Evaluation of Body Composition and Fluid Volume Using a Body Composition Monitor: Does Intraperitoneal Fluid Matter?

Caron-Lienert, Rafaela Siviero; Figueiredo, Ana Elizabeth; Costa, Bartira Ercí­lia Pinheiro da; Bombardelli, Cristina F.; Pizzato, Alessandra Campani; Conti, Alessandra; Poli-de-Figueiredo, Carlos Eduardo

doi:10.3747/pdi.2013.00102

Cited by 9 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whether the present study findings from liver cirrhosis patients can be extrapolated to PD patients is unclear, and the most conservative interpretation of our study findings may www.nature.com/scientificreports www.nature.com/scientificreports/ therefore be, that the BCM-BIS measurement procedure should always be standardized, as has been suggested in the "BCM application notes" from the years 2008. In agreement with Caron-Lienert et al 43 , the present findings imply, if anything, that the patient weight should be entered correctly into the BCM-BIS device, and that this weight should exclude the mass of any intraabdominal fluid.…”

Section: Results After Paracentesissupporting

confidence: 92%

“…The BCM manual provided by Fresenius Medical Care states, that "PD patients can be measured irrespective of a filled or drained peritoneal cavity, and that the weight to be entered in the BCM -Body Composition Monitor is the patient's weight with empty peritoneal cavity. " These instructions from the BCM manual are in accordance with the findings by Caron-Lienert et al 43 .…”

supporting

confidence: 76%

“…Sipahi et al demonstrated a higher conformity of BCM-BIS results with echocardiographic findings of left ventricular mass and left atrium volume in measurements with an empty peritoneal cavity, without any significant changes in BCM-BIS derived parameters 23 . Caron-Lienert et al did not identify significant differences in any of the BCM-derived parameters and concluded that "BCM could be applied without the need for drainage of the dialysis fluid from the abdominal cavity of PD patients" 43 . Finally, Parmentier et al did not register any significant changes in ECV, comparing BCM-BIS results of PD patients under PD treatment 22 .…”

mentioning

confidence: 99%

See 2 more Smart Citations

Bioimpedance spectroscopy for fluid status assessment in patients with decompensated liver cirrhosis: Implications for peritoneal dialysis

Schwaiger

Simon

Wabel

et al. 2020

Sci Rep

View full text Add to dashboard Cite

Bioimpedance spectroscopy (BIS) is routinely used in peritoneal dialysis patients and might aid fluid status assessment in patients with liver cirrhosis, but the effect of ascites volume removal on BISreadings is unknown. Here we determined changes in BIS-derived parameters and clinical signs of fluid overload from before to after abdominal paracentesis. Per our pre-specified sample size calculation, we studied 31 cirrhotic patients, analyzing demographics, labs and clinical parameters along with BIS results. Mean volume of the abdominal paracentesis was 7.8 ± 2.6 L. From pre-to post-paracentesis, extracellular volume (ECV) decreased (20.2 ± 5.2 L to 19.0 ± 4.8 L), total body volume decreased (39.8 ± 9.8 L to 37.8 ± 8.5 L) and adipose tissue mass decreased (38.4 ± 16.0 kg to 29.9 ± 12.9 kg; all p < 0.002). Correlation of BIS-derived parameters from pre to post-paracentesis ranged from R² = 0.26 for body cell mass to R² = 0.99 for ECV. Edema did not correlate with BIS-derived fluid overload (fo ≥ 15% ECV), which occurred in 16 patients (51.6%). In conclusion, BIS-derived information on fluid status did not coincide with clinical judgement. The changes in adipose tissue mass support the BIS-model assumption that fluid in the peritoneal cavity is not detectable, suggesting that ascites (or peritoneal dialysis fluid) mass should be subtracted from adipose tissue if BIS is used in patients with a full peritoneal cavity.Liver cirrhosis impairs both the splanchnic and the systemic circulation resulting in a "hyperdynamic circulatory syndrome" 1-3 . Portal hypertension causes vasodilation in the splanchnic circulation, and thereby ascites and hepatorenal syndrome 1,4 . Adaption mechanisms to portal hypertension in the systemic circulation can lead to decreased systemic vascular resistance, decreased arterial blood pressure and increased cardiac output and heart rate, potentially triggering cardiomyopathy 1,2,4-6 . Optimizing fluid volume therefore is crucial in treating patients with liver cirrhosis.The clinical evaluation of the fluid status of patients with liver cirrhosis is challenging. Intravascular volume depletion can coexist with edema and ascites, so that the application of diuretics aimed at diminishing edema or ascites can lead to additional intravascular volume depletion and kidney injury. Application of parenteral fluid can potentially worsen ascites, pleural effusion or heart failure 7-9 .

show abstract

Section: Results After Paracentesissupporting

confidence: 92%

supporting

confidence: 76%

mentioning

confidence: 99%

See 1 more Smart Citation

Bioimpedance spectroscopy for fluid status assessment in patients with decompensated liver cirrhosis: Implications for peritoneal dialysis

Schwaiger

Simon

Wabel

et al. 2020

Sci Rep

View full text Add to dashboard Cite

show abstract

“…The cycler is able to calculate the fill time, drain time, minimal flow rate based on the specifications for the machine, and appropriately sound alarms or warnings if these are not met. 7 , 8 …”

Section: Mechanics Of the Pd Cyclermentioning

confidence: 99%

Automated cyclers used in peritoneal dialysis: technical aspects for the clinician

Chaudhry¹,

Golper²

2015

MDER

View full text Add to dashboard Cite

Peritoneal dialysis (PD) is a widely accepted and increasingly popular form of dialysis. The invention and technological advancement of the PD cycler further makes PD a convenient option. Prescription-specific parameters are entered into the cycler, which then automatically carries out the steps involved in continuous cycling PD. We review the basics, technical aspects, challenges, and advancements of the cycler.

show abstract

“…A simul taneous BIS was performed with a validated, commercially available, body composition monitor (BCM, Fresenius Medical Care). Peritoneal fluid does not influence BIS results significantly (20,21). The measurement was made by attaching the pairs of electrodes to the ipsilateral hand and foot of the patient, in the supine position, with a full peritoneum.…”

Section: Pet and Bis Measurementsmentioning

confidence: 99%

Relationship between Bioimpedance-determined Body Composition and Peritoneal Transport in Peritoneal Dialysis

Costa

Peso²,

Bajo³

et al. 2017

Int J Artif Organs

View full text Add to dashboard Cite

show abstract

Evaluation of Body Composition and Fluid Volume Using a Body Composition Monitor: Does Intraperitoneal Fluid Matter?

Cited by 9 publications

References 9 publications

Bioimpedance spectroscopy for fluid status assessment in patients with decompensated liver cirrhosis: Implications for peritoneal dialysis

Bioimpedance spectroscopy for fluid status assessment in patients with decompensated liver cirrhosis: Implications for peritoneal dialysis

Automated cyclers used in peritoneal dialysis: technical aspects for the clinician

Relationship between Bioimpedance-determined Body Composition and Peritoneal Transport in Peritoneal Dialysis

Contact Info

Product

Resources

About