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1
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Agno KC, Yang K, Byun SH, Oh S, Lee S, Kim H, Kim K, Cho S, Jeong WI, Jeong JW. A temperature-responsive intravenous needle that irreversibly softens on insertion. Nat Biomed Eng 2024; 8:963-976. [PMID: 37903901 DOI: 10.1038/s41551-023-01116-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 09/26/2023] [Indexed: 11/01/2023]
Abstract
The high stiffness of intravenous needles can cause tissue injury and increase the risk of transmission of blood-borne pathogens through accidental needlesticks. Here we describe the development and performance of an intravenous needle whose stiffness and shape depend on body temperature. The needle is sufficiently stiff for insertion into soft tissue yet becomes irreversibly flexible after insertion, adapting to the shape of the blood vessel and reducing the risk of needlestick injury on removal, as we show in vein phantoms and ex vivo porcine tissue. In mice, the needles had similar fluid-delivery performance and caused substantially less inflammation than commercial devices for intravenous access of similar size. We also show that an intravenous needle integrated with a thin-film temperature sensor can monitor core body temperature in mice and detect fluid leakage in porcine tissue ex vivo. Temperature-responsive intravenous needles may improve patient care.
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Affiliation(s)
- Karen-Christian Agno
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Keungmo Yang
- Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
- Division of Gastroenterology and Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Sang-Hyuk Byun
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Subin Oh
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Simok Lee
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Heesoo Kim
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Kyurae Kim
- Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Sungwoo Cho
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea
| | - Won-Il Jeong
- Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea.
| | - Jae-Woong Jeong
- School of Electrical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, Republic of Korea.
- KAIST Institute for Health Science and Technology, Daejeon, Republic of Korea.
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2
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Hirata I, Mazzotta A, Makvandi P, Cesini I, Brioschi C, Ferraris A, Mattoli V. Sensing Technologies for Extravasation Detection: A Review. ACS Sens 2023; 8:1017-1032. [PMID: 36912628 PMCID: PMC10043935 DOI: 10.1021/acssensors.2c02602] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 01/27/2023] [Indexed: 03/14/2023]
Abstract
Peripheral intravenous catheters are administered for various purposes, such as blood sampling or the infusion of contrast agents and drugs. Extravasation happens when the catheter is unintentionally directed outside of the vein due to movement of the intravascular catheter, enhanced vascular permeability, or occlusion of the upstream vein. In this article, extravasation and its mechanism are discussed. Subsequently, the sensorized devices (e.g., single sensor and multimodal detection) to identify the extravasation phenomena are highlighted. In this review article, we have shed light on both physiological and engineering points of view of extravasation and its detection approaches. This review provides an overview on the most recent and relevant technologies that can help in the early detection of extravasation.
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Affiliation(s)
- Ikue Hirata
- Center for
Materials Interfaces, Istituto Italiano
di Tecnologia, 56025 Pontedera, Pisa, Italy
| | - Arianna Mazzotta
- Center for
Materials Interfaces, Istituto Italiano
di Tecnologia, 56025 Pontedera, Pisa, Italy
- The
Biorobotics Institute, Scuola Superiore
Sant’Anna, Pontedera 56025, Italy
| | - Pooyan Makvandi
- Center for
Materials Interfaces, Istituto Italiano
di Tecnologia, 56025 Pontedera, Pisa, Italy
| | - Ilaria Cesini
- Center for
Materials Interfaces, Istituto Italiano
di Tecnologia, 56025 Pontedera, Pisa, Italy
| | - Chiara Brioschi
- IIT-Bracco
Joint Lab, Istituto Italiano di Tecnologia, 16163 Genova, Italy
- Bracco
S.p.A., 20134 Milano, Italy
| | - Andrea Ferraris
- IIT-Bracco
Joint Lab, Istituto Italiano di Tecnologia, 16163 Genova, Italy
- Bracco
S.p.A., 20134 Milano, Italy
| | - Virgilio Mattoli
- Center for
Materials Interfaces, Istituto Italiano
di Tecnologia, 56025 Pontedera, Pisa, Italy
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3
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Kamada S, Mosier R, El-Khalili T, Triantis S, Yang R. Scoping Review of Early Intravenous Infiltration and Extravasation Detection Devices. JOURNAL OF INFUSION NURSING 2023; 46:97-106. [PMID: 36853872 DOI: 10.1097/nan.0000000000000499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
Failure to promptly detect intravenous (IV) infiltration can often lead to damaging effects, such as necrosis and compartment syndrome, which increase the length of hospital stay and cost of care. Currently, nurses periodically monitor the vascular access device (VAD) site and extremity for symptoms of swelling, blanching, and change in temperature. However, nurses are often unable to monitor the VAD site frequently enough to detect subtle symptoms that may present immediately following an infiltration or extravasation. Nurses need a highly sensitive way to rapidly detect IV infiltration to minimize the time between infiltration and intervention. This study reviews technologies with the potential to detect IV infiltration earlier and suggests priorities for future research in this area.
