Journal of information and communication convergence engineering

  • 제15권2호
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  • Pages.123-130
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  • 2017
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  • 2234-8255(pISSN)
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  • 2234-8883(eISSN)
한국정보통신학회 (The Korea Institute of Information and Commucation Engineering)
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Early Detection of Intravenous Infiltration Using Multi-frequency Bioelectrical Impedance Measurement System: Pilot Study

  • Kim, Jaehyung (Research Institute of Nursing Science, Pusan National University) ;
  • Shin, Beumjoo (Applied IT and Engineering, Pusan National University) ;
  • Jeon, Gyerok (Department of Biomedical Engineering, Pusan National University School of Medicine)
  • 투고 : 2017.01.06
  • 심사 : 2017.05.03
  • 발행 : 2017.06.30
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초록

The early detection of intravenous (IV) infiltration is necessary to minimize the injury caused by the infiltration, which is one of the most important tasks for nurses. For detecting early infiltration in patients receiving invasive vein treatment, bioelectrical impedance was measured using multi-frequency bioelectrical impedance. The impedance decreased significantly at infiltration, and then decreased gradually over time after infiltration. The relative impedance at 20 kHz decreased remarkably at infiltration, and then gradually decreased thereafter. In addition, the impedance ratio increased temporarily at infiltration and then gradually decreased over time. Furthermore, the impedance at each frequency decreased quantitatively over time. This indicates that IV solution leaking from the vein due to infiltration accumulates in the subcutaneous tissues. Moreover, slopes of log Z vs. log f differently decreased with increasing log f, indicating that the impedance exhibits different responses depending on the frequency.

