Use of bioimpedance vector analysis in critically ill and cardiorenal patients

Prospective outcome prediction and volume status assessment are difficult tasks in the acute care environment. Rapidly available, non-invasive, bioimpedance vector analysis (BIVA) may offer objective measures to improve clinical decision-making and predict outcomes. Performed by the placement of bipolar electrodes at the wrist and ankle, data is graphically displayed such that short-term morality risk and volume status can be accurately quantified. BIVA is able to provide indices of general cellular health, which has significant prognostic implications, as well as total body volume. Knowledge of these parameters can provide insight as to the short-term prognosis, as well as the presenting volume status.