Journal of Korea Multimedia Society (한국멀티미디어학회논문지)

Korea Multimedia Society (한국멀티미디어학회)
권호 표지
DOI QR코드

DOI QR Code

Impedance Parameter Variations at Intravenous (IV) Infiltration Using Bioelectrical Impedance: A Pilot Study

  • Kim, Jaehyung (Research Institute of Nursing Science, Pusan National University) ;
  • Lee, Mansup (School of Electrical Engineering, Korea Advance Institute of Science and Technology) ;
  • Baik, Seungwan (Dept. of Anesthesia and Pain Medicine, School of Medicine, Pusan National University) ;
  • Kim, Gunho (Medical Science, School Of Medicine, Pusan National University) ;
  • Hwang, Youngjun (Medical Science, School Of Medicine, Pusan National University) ;
  • Jeon, Gyerok (Dept. of Biomedical Engineering, School of Medicine, Pusan National University)
  • Received : 2017.04.13
  • Accepted : 2017.10.16
  • Published : 2017.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Infiltration is one of detrimental problems occurring in nursing or medical settings. Early detection of infiltration is essential to minimize the risk of injury from infiltration. To perform a preliminary study on the point of care and automated infiltration detection system, bioelectrical impedance was investigated using bioelectrical impedance analyzer. We would like to report experimental results that allow impedance parameters to effectively distinguish infiltration. Electrodes were attached to both sides of the transparent dressing on the fusion site where IV solution was being infused. Then, impedance parameters before and after infiltration were measured as a function of time and frequency. The experimental results are as follows. After infiltration was intentionally induced by puncturing the vein wall with a needle, the resistance gradually decreased with time. That is, when an alternating current having a frequency of 20 kHz was applied to the electrodes, the resistance gradually decreased with time, reflecting the accumulation of IV solution in the extracellular fluid since the current could not pass through the cell membrane. Impedance parameters and equivalent circuit model for human cell were used to examine the mechanism of current flow before and after infiltration, which could be used for early detection of infiltration.