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참고문헌

  1. N. E. Soifer, S. Borzak, and B. R. Edlin, "Prevention of peripheral venous catheter complications with an intravenous therapy team: a randomized controlled trial," Archives of Internal Medicine, vol. 158, no. 5, pp. 473-477, 1998. https://doi.org/10.1001/archinte.158.5.473
  2. C. M. Rickard, J. Webster, M. C. Wallis, N. Marsh, M. R. McGrail, V. French et al., "Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomized controlled equivalence trial," Lancet, vol. 380, no. 9847, pp. 1066-1074, 2012. https://doi.org/10.1016/S0140-6736(12)61082-4
  3. J. Webster, S. Osborne, C. Rickard, and J. Hall, "Clinicallyindicated replacement versus routine replacement of peripheral venous catheters," Cochrane Database of Systematic Reviews, vol. 17, no. 3, article ID. CD007798, 2010.
  4. Infusion Nurse Society, "Infusion nursing standards of practice," Journal of Infusion Nursing, vol. 29, S1-S92, 2006. https://doi.org/10.1097/00129804-200601001-00001
  5. R. Clifton-Koeppel, "Wound care after peripheral intravenous extravasation: what is evidence?" Newborn and Infant Nursing Reviews, vol. 6, pp. 202-211, 2006. https://doi.org/10.1053/j.nainr.2006.10.001
  6. L. Hadaway "Infiltration and extravasation," American Journal of Nursing, vol. 107, no. 8, pp. 61-72, 2007.
  7. J. L. Thigpen, "Peripheral intravenous extravasation: Nursing procedure for initial treatment," Neonatal Network, vol. 26, no. 6, pp. 379-384, 2007. https://doi.org/10.1891/0730-0832.26.6.379
  8. M. M. Pollack, "Intravenous infiltration detection," U.S. Patent 20130131506 A1, Nov. 18, 2011.
  9. S. Doinger, P. Ishimine, J. C. Fox, and J. T. Kanegaye, "Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement versus traditional techniques in difficult-access pediatric patients," Pediatric Emergency Care, vol. 25, no. 3, pp. 154-159, 2009. https://doi.org/10.1097/PEC.0b013e31819a8946
  10. F. Magnarelli, "IV Infiltration Detector," 2013 [Internet]. Available: http://contest.techbriefs.com/2013/entries/medical/3251.
  11. L. W. Winchester and N. Y. Chou, "Optical detection of intravenous infiltration," in Advanced Biomedical and Clinical Diagnostic Systems IV, Proceedings of the SPIE vol. 6080. Bellingham, WA: SPIE, 2006.
  12. N. Y. Chou, L .W. Winchester, W. J. Naramore, M. S. Alley, and A. J. Lesnick, "An optical device for detecting intravenous infiltration," 2006 [Internet]. Available: http://www.ivteam.com/ optical-iv.pdf.
  13. H. C. Lukaski, P. E. Johnson, W. W. Bolonchuk, and G. I. Lykken, "Assessment of fat-free mass using bioelectrical impedance measurement of the human body," American Journal of Clinical Nutrition, vol. 41, no. 4, pp. 810-817, 1985. https://doi.org/10.1093/ajcn/41.4.810
  14. M. S. Mialich, J. M. F. Sicchieri, and A. A. J. Junior, "Analysis of body composition: a critical review of the use of bioelectrical impedance analysis," International Journal of Clinical Nutrition, vol. 2, no. 1, pp. 1-10, 2014.
  15. S. F. Khalil, M. S. Mohktar, and F. Ibrahim, "The theory and fundamentals of bioimpedance analysis in clinical status monitoring and diagnosis of diseases," Sensors, vol. 14, no. 6, pp. 10895-10928, 2014. https://doi.org/10.3390/s140610895
  16. L. C. Ward, "Segmental bioelectrical impedance analysis: an update," American Journal of Clinical Nutrition, vol. 15, no. 5, pp. 424-429, 2012.
  17. H. C. Lukaski, "Biological indexes considered in the derivation of the bioelectrical impedance analysis," American Journal of Clinical Nutrition, vol. 64, no. 3, pp. 397S-404S, 1996. https://doi.org/10.1093/ajcn/64.3.397S
  18. C. Pichonnaz, J. P. Bassin, E. Lecureux, D. Currat, and B. M. Jolles, "Bioimpedance spectroscopy for swelling evaluation following total knee arthroplasty: a validation study," BMC Musculoskeletal Disorders, vol. 16, article no. 100, 2015.
  19. D. B. Stroud, B. H. Cornish, B. J. Thomas, and L. C. Ward, "The use of Cole-Cole plots to compare two multi-frequency bioimpedance instruments," Clinical Nutrition, vol. 14, no. 5, pp. 307-311, 1995. https://doi.org/10.1016/S0261-5614(95)80069-7
  20. S. Grimnes and O. G. Martinsen, Bioimpedance and Bioelectricity Basics, 2nd ed. Oxford: Elsevier, 2008.
  21. F. Zhu, E. F. Leonard, and N. W. Levin, "Body composition modeling in the calf using an equivalent circuit model of multifrequency bioimpedance analysis," Physiological Measurement, vol. 26, no. 2, pp. S133-S143, 2005. https://doi.org/10.1088/0967-3334/26/2/013
  22. J. H. Kim, S. S. Kim, S. H. Kim, S. W. Baik, and G. R. Jeon, "Bioelectrical impedance analysis at popliteal regions of human body using BIMS," Journal of Sensor Science & Technology, vol. 25, no. 1, pp. 1-7, 2016. https://doi.org/10.5369/JSST.2016.25.1.1
  23. B. C. Kim, C. M. Kim, and C. H. Lee, "Multi-channel impedance measuring method and multi-channel impedance measuring instrument," WO 2014035040 A1 (PCT/KR2013/005779), Jun. 28, 2013.
  24. U. Mulasi, A. J. Kuchnia, A. J. Cole, and C. P. Earthman, "Bioimpedance at the bedside: current applications, limitations, and opportunities," Nutrition in Clinical Practice, vol. 30, no. 2, pp. 180-193, 2015. https://doi.org/10.1177/0884533614568155
  25. I. Haapala, A. Hirvonen, L. Niskanen, M. Uusitupa, H. Kroger, E. Alhava, and A. Nissinen, "Anthropometry, bioelectrical impedance and dual-energy X-ray absorptiometry in the assessment of body composition in elderly Finnish women," Clinical Physiology and Functional Imaging, vol. 22, no. 6, pp. 383-391, 2002. https://doi.org/10.1046/j.1475-097X.2002.00447.x
  26. S. M. Weinstein, Plumer's Principles & Practice of Intravenous Therapy, 7th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2001.
  27. S. M. Park, I. S. Jeong, K. L. Kim, K. J. Park, M. J. Jung, and S. S. Jun, "The effect of intravenous infiltration management program for hospitalized children," Journal of Pediatric Nursing, vol. 31, no. 2, pp. 172-178, 2016. https://doi.org/10.1016/j.pedn.2015.10.013
  28. B. F. Tofani, S. A. Rineair, C. H. Gosdin, P. M. Patricia, S. McGee, K. R. Varadarajan, and P. J. Schoettker, "Quality improvement project to reduce infiltration and extravasation events in a pediatric hospital," Journal of Pediatric Nursing, vol. 27, no. 6, pp. 682-689. 2012. https://doi.org/10.1016/j.pedn.2012.01.005
  29. L. C. Ward, K. Sharpe, D. Edgar, V. Finlay, and F Wood, "Measurement of localized tissue water - clinical application of bioimpedance spectroscopy in wound management," Journal of Physics: Conference Series, vol. 434, pp. 012043, 2013. https://doi.org/10.1088/1742-6596/434/1/012043