Evaluation of fluid status in cardiac surgery patients using bioelectrical impedance and its impact on postoperative morbidity and mortality
Hydration and fluid balance dynamics after cardiac surgery is complex and requires comprehensive knowledge of bluid balance dynamics. Surgical trauma, anaesthesia and use of cardiopulmonary bypass significantly influence postoperative fluid status. Deviations from normal values on the other hand can be related to increase in morbidity and mortality. The purpose of this prospective observational clinical study is to assess fluid status using bioelectric impedance in patients undergoing cardiac surgery and to evaluate its impact on postoperative morbidity and mortality.
Study Type
OBSERVATIONAL
Enrollment
150
Fluid distribution measured by bioelectrical impedance Bodystat Multiscan 5000 Bodystat Ltd, Isle of Man, British Isles
Department of Anaesthesiology and Surgical Intensive Care, University Medical Centre Ljubljana
Ljubljana, Slovenia
Fluid distribution during the early postoperative period (≤ 5 days)
Phase angle (in degrees)
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Impedance ratio
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Total body water (TBW), extracellular water (ECW), intracellular water (ICW) (in litres)
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Oedema index (ECW/TBW ratio)
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Body cell mass (in kilograms)
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Skeletal muscle mass (in kilograms)
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
Fluid distribution during the early postoperative period (≤ 5 days)
Bioelectrical impedance vector analysis
Time frame: Perioperative period (preoperatively, on the first, third, and fifth postoperative day)
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Impact of fluid distribution/fluid overload on duration of postoperative mechanical ventilation
Time frame: Duration of stay in ICU (estimated to up to 5 days)
Impact of fluid distribution/fluid overload on postoperative complications (myocardial infarction, cardiogenic shock, vasoplegia, atrial fibrillation, heart failure, bleeding, infections, delirium)
Time frame: Up to 1 year after the operation
Impact of fluid distribution/fluid overload on length of stay in the intensive care unit
Time frame: Duration of stay in ICU (estimated to up to 5 days)
Impact of fluid distribution/fluid overload on length of hospitalisation
Time frame: Duration of hospital stay (up to 1 month)
Impact of fluid distribution/fluid overload on 30-day postoperative mortality
Time frame: On day 30
Impact of fluid distribution/fluid overload on 1-year postoperative mortality
Time frame: At 1 year postoperatively