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Affiliation(s)
- Sneha Kamada
- Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang)
- Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures
- Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries
- Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school
- Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care
- Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
| | - Rebecca Mosier
- Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang)
- Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures
- Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries
- Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school
- Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care
- Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
| | - Taj El-Khalili
- Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang)
- Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures
- Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries
- Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school
- Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care
- Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
| | - Sophia Triantis
- Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang)
- Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures
- Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries
- Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school
- Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care
- Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
| | - Robin Yang
- Johns Hopkins University, Baltimore, Maryland (Mss. Kamada, Mosier, Triantis, and Mr El-Khalili); Maxillofacial Surgery and Dentistry, Johns Hopkins Hospital, Baltimore, Maryland (Dr Yang)
- Sneha Kamada is a fourth-year undergraduate student at Johns Hopkins University working toward a bachelor's and master's degree in biomedical engineering with a focus in immunoengineering. She is experienced in the design and development of medical devices for pediatric patients and orthopedic surgeons. She has previous grant-writing experience and has written a textbook chapter on institutional review board protocols for a translational handbook. She is currently working with an undergraduate team to develop a novel arthroscope to provide better visualization for posterior knee procedures
- Rebecca Mosier is a fourth-year undergraduate student at Johns Hopkins University working toward her bachelor's and master's degrees in biomedical engineering with a focus in biomedical data science. She has experience working with medical devices and data analytics to solve unmet needs for pediatric patients. She is interested in developing medical technologies to improve patient outcomes. Additionally, she is currently leading an undergraduate team in developing a novel temporary epicardial pacing wire to reduce morbidities after open-heart surgeries
- Taj El-Khalili is a third-year biomedical engineering student at Johns Hopkins University. For 3 years he has been designing a novel intravenous infiltration detection device with a team of fellow undergraduates and clinicians at the Johns Hopkins Hospital. In May of 2023 he will graduate with a B.S./M.S. degree and plans to attend medical school
- Sophia Triantis, BS, MSE, completed her bachelor's and master's of science degrees in biomedical engineering with a concentration in medical devices and imaging at Johns Hopkins University in 2021. Her experiences include the design and development of multiple medical devices to solve unmet needs in low-resource settings and for pediatric patients. She is interested in the development of simple, cost-effective medical technology that can expand access to quality care. She currently works at Hologic developing medical technology for breast cancer care
- Robin Yang, DDS, MD, has had the benefit of training as a dentist, an oral surgeon, and now a plastic surgeon. Having a diverse background of education has helped him evaluate clinical problems from various clinical points of view. His clinical interests include pediatric plastic surgery, pediatric craniofacial reconstruction, cleft lip/nose, cleft palate, orthognathic surgery, craniosynostosis, obstructive sleep apnea, and pediatric craniofacial trauma. He is currently in his first year as an attending plastic surgeon at Johns Hopkins Hospital. His career aspirations have always been to become a pediatric craniofacial surgeon-scientist. His research interests are focused on large data accumulation and automatic learning. Joining the faculty at Johns Hopkins has allowed him to start collaborations with the leaders in biomedical engineering. He hopes that his pilot grant will allow them to further their interests in automatic presurgical planning for craniofacial reconstruction
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Bo JY, Ta K, Nishida R, Yeh G, Tsang VWL, Bolton M, Ranger M, Walus K. ATTENTIV: Instrumented Peripheral Catheter for the Detection of Catheter Dislodgement in IV Infiltration. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2022; 2022:3303-3306. [PMID: 36085775 DOI: 10.1109/embc48229.2022.9871840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Intravenous (IV) infiltration is a common problem associated with IV infusion therapy in clinical practice. A multitude of factors can cause the leakage of IV fluids into the surrounding tissues, resulting in symptoms ranging from temporary swelling to permanent tissue damage. Severe infiltration outcomes can be avoided or minimized if the patient's care provider is alerted of the infiltration at its earliest onset. However, there is a lack of real-time, continuous infiltration monitoring solutions, especially those suited for clinical use for critically ill patients. Our design of the sensor-integrated ATTENTIV catheter allows direct detection of catheter dislodgement, a root cause of IV infiltration. We verify two detection methods: blood-tissue differentiation with a support vector machine and signal peak identification with a thresholding algorithm. We present promising preliminary testing results on biological and phantom models that utilize bioimpedance as the sensing modality. Clinical relevance- The sensor-embedded ATTENTIV catheter demonstrates potential to automate IV infiltration detection in lieu of using traditional infusion catheters and manual detection methods.
