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Differential impedance plethysmography for measuring thoracic impedances

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Abstract

A critical evaluation of the measurement of the transthoracic basic impedance Zo according to Kubicek's method revealed inhomogeneous electrical field-distributions in the region of the neck and the shoulders and in the region of the mammae in female subjects. These inhornogeneties were found to introduce uncontrollable errors, like position dependency into the measurements. Also the sensitivity is deteriorated and the comparability between subjects is lost. A method for measuring thoracic impedances that avoids those disturbances is proposed, and some examples of registrations are presented. The measurements seemed to depend on thoracic fluid content, blood pressure, physiological variations and age. It was concluded that differential impedance plethysmography can be a useful tool in evaluating intra-thoracic processes, both in clinical care and physiological studies. The increased reliability might provide new insight into the determination of cardiac output by impedance cardiography.

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References

  • Baker, L. E. andDenniston, J. C. (1974) Noninvasive measurement of intrathoracic fluids.Chest,65, 35s-37s.

    Google Scholar 

  • Corten, P. M. J. (1980) Continu Registratie van segmentaal slagvolume en wandbeweging van de linker ventrikel met behulp van electrische weerstandsmeting door middel van een intra ventriculaire meer-electroden catheter Catholic University of Nijmegen, Netherlands, thesis.

    Google Scholar 

  • Hill, D. W., Mohapatra, S. N., Welham, K. C. andStevenson, M. L. (1976) The effect of a progressive decrease in the circulating blood volume of the dog on the transthoracic impedance.Europ. J. Intens. Care Med.,2, 119–124.

    Article  Google Scholar 

  • Hull, E. T., Heemstra, H. andWildevuur, Ch. R. H. (1979) De transthoracale impedantiemethode ter bepaling van de graad van verandering van het extravasculaire water.Acta Tuberc. Pneumolog. Belg.,68, 369–377.

    Google Scholar 

  • Keller, G. andBlumberg, A. (1977). Monitoring of pulmonary fluid volume and stroke volume by impedance cardiography in patients on hemodialysis.Chest,72, 56–62.

    Google Scholar 

  • Kubicek, W. G., Karnegis, J. N., Patterson, R. P., Witsoe, D. A. andMattson, R. H. (1966). Development and evaluation of an impedance cardiac output system.Aerosp. Med.,37, 1208–1212.

    Google Scholar 

  • Luepker, R. V., Michael, J. R. andWarbasse, J. R. (1973) Transthoracic electrical impedance: quantitative evaluation of a non-invasive measure of throacic fluid volume.Am. Heart J.,85, 83–95.

    Article  Google Scholar 

  • Pomerantz, M., Baumgartner, R., Lauridson, J. andEiseman, B. (1969) Transthoracic electrical impedance for the early detection of pulmonary edema.Surgery,66, 260–268.

    Google Scholar 

  • Pomerantz, M., Delgado, F. andEiseman, B. (1970) Clinical evaluation of transthoracic electrical impedance as a guide to intrathoracic fluid volumes.Ann. Surg.,171, 686–694.

    Google Scholar 

  • Sakamoto, K., Muto, K., Kanai, H. andLizuka, M. (1979) Problems of impedance cardiography.Med. & Biol. Eng. & Comput.,17, 697–709.

    Article  Google Scholar 

  • Schuster, H. P., Schuster, C. J., Gilfrick, H. J. andSchölmerich, P. (1980) Transthoracic electrical impedance during extra corporal in hemodialysis. Acute respiratory failure (‘shocked lung syndrome’).Intens. Care Med.,6, 147–154.

    Article  Google Scholar 

  • Spence, J. A., Baliga, R., Nyboer, J., Seftick, J. andFleischmann, L. (1979) Changes during hemodialysis in total body water, cardiac output and chest fluid as detected by bioelectrical impedance analysis.Trans. Am. Soc. Artif. Intern Organs,XXV, 51–55.

    Google Scholar 

  • Van de Water, J. M., Miller, I. T., Milne, E. N. C., Hansen, E. L., Sheldon, G. F. andKagey, K. S. (1970) Impedance plethysmography; a noninvasive means of monitoring the thoracic surgery patient.J. Thorac. Cardiovasc. Surg.,60, 641–647.

    Google Scholar 

  • Van de Water, J. M., Philips, P. A., Thouin, L. G., Watenabe, L. S. andLappen, R. S. (1971) Bioelectrical Impedance: new developments and clinical application.Arch. Surg.,102, 541–547.

    Google Scholar 

  • Van de Water, J. M., Mount, B. E., Barela, J. R., Schuster, R. andLeacock, F. S. (1973) Monitoring the chest with impedance.Chest,64, 597–603.

    Google Scholar 

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Authors and Affiliations

  1. Department of Medical Physics, Free University, Amsterdam, The Netherlands

    J. H. Meijer, J. P. H. Reulen, P. L. Oe, W. Allon & L. G. Thijs

  2. Department of Internal Medicine, Academic Hospital of the Free University, Amsterdam, The Netherlands

    J. H. Meijer, J. P. H. Reulen, P. L. Oe, W. Allon & L. G. Thijs

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  1. J. H. Meijer
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  2. J. P. H. Reulen
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  3. P. L. Oe
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  4. W. Allon
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  5. L. G. Thijs
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Meijer, J.H., Reulen, J.P.H., Oe, P.L. et al. Differential impedance plethysmography for measuring thoracic impedances. Med. Biol. Eng. Comput. 20, 187–194 (1982). https://doi.org/10.1007/BF02441354

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  • DOI: https://doi.org/10.1007/BF02441354

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