Skip Navigation

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (9)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Ackland, G. L.
Right arrow Articles by Mythen, M. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ackland, G. L.
Right arrow Articles by Mythen, M. G.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 2004, Vol. 92, No. 1 134-136
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Short Communications

Assessment of preoperative fluid depletion using bioimpedance analysis

G. L. Ackland*,1, D. Singh-Ranger2, S. Fox3, B. McClaskey3, J. F. Down1, D. Farrar1, M. Sivaloganathan1 and M. G. Mythen1,4

1 Centre for Anaesthesia, 2 Department of Surgery, and 3 Day Surgery Unit, University College London Hospitals, London W1T 3AA, UK. 4 Portex Professor of Anaesthesia and Critical Care, Institute of Child Health, University College London, Guildford Street, London WC1, UK

*Corresponding author. E-mail: g.ackland@rfc.ucl.ac.uk

Background. Fluid depletion during the perioperative period is associated with poorer outcome. Non-invasive measurement of total body water by bioimpedance may enable preoperative fluid depletion and its influence on perioperative outcome to be assessed.

Methods. Weight and foot bioimpedance were recorded under standardized conditions in patients undergoing bowel preparation (n=43) or day surgery (n=44). Fifteen volunteers also followed standard nil-by-mouth instructions on two separate occasions to assess the variabilities of weight and bioimpedance over time.

Results. Body weight fell by 1.27 kg (95% CI 1.03–1.50 kg; P<0.0001) and foot bioimpedance increased by 51 ohm after bowel preparation (95% CI 36–66; P<0.0001). Weight change after the nil-by-mouth period in day-surgery patients (mean –0.22 kg, 95% CI –0.05 to –0.47 kg; P=0.07) correlated (r=–0.46; P=0.005) with an increase in bioimpedance (16 ohms, 95% CI 5–27 ohms; P=0.01). No difference between two separate bioimpedance measurements was seen in the volunteer group.

Conclusions. Further work is warranted to determine if bioimpedance changes may serve as a useful indicator of perioperative fluid depletion.

Br J Anaesth 2004; 92: 134–6


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
G. L. Ackland, J. Harrington, P. Downie, J. W. Holding, D. Singh-Ranger, K. Griva, M. G. Mythen, and S. P. Newman
Dehydration Induced by Bowel Preparation in Older Adults Does Not Result in Cognitive Dysfunction
Anesth. Analg., March 1, 2008; 106(3): 924 - 929.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
C. H. Svensen, J. Olsson, and R. G. Hahn
Intravascular fluid administration and hemodynamic performance during open abdominal surgery.
Anesth. Analg., September 1, 2006; 103(3): 671 - 676.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
M. P. W. Grocott, M. G. Mythen, and T. J. Gan
Perioperative Fluid Management and Clinical Outcomes in Adults
Anesth. Analg., April 1, 2005; 100(4): 1093 - 1106.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.