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Lim R, Damalerio RB, Bong CL, Tan SK, Cheng MY. Novel Conformal Skin Patch with Embedded Thin-Film Electrodes for Early Detection of Extravasation. SENSORS 2021; 21:s21103429. [PMID: 34069128 PMCID: PMC8156920 DOI: 10.3390/s21103429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 05/11/2021] [Accepted: 05/13/2021] [Indexed: 11/16/2022]
Abstract
Extravasation is a complication of intravenous (IV) cannulation in which vesicant drugs leak from a vein into the surrounding subcutaneous tissue. The severity of extravasation depends on the type, concentration, and volume of drugs that accumulate in the subcutaneous tissue. Rapid detection of extravasation can facilitate prompt medical intervention, minimizing tissue damage, and preventing adverse events. In this study, we present two portable sensor patches, namely gold- and carbon-based sensing patches, for early detection of extravasation. The gold-based sensor patch detected extravasated fluid of volume as low as 2 mL in in vivo animal models and human clinical trials; the patch exhibited a resistance change of 41%. The carbon-based sensor patch exhibited a resistance change of 51% for 2 mL of extravasated fluid, and fabrication throughput and cost-effectiveness are superior for this patch compared with the gold-based sensing patch.
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Affiliation(s)
- Ruiqi Lim
- Institute of Microelectronics, A*STAR (Agency for Science, Technology and Research), Singapore 138634, Singapore; (R.L.); (R.B.D.)
| | - Ramona B. Damalerio
- Institute of Microelectronics, A*STAR (Agency for Science, Technology and Research), Singapore 138634, Singapore; (R.L.); (R.B.D.)
| | - Choon Looi Bong
- KK Women’s & Children’s Hospital, Singapore 229899, Singapore; (C.L.B.); (S.K.T.)
| | - Swee Kim Tan
- KK Women’s & Children’s Hospital, Singapore 229899, Singapore; (C.L.B.); (S.K.T.)
| | - Ming-Yuan Cheng
- Institute of Microelectronics, A*STAR (Agency for Science, Technology and Research), Singapore 138634, Singapore; (R.L.); (R.B.D.)
- Correspondence:
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7
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Jeong IS, Lee EJ, Kim JH, Kim GH, Hwang YJ, Jeon GR. Detection of intravenous infiltration using impedance parameters in patients in a long-term care hospital. PLoS One 2019; 14:e0213585. [PMID: 30897178 PMCID: PMC6428251 DOI: 10.1371/journal.pone.0213585] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 02/25/2019] [Indexed: 11/19/2022] Open
Abstract
This study was aimed to evaluate the changes of impedance parameters of patients who were admitted to a long-term care hospital by measuring bioelectrical impedance. The subjects were 18 patients who had infusion therapy through peripheral intravenous (IV) catheters and had at least an infiltration. The impedance parameters were measured with a multi-channel impedance measuring instrument (Vector Impedance Meter) twice; at starting IV infusion after catheter insertion and infiltration detected. As results, the resistance (R) after infiltration significantly decreased compared to the initial resistance. At 50 kHz, the resistances were 498.2±79.3 [Ω] before infiltration and 369.4±85.6 [Ω] after infiltration. The magnitude of the reactance (XC) decreased after infiltration. At 50 kHz, the measured reactance was -31.1±8.3 [Ω] before infiltration and -24.5±5.9 [Ω] after infiltration. The data points plotted in the R-XC graph shifted from the first quadrant before infiltration to third quadrant after infiltration. Our findings suggest that bioelectrical impedance is an effective method for detection of infiltration in a noninvasive and quantitative manner.
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Affiliation(s)
- Ihn Sook Jeong
- College of Nursing, Pusan National University, Yangsan, Republic of Korea
| | - Eun-Joo Lee
- Dept, of Nursing, Dong-Eui University, Busan, South Korea
| | - Jae Hyung Kim
- Research Institute of Nursing Science, Pusan National University, Yangsan, Republic of Korea
- * E-mail:
| | - Gun Ho Kim
- Dept. of Medical Science, School of Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Young Jun Hwang
- Dept. of Medical Science, School of Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Gye Rok Jeon
- Dept. of Biomedical Engineering, School of Medicine, Pusan National University, Yangsan, Republic of Korea
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