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The Correlation between the Change in Thoracic Fluid Content and the Change in Patient Body Weight in Fontan Procedure
Joint Authors
Kim, Seong-Hyop
Oh, Chung-Sik
Yoon, Tae-Gyoon
Kang, Woon-Seok
Jang, Kyunghwan
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-09
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The thoracic fluid content (TFC) and its percent change compared to the baseline (TFCd0%) derived from a bioreactance technique using a noninvasive cardiac output monitoring (NICOM) device correlate well with the amount of fluid removal in patients undergoing hemodialysis and with intraoperative fluid balance in pediatric patients undergoing cardiac surgery.
We hypothesized that TFC or TFCd0% would also be a useful indicator allowing fluid management in pediatric patients undergoing a Fontan procedure.
Methods.
The medical records of patients who underwent an elective Fontan procedure were reviewed retrospectively.
The intraoperative variables recorded at two time points were used in the analysis: when the NICOM data obtained just after anesthesia induction (T0) and just before transfer of the patient from the operating room to the ICU (T1).
The analyzed variables were hemodynamic parameters, TFC, TFCd0%, stroke volume variation, body weight gain, change in the central venous pressure, and difference in the TFC (ΔTFC).
Results.
The correlation coefficient between TFCd0% and body weight gain was 0.546 (p=0.01); between TFCd0% and body weight gain% 0.572 (p=0.007); and between TFCd0% and intraoperative fluid balance 0.554 (p=0.009).
The coefficient of determination derived from a linear regression analysis of TFCd0% versus body weight gain was 0.30 (p=0.01); between TFCd0% and body weight gain% 0.33 (p=0.007); and between TFCd0% and intraoperative fluid balance 0.31 (p=0.009).
Conclusions.
TFCd0% correlated well with body weight gain, body weight gain%, and intraoperative fluid balance.
It is a useful indicator in the intraoperative fluid management of pediatric patients undergoing a Fontan procedure.
Trial Registration.
This trial is registered with Clinical Research Information Service KCT0002062.
American Psychological Association (APA)
Yoon, Tae-Gyoon& Jang, Kyunghwan& Oh, Chung-Sik& Kim, Seong-Hyop& Kang, Woon-Seok. 2018. The Correlation between the Change in Thoracic Fluid Content and the Change in Patient Body Weight in Fontan Procedure. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125987
Modern Language Association (MLA)
Yoon, Tae-Gyoon…[et al.]. The Correlation between the Change in Thoracic Fluid Content and the Change in Patient Body Weight in Fontan Procedure. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1125987
American Medical Association (AMA)
Yoon, Tae-Gyoon& Jang, Kyunghwan& Oh, Chung-Sik& Kim, Seong-Hyop& Kang, Woon-Seok. The Correlation between the Change in Thoracic Fluid Content and the Change in Patient Body Weight in Fontan Procedure. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1125987
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125987