undergoing cardiopulmonary bypass were included in this study. Total body fluid changes, basal metabolism rates, body fat masses, lean body masses, and total cell masses were recorded. The patients’ values were measured before anesthesia, after anesthesia, after sternotomy, at the 5(th), 30(th), and 60(th) minutes of cardiopulmonary bypass, and on the 1(st), 3(rd), and 5(th) postoperative days. All values were compared with preoperative values. RESULTS: Total body fluid changed significantly after cardiopulmonary bypass (P<0.01). Metabolic velocity significantly changed compared to preoperative measurements (P<0.05). Fat mass and lean body mass also changed significantly. Body mass index and phase angle did not change significantly (P>0.05). CONCLUSION: Changes in body fluids during and after cardiopulmonary bypass are inevitable. The increase in total body weight shows that this fluid load shifts to the extracellular space during bypass and the fluid load in this area passes into the intravascular area in the early postoperative period. This may cause edema and dysfunction in the major organs. Therefore, the fluid balance should be adjusted very carefully, especially during the bypass phase and the early postoperative period. |
format | Online Article Text |
id | pubmed-7089741 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-70897412020-03-26 Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass Göz, Mustafa Sert, Cemil Hazar, Abdussamet Aydın, Mehmet Salih Kankılıç, Nazim Braz J Cardiovasc Surg Original Article OBJECTIVE: To evaluate preoperative and postoperative body fluid distribution with a bioelectrical impedance analyzer in patients undergoing cardiopulmonary bypass. METHODS: Fifteen adult patients undergoing cardiopulmonary bypass were included in this study. Total body fluid changes, basal metabolism rates, body fat masses, lean body masses, and total cell masses were recorded. The patients’ values were measured before anesthesia, after anesthesia, after sternotomy, at the 5(th), 30(th), and 60(th) minutes of cardiopulmonary bypass, and on the 1(st), 3(rd), and 5(th) postoperative days. All values were compared with preoperative values. RESULTS: Total body fluid changed significantly after cardiopulmonary bypass (P<0.01). Metabolic velocity significantly changed compared to preoperative measurements (P<0.05). Fat mass and lean body mass also changed significantly. Body mass index and phase angle did not change significantly (P>0.05). CONCLUSION: Changes in body fluids during and after cardiopulmonary bypass are inevitable. The increase in total body weight shows that this fluid load shifts to the extracellular space during bypass and the fluid load in this area passes into the intravascular area in the early postoperative period. This may cause edema and dysfunction in the major organs. Therefore, the fluid balance should be adjusted very carefully, especially during the bypass phase and the early postoperative period. Sociedade Brasileira de Cirurgia Cardiovascular 2020 /pmc/articles/PMC7089741/ /pubmed/32270955 http://dx.doi.org/10.21470/1678-9741-2019-0152 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Göz, Mustafa Sert, Cemil Hazar, Abdussamet Aydın, Mehmet Salih Kankılıç, Nazim Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title | Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title_full | Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title_fullStr | Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title_full_unstemmed | Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title_short | Bioelectrical Impedance Analysis for Monitoring Fluid and Body Cell Mass Changes in Patients Undergoing Cardiopulmonary Bypass |
title_sort | bioelectrical impedance analysis for monitoring fluid and body cell mass changes in patients undergoing cardiopulmonary bypass |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7089741/ https://www.ncbi.nlm.nih.gov/pubmed/32270955 http://dx.doi.org/10.21470/1678-9741-2019-0152 |
work_keys_str_mv | AT gozmustafa bioelectricalimpedanceanalysisformonitoringfluidandbodycellmasschangesinpatientsundergoingcardiopulmonarybypass AT sertcemil bioelectricalimpedanceanalysisformonitoringfluidandbodycellmasschangesinpatientsundergoingcardiopulmonarybypass AT hazarabdussamet bioelectricalimpedanceanalysisformonitoringfluidandbodycellmasschangesinpatientsundergoingcardiopulmonarybypass AT aydınmehmetsalih bioelectricalimpedanceanalysisformonitoringfluidandbodycellmasschangesinpatientsundergoingcardiopulmonarybypass AT kankılıcnazim bioelectricalimpedanceanalysisformonitoringfluidandbodycellmasschangesinpatientsundergoingcardiopulmonarybypass |