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• W3201840959 abstract "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.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.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).BIA can be utilized for preoperative volume assessment to minimize blood loss during hepatic resection." @default.
• W3201840959 created "2021-10-11" @default.
• W3201840959 creator A5005865681 @default.
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• W3201840959 date "2022-04-01" @default.
• W3201840959 modified "2023-09-27" @default.
• W3201840959 title "Preoperative volume assessment using bioelectrical impedance analysis for minimizing blood loss during hepatic resection" @default.
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• W3201840959 doi "https://doi.org/10.1016/j.hpb.2021.09.009" @default.
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