Non-invasive assessment of intercompartmental fluid shifts in burn victims
1998 (English)In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 24, no 3, 233-240 p.Article in journal (Refereed) Published
Two non-invasive methods (the bioimpedance technique, BIA, and the impression method, IM) were studied, to find out whether they are sensitive enough to detect and chronicle the development of the oedema and fluid resuscitation effects (Parkland formula) that occur secondary to a major burn. Ten patients with a total burned body surface area (TBSA) of more than 10% were included in this prospective study. Total body water (TBW), as measured by the resistance (BIA) or F(0) variable (IM), reached a maximum on day 2. The tissue fluid translocation (INT) variable (IM) followed a different course, increasing slowly to reach a maximum on day 6, when it was 40% higher than the 12 h value. TBW and the interstitial translocatable fluid were still increased 1 week post-burn. The non-invasive measurements of TBW (resistance by BIA and F(0) by IM) reflected the anticipated changes in TBW. The phase angle (BIA) indicative of cellular membrane effects of burn and sepsis had its lowest values at day 1.5, and stayed significantly low until day 4. Interestingly, the phase angle was lowest in the two cases that died subsequently. The different time course of the INT value (IM), which reflected the translocatable interstitial fluid volume in skin, may be the result of resuscitation fluid remaining in this compartment, due to the excess sodium content together with a possible change in tissue compliance secondary to the early total water peak on day 2.
Place, publisher, year, edition, pages
1998. Vol. 24, no 3, 233-240 p.
Biolectric impedance, Burns, Oedema, Body fluid, Extracellular fluid, Extracellular matrix
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-79564DOI: 10.1016/S0305-4179(98)00016-3OAI: oai:DiVA.org:liu-79564DiVA: diva2:543584