Keywords

References

  1. Intravenous Cannulation, http://emedicine.medscape.com/article/1998177-overview, (accessed Mar., 2, 2017).
  2. L. Hadaway, "Infiltration and Extravasation," American Journal of Nursing, Vol. 107, Issue 8, pp. 64-72, 2007. https://doi.org/10.1097/01.NAJ.0000282299.03441.c7
  3. J. Ullman, S. Keogh, N. Marsh, and C.M. Rickard, “Routine Versus Clinically Indicated Replacement of Peripheral Catheters,” British Journal of Nursing, Vol. 24, No. 2, pp. S14, 2015.
  4. D.G. Maki, D.M. Kluger, and C.J. Crnich, "The Risk of Bloodstream Infection in Adults with Different Intravascular Devices: A Systematic Review of 200 Published Prospective Studies," Mayo Clinic Proceeding, Vol. 81, Issue 9, pp. 1159-1171, 2006. https://doi.org/10.4065/81.9.1159
  5. W. Schummer, C. Schummer, O. Bayer, A. Muller, D. Bredle, and W. Karzai, "Extravasation Injury in the Perioperative Setting," Anesthesia & Analgesia, Vol. 100, Issue 3, pp. 722-727, 2005. https://doi.org/10.1213/01.ANE.0000154442.30278.3C
  6. D. Doellman, L. Hadaway, L.A. Bowe-Geddes, M. Franklin, J. LeDonne, and L. Papke- O'Donnell, "Infiltration and Extravasation: Update on Prevention and Management," Journal of Infusion Nursing, Vol. 32, Issue 4, pp. 203-211, 2009. https://doi.org/10.1097/NAN.0b013e3181aac042
  7. L. Dougherty, "IV Therapy: Recognizing the Differences between Infiltration and Extravasation," British Journal of Nursing, Vol. 17, Issue 14, pp. 896-901, 2008. https://doi.org/10.12968/bjon.2008.17.14.30656
  8. Complications of Peripheral I.V. Therapy, http://www.nursingcenter.com/ncblog/february-2015-(1)/complications-of-peripheral-i-v-therapy, (accessed Mar., 4, 2017).
  9. 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, pp. 172-178, 2016. https://doi.org/10.1016/j.pedn.2015.10.013
  10. B.F. Tofani, S.A. Rineair, C.H. Gosdin, P.M. Pilcher, S. McGee, K.R. Varadarajan, et al, "Quality Improvement Project to Reduce Infiltration and Extravasation Events in a Pediatric Hospital," Journal of Pediatric Nursing, Vol. 27, Issue 6, pp. 682-689, 2012. https://doi.org/10.1016/j.pedn.2012.01.005
  11. H. Tanabe, T. Takahashi, R. Murayama, K. Yabunaka, M. Oe, Y. Matsui, et al, "Using Ultrasonography for Vessel Diameter Assessment to Prevent Infiltration," Journal of Infusion Nursing, Vol. 39, Issue 2, pp. 105-111, 2016. https://doi.org/10.1097/NAN.0000000000000159
  12. L.W. Winchester and N.Y. Chou, Optical Detection of Intravenous Infiltration, http://www.google.com/patents/US7826890, (accessed Dec., 20, 2015).
  13. M.M. Pollack, Intravenous Infiltration Detection, http://www.google.com/patents/US20130131506, (accessed Dec., 1, 2015).
  14. J.A. Jambulingam, R. McCrory, L. West, and O.T. Inan, "Non-invasive, Multi-modal Sensing of Skin Stretch and Bioimpedance for Detecting Infiltration during Intravenous Therapy," Proceeding of 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society, pp. 4755-4758, 2016.
  15. M. Oya, T. Takahashi, H. Tanabe, M. Oe, R. Murayama, K. Yabunaka, et al, “Low-Tem perature Infiltration Identified Using Infrared Thermography in Patients with Subcutaneous Edema Revealed Ultrasonographically: A Case Report,” Drug Discoveries & Therapeutics, Vol. 10, No. 2, pp. 117-122, 2016. https://doi.org/10.5582/ddt.2016.01033
  16. 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 and Technology, Vol. 25, No. 1, pp. 1-7, 2016. https://doi.org/10.5369/JSST.2016.25.1.1
  17. L.C. Ward, "Segmental Bioelectrical Impedance Analysis: An Update," American Journal of Clinical Nutrition, Vol. 15, Issue 5, pp. 424-429, 2012.
  18. S. Berlit, J. Brade, B. Tuschy, E. Földi, U. Walz-Eschenlohr, H. Leweling, et al, “Whole- Body versus Segmental Bioelectrical Impedance Analysis in Patients with Edema of the Upper Limb after Breast Cancer Treatment,” Anticancer Research, Vol. 33, No. 8, pp. 3403-3406, 2013.
  19. R. Buffa, E. Mereu, O. Comandini, M.E. Ibanez, and E. Marini, "Bioelectrical Impedance Vector Analysis (BIVA) for the Assessment of Two- Compartment Body Composition," European Journal of Clinical Nutrition, Vol. 68, No. 11, pp. 1234-1240, 2014. https://doi.org/10.1038/ejcn.2014.170
  20. J.H. Kim, S.H. Kim, S.W. Baik, and G.R. Jeon, “Bioelectrical Impedance Analysis at Inner Forearms of the Human Body Using Bioelectrical Impedance Measurement System,” Journal of Korea Multimedia Society, Vol. 19, No. 7, pp. 1146-1153, 2016. https://doi.org/10.9717/kmms.2016.19.7.1146
  21. K. Norman, N. Stobaus, M. Pirlich, and A. Bosy-Westphal, "Bioelectrical Phase Angle and Impedance Vector Analysis-Clinical Relevance and Applicability of Impedance Parameters," Clinical Nutrition, Vol. 31, Issue 6, pp. 854-861, 2012. https://doi.org/10.1016/j.clnu.2012.05.008
  22. A. Piccoli and G. Pastori, BIVA Software 2002, University of Padova, Padova, Italy, 2002.
  23. S. Toso, A. Piccoli, M. Gusella, D. Menon, G. Crepaldi, A. Bononi, and E. Ferrazzi, "Bioimpedance Vector Pattern in Cancer Patients Without Disease versus Locally Advanced or Disseminated Disease," Nutrition, Vol. 19, Issue 6, pp. 510-514, 2003. https://doi.org/10.1016/S0899-9007(02)01084-5
  24. L.C. Martinez, E.C. Ramirez, A.O. Tejeda, E.A. Lafuente, L.P.B. Rosales, V.R. Gonzalez, et al, "Bioelectrical Impedance and Strength Measurements in Patients with Heart Failure: Comparison with Functional Class," Nutrition, Vol. 23, Issue 5, pp. 412-418, 2007. https://doi.org/10.1016/j.nut.2007.02.005
  25. C.F. Nicoletti, J.S. Camelo, J.E. dos Santos, J.S. Marchini, W. Salgado, and C.B. Nonino, "Bioelectrical Impedance Vector Analysis in Obese Women before and after Bariatric Surgery: Changes in Body Composition," Nutrition, Vol. 30, Issue 5, pp. 569-574, 2014. https://doi.org/10.1016/j.nut.2013.10.013
  26. V. Bellizzi, L. Scalfi, V. Terracciano, L. De Nicola, R. Minutolo, M. Marra, et al., "Early Changes in Bioelectrical Estimates of Body Composition in Chronic Kidney Disease," Journal of The American Society of Nephrology, Vol. 17, No. 5, pp. 1481-1487, 2006. https://doi.org/10.1681/ASN.2005070756
  27. L. Nescolarde, A. Piccoli, A. Roman, A. Nunez, R. Morales, J. Tamayo, et al. "Bioelectrical Impedance Vector Analysis in Haemodialysis Patients: Relation between Oedema and Mortality," Physiological Measurement, Vol. 25, pp. 1271-1280, 2004. https://doi.org/10.1088/0967-3334/25/5/016
  28. Q. Maggiore, S. Nigrelli, C. Ciccarelli, C. Grimaldi, G.A. Rossi, and C. Michelassi, "Nutritional and Prognostic Correlates of Bioimpedance Indexes in Hemodialysis Patients," Kidney International , Vol. 50, Issue 6, pp. 2103-2108, 1996. https://doi.org/10.1038/ki.1996.535
  29. B.C. Kim, C.M. Kim, and C.H. Lee, Multi-Channel Impedance Measuring Method and Multi-Channel Impedance Measuring Instrument, WO 2014/035040 A1, Korea, 2013.
  30. Bioelectric Impedance Analysis, http://nutrition.uvm.edu/bodycomp/bia/bia-toc.html, (accessed Dec., 1 2015).
  31. L. Nescolarde, J. Yanguas, H. Lukaski, X. Alomar, J. Rosell-Ferrer, and G. Rodas, “Localized Bioimpedance to Assess Muscle Injury,” Physiological Measurement, Vol. 34, No. 2, pp. 237-245, 2013. https://doi.org/10.1088/0967-3334/34/2/237