Evaluation of Bioelectrical Impedance Spectroscopy for the Assessment of Extracellular Body Water

This study evaluates bioelectrical impedance spectroscopy (BIS) measurements to detect body fluid status. The multifrequency impedance measurements were performed in five female pigs. Animals were connected to an extracorporeal membrane oxygenation device during a lung disease experiment and fluid balance was recorded. Every 15 min the amount of fluid infusion and the weight of the urine drainage bag was recorded. From the fluid intake and output, the fluid balance was calculated. These data were compared with values calculated from a mathematical model, based on the extracellular tissue resistance and the Hanai Mixture theory. The extracellular tissue resistance was also measured with BIS. These experimental results strongly support the feasibility and clinical value of BIS for in vivo assessment of the hydration status

RheoStim: Development of an Adaptive Multi-Sensor to Prevent Venous Stasis

Chronic venous insufficiency of the lower limbs is often underestimated and, in the absence of therapy, results in increasingly severe complications, including therapy-resistant tissue defects. Therefore, early diagnosis and adequate therapy is of particular importance. External counter pulsation (ECP) therapy is a method used to assist the venous system. The main principle of ECP is to squeeze the inner leg vessels by muscle contractions, which are evoked by functional electrical stimulation. A new adaptive trigger method is proposed, which improves and supplements the current therapeutic options by means of pulse synchronous electro-stimulation of the muscle pump. For this purpose, blood flow is determined by multi-sensor plethysmography. The hardware design and signal processing of this novel multi-sensor plethysmography device are introduced. The merged signal is used to determine the phase of the cardiac cycle, to ensure stimulation of the muscle pump during the filling phase of the heart. The pulse detection of the system is validated against a gold standard and provides a sensitivity of 98% and a false-negative rate of 2% after physical exertion. Furthermore, flow enhancement of the system has been validated by duplex ultrasonography. The results show a highly increased blood flow in the popliteal vein at the knee