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Oct 19, 2022


ON THE POTENTIAL OF WEARABLE BIOIMPEDANCE FOR LONGITUDINAL FLUID MONITORING IN
END-STAGE KIDNEY DISEASE

Lucas Lindeboom, Seulki Lee, Fokko Wieringa, Willemijn Groenendaal

Nephrol Dial Transplant. 2022 Oct 19; 37(11): 2048-2054

Bioimpedance spectroscopy (BIS) has proven to be a promising non-invasive
technique for fluid monitoring in haemodialysis (HD) patients. While current
BIS-based monitoring of pre- and post-dialysis fluid status utilizes benchtop
devices, designed for intramural use, advancements in micro-electronics have
enabled the development of wearable bioimpedance systems. Wearable systems
meanwhile can offer a similar frequency range for current injection as
commercially available benchtop devices. This opens opportunities for
unobtrusive longitudinal fluid status monitoring, including transcellular fluid
shifts, with the ultimate goal of improving fluid management, thereby lowering
mortality and improving quality of life for HD patients.
click or scroll down to continue reading the article


ANTHONY R. MATO, MD, MSCE

1.5 CME / MOC


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Ultra-miniaturized wearable devices can also offer simultaneous acquisition of
multiple other parameters, including haemodynamic parameters. Combination of
wearable BIS and additional longitudinal multiparametric data may aid in the
prevention of both haemodynamic instability as well as fluid overload. The
opportunity to also acquire data during interdialytic periods using wearable
devices likely will give novel pathophysiological insights and the development
of smart (predicting) algorithms could contribute to personalizing dialysis
schemes and ultimately to autonomous (nocturnal) home dialysis. This review
provides an overview of current research regarding wearable bioimpedance, with
special attention to applications in end-stage kidney disease patients.
Furthermore, we present an outlook on the future use of wearable bioimpedance
within dialysis practice.
Source: Nephrology Dialysis Transplantation

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