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One such approach for evaluating body water composition in various circumstances is bio-electrical impedance analysis (BIA). This study aims to appraise the usefulness of the Body Composition Monitor (BCM, Fresenius Medical Care, Germany) in assessing body fluid composition and intercompartmental shifts before and after open major abdominal surgery. This prospective, clinician blinded observational study enrolled all the patients scheduled consecutively for elective major open abdominal surgery during a 1-year period starting from January 1st, 2016. BIA parameters\u2014total body water (TBW), extracellular water (ECW), intracellular water (ICW), absolute fluid overload (AFO), and relative fluid overload (RFO) were measured before and after surgery. The results were compared with fluid balance and outcome parameters such as organ dysfunction, ICU-and hospital length of stay (-LOS). The study population included 71 patients aged 60.2\u2009\u00b1\u200912 of whom 60.6% men and with a BMI of 26.3\u2009\u00b1\u20095.1\u00a0kg\/m<jats:sup>2<\/jats:sup>. Postoperative acute kidney injury, respiratory dysfunction, and infections occurred in 14.0%, 19.7% and 28.1% of cases, respectively. The median LOS in ICU was 20\u00a0h and the hospital-LOS was 10\u00a0days. Positive intraoperative fluid balance (2.4\u2009\u00b1\u20091.0\u00a0L) resulted in a significant increase of TBW (1.4\u2009\u00b1\u20092.4\u00a0L) and of ECW (1.4\u2009\u00b1\u20091.2\u00a0L). Intraoperative fluid balance significantly correlated with TBW change (r\u2009=\u20090.23, p\u2009=\u20090.04) and with AFO change (r\u2009=\u20090.31, p\u2009&lt;\u20090.01). A significant correlation was found between pre- and postoperative AFO and RFO on one hand, and ICU-LOS on the other. BIA may be a useful tool for the perioperative assessment of volume status.<\/jats:p>","DOI":"10.1007\/s10877-019-00334-8","type":"journal-article","created":{"date-parts":[[2019,6,14]],"date-time":"2019-06-14T10:26:47Z","timestamp":1560508007000},"page":"421-432","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Bio-electrical impedance analysis for perioperative fluid evaluation in open major abdominal surgery"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5457-6636","authenticated-orcid":false,"given":"Adi-Ionut","family":"Ciumanghel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioana","family":"Grigoras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrie","family":"Siriopol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Blaj","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel-Mihai","family":"Rusu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela Raluca","family":"Grigorasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandru Razvan","family":"Igna","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oana","family":"Duca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ianis","family":"Siriopol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Covic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,6,14]]},"reference":[{"key":"334_CR1","first-page":"CD000991","volume":"1","author":"P Toomtong","year":"2010","unstructured":"Toomtong P, Suksompong S. 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Ioana Grigoras received speaker honoraria from Antibiotice SA, Abbott, Astra-Zeneca, Astellas, B. Braun, Covidien, Fresenius, Pfizer, Merck, but none in the last 5\u00a0years. All the other authors have no conflicts of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}