Skip to main content Skip to main navigation menu Skip to site footer
International Journal of Nutrology
Review
DOI: 10.54448/ijn22103
Submitted: 12-23-2021
Published: 12-23-2021

Bio-electric impedance as a tool to assess hydration in critically ill patients: an integrative review

Santa Casa de Misericórdia Hospital, Pelotas, Rio Grande do Sul, Brazil / Federal University of Pelotas, Rio Grande do Sul, Brazil
Electrical Bioimpedance Analysis Intensive Care Unit Fluid Balance Critically ill Patients Phase Angle Fluid Overload

Abstract

Introduction: Assessing the hydration status of critically ill patients has been a difficult task over the decades. Determining how much fluid overload a patient has often helped in choosing a therapy. Methods such as bioelectrical impedance have been approached as a useful tool for this purpose. Objective: This study proposes to verify, through research in the literature, what is the real importance of the clinical use of bioelectrical impedance in the diagnosis of fluid overload in critically ill patients hospitalized in intensive care units. Methods: bibliographic search in the main scientific information databases: Scielo, PubMed, Cochrane, and Lilacs from January 2000 to July 2018. The selected languages were Spanish, Portuguese, and English. The keywords used were bioelectrical impedance, hydration, Intensive Care Unit, Intensive Care, bioelectrical impedance analysis, fluid balance, hydration overload. Results and Conclusion: The analysis of fluid overload in critically ill patients can be performed using multifrequency bioelectrical impedance. It is a useful tool in the diagnosis as well as in the quantification of water overload and, therefore, a corroborative method for clinical decision-making.

Metrics

Metrics Loading ...

References

  1. Malbrain MLNG, Huygh J, Dabrowski W, De Waele JJ, Staelens A, Wauters J. The use of bio-electrical impedance analysis (BIA) to guide fluid management, resuscitation and deresuscitation in critically ill patients: a bench-to-bedside review. Anaestesiol Intensive Ther 2014; 46, (5): 381-91.
  2. Ávila MON, Rocha PN, Zanetta DMT, Yu L, Burdmann EA. Balanço hídrico, injuria renal aguda e mortalidade de pacientes em unidade de terapia intensive. J Bras Nefrol 2014; 36 (3): 379-88.
  3. Piccoli A. Bioelectrical Impedance Measurement for Fluid Status Assessment. In C Ronco, Costanzo MR, Bellomo R, Maisel AS: Fluid Overload: Diagnosis and Management. Contrib Nephrol. Basel, Karger, 2010; 164: 143-52.
  4. Kyle UG, Bosaeus I, Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis – part I: review of principles and methods. Clinical Nutrition 2004; 23: 1226 – 43.
  5. Cichoz-Lach H, Michalak A. A Comprehensive Review of Bioelectrical Impedance Analysis and Other Methods in th Assessment of Nutritional Status in Patients with Liver Cirrhosis. Gastroenterology Research and Practice 2017; 1: 1–10.
  6. Kyle UG, Bosaeus I, Lorenzo AD, Deurenberg P, Elia M, Gómez JM, et al. Bioelectrical impedance analysis – part II: utilization in clinical practice. Clinical Nutrition 2004; 23: 1430 – 53.
  7. Berbigier MC, Pasinato VF, Bde Rubin A, Moraes RB, Perry ID. Ângulo de fase derivado de bioimpedância elétrica em pacientes sépticos internados em unidades de terapia intensiva. Rev Bras de Ter Intensiva 2013; 25: 25 – 31.
  8. Forni LG, Hasslacher J, Joannidis M. Bioeletrical impedance vector analysis in the critically ill: cool tool or just another “ toy”?. Crit Care 2015; 19: 386 – 8.
  9. Basso F, Berdin G, Virzi GM, Mason G, Piccinni P, Day S, et al. 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 Pruf 2013; 36: 192 – 9.
  10. Sakaguchi T, Yasumura K, Nishida H, Inoue H, Furukawa T, Shinouchi K, et al. Quantitative Assessment of Fluid Accumulation Using Bioelectrical Impedance Analysis in Patients With Acute Decompensated Heart Failure. Circ J; 79: 2616 – 22.
  11. Samoni S, Vigo V, Reséndiz LIB, Villa G, De Rosa S, Nalesso F. Impacto f hyperhydration on the mortality risk in critically ill patients admitted in intensive care units: comparison between bioelectrical impedance vector analysis and cumulative fluid balancing recording. Crit Care 2016; 20: 5-8.
  12. Wabel P, Chamney P, Moissl U, Jirka T. Importance of Whole-Body Bioimpedance Spectroscopy for the Management of Fluid Balance. Blood Purif 2009; 27: 2775-80.
  13. Jones SL, Tanaka A, Eastwood GM, Young H, Peck L, Bellomo R, et al. Bioelectrical impedance vector analysis in critically ill patients: a prospective, clinician-blinded investigation. Crit Care 2015; 19:1-11.

How to Cite

Batista, C. C. (2021). Bio-electric impedance as a tool to assess hydration in critically ill patients: an integrative review. International Journal of Nutrology, 15(1). https://doi.org/10.54448/ijn22103