Preoperative volume assessment using bioelectrical impedance analysis for minimizing blood loss during hepatic resection
DC Field | Value | Language |
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dc.contributor.author | Suh, Suk-Won | - |
dc.contributor.author | Park, Hyun Jeong | - |
dc.contributor.author | Choi, Yoo Shin | - |
dc.date.accessioned | 2021-11-17T01:40:26Z | - |
dc.date.available | 2021-11-17T01:40:26Z | - |
dc.date.issued | 2022-04 | - |
dc.identifier.issn | 1365-182X | - |
dc.identifier.issn | 1477-2574 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/51499 | - |
dc.description.abstract | Background: Maintaining low central venous pressure (CVP) is an effective strategy to reduce blood loss during hepatic resection. As an alternative to measuring CVP, which requires the placement of a central venous catheter, bioelectrical impedance analysis (BIA) is a noninvasive method recently used for monitoring volume status in critically ill patients. Methods: We investigated 192 patients who underwent hepatic resection from January 2017 to December 2020. The ratio of extracellular water:total body water (ECW/TBW), as an index of volume status, was measured using InBody S10 (Biospace, Seoul, Korea). The correlation between the ECW/TBW and CVP was determined, and their influences on operative outcomes were analyzed. Results: ECW/TBW and CVP showed a significant correlation; an ECW/TBW <0.378 correlated with a CVP <5 mmHg (R2 = 0.839, P<0.001). Estimated blood loss (EBL) was significantly increased in patients with an ECW/TBW ≥0.378 compared to those with a ratio <0.378 (508 ± 321 vs. 324 ± 193, mL, P<0.001). Identified predictors for an EBL ≥500 mL were operative time (odds ratio [OR], 1.008; 95% confidence interval [CI], 1.001–1.015; P = 0.021) and an ECW/TBW <0.378 (OR, 0.263; 95% CI, 0.121–0.572; P = 0.001). Conclusions: BIA can be utilized for preoperative volume assessment to minimize blood loss during hepatic resection. © 2021 International Hepato-Pancreato-Biliary Association Inc. | - |
dc.format.extent | 7 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier B.V. | - |
dc.title | Preoperative volume assessment using bioelectrical impedance analysis for minimizing blood loss during hepatic resection | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.hpb.2021.09.009 | - |
dc.identifier.bibliographicCitation | HPB, v.24, no.4, pp 568 - 574 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000796375300013 | - |
dc.identifier.scopusid | 2-s2.0-85117706852 | - |
dc.citation.endPage | 574 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 568 | - |
dc.citation.title | HPB | - |
dc.citation.volume | 24 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordPlus | CENTRAL VENOUS-PRESSURE | - |
dc.subject.keywordPlus | BODY-COMPOSITION | - |
dc.subject.keywordPlus | BIOIMPEDANCE | - |
dc.subject.keywordPlus | HEPATECTOMY | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | TRANSFUSION | - |
dc.subject.keywordPlus | RECURRENCE | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
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