Measurement of Intestinal Edema Using an Impedance Analyzer Circuit

Ravi Radhakrishnan, Kunal Shah, Hasen Xue, Stacey D. Moore-Olufemi, Frederick A. Moore, Norman W. Weisbrodt, Steven J. Allen, Brijesh Gill, Charles S. Cox

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Background: Acute intestinal edema adversely affects intestinal transit, permeability, and contractility. Current resuscitation modalities, while effective, are associated with development of acute intestinal edema. Knowledge of levels of tissue edema would allow clinicians to monitor intestinal tissue water and may help prevent the detrimental effects of edema. However, there is no simple method to measure intestinal tissue water without biopsy. We sought to develop a tissue impedance analyzer to measure tissue edema, without the need for invasive biopsy. Methods: Oscillating voltage input was applied to the analyzer circuit and an oscilloscope measured the voltage output across any load. Rats were randomized to three groups: sham, mild edema (80 mL/kg of NS resuscitation), and severe edema (80 mL/kg of NS resuscitation with intestinal venous hypertension). Intestinal edema was measured by wet-to-dry tissue weight ratio. Bowel impedance was measured and converted to capacitance using a standard curve. Results: Acute intestinal edema causes a significant increase in bowel capacitance. This capacitance can be used to predict tissue water concentration. Conclusion: Using an impedance analyzer circuit, it is possible to measure intestinal edema reliably and quickly. This may prove to be a useful tool in the resuscitation of critically ill patients.

Original languageEnglish (US)
Pages (from-to)106-110
Number of pages5
JournalJournal of Surgical Research
Volume138
Issue number1
DOIs
StatePublished - Mar 2007
Externally publishedYes

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Keywords

  • impedance
  • intestinal edema

ASJC Scopus subject areas

  • Surgery

Cite this

Radhakrishnan, R., Shah, K., Xue, H., Moore-Olufemi, S. D., Moore, F. A., Weisbrodt, N. W., Allen, S. J., Gill, B., & Cox, C. S. (2007). Measurement of Intestinal Edema Using an Impedance Analyzer Circuit. Journal of Surgical Research, 138(1), 106-110. https://doi.org/10.1016/j.jss.2006.06.009