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http://dx.doi.org/10.5369/JSST.2017.26.5.306

Comparison of Infiltration Induced in Veins of Rabbit's Ear and Human's Forearm by Using Bioelectrical Impedance: Pilot Study  

Kim, Jae-Hyung (Research Institute of Nursing Science, Pusan National University)
Hwang, Young-Jun (Dept. of Medical Science, School of Medicine, Pusan National University)
Kim, Gun-Ho (Dept. of Medical Science, School of Medicine, Pusan National University)
Shin, Beum-Joo (Applied IT and Engineering, Pusan National University)
Kim, Yong-Jin (Dept. of Pathology, Kyungpuk National University Hospital)
Lee, Eun-Joo (College of Nursing, Pusan National University)
Jeon, Gye-Rok (Dept. of Biomedical Engineering, School of Medicine, Pusan National University)
Publication Information
Journal of Sensor Science and Technology / v.26, no.5, 2017 , pp. 306-313 More about this Journal
Abstract
An early detection of infiltration in veins is essential to minimize the injuries caused during infusion therapy, which is one of the most important tasks for nurses in clinical settings. We report that bioelectrical impedance analysis is useful in the early detection of infiltration at puncture sites. When infiltration was intentionally induced in the vein of a rabbit's ear, impedance parameters showed significant difference before and after infiltration. In particular, the relative resistance at 20 kHz in the vein of rabbit's ear reduced largely at infiltration, decreased slowly, and then stayed at a constant value. This indicates that the vein in the ear of the rabbit is small, and hence the infiltrated intravenous (IV) solution no longer accumulates after 3 minutes of infiltration. However, when infiltration was induced in the vein of a human's forearm, the relative resistance at 20 kHz decreased gradually over time. In the $R-X_c$ graph, the positions in infiltration induced in the rabbit's ear rapidly shifted before and after infiltration whereas the positions in infiltration induced in the human's forearm changed gradually during infiltration. Our findings suggest that bioelectrical impedance analysis is an effective method to detect the infiltration early in a noninvasive and quantitative manners.
Keywords
Intravenous Infiltration; Early Detection; Multifrequency Bioelectrical Impedance Analysis; Equivalent Circuit;
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