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Advanced Fluid Management

Fluid Management

Fluid Management

Challenging fluid overload and aiming for optimum fluid balance

DISCLAIMER

Not all products and services are cleared or available for sale in all EU countries. Check your country web site for details. 

Why Fluid Management matters

Impaired fluid status is linked to poor patient outcomes

Chronic fluid overload and mortality in End-Stage Renal Disease (ESRD)

“Given the strong association between chronic FO* and mortality, which far exceeds that of low and high predialysis BP**, our [Zocchali et al., 2017] study suggests that treatment policies guided by fluid status monitoring might be preferable to policies guided solely by predialysis BP measurement.”4

BCM — Body Composition Monitor

From technology to therapy

Body weight and BMI (Body Mass Index) do not differentiate between muscle, fat and water. In addition, body composition is often described in terms of fat free mass (FFM) and fat mass (Fat) only, not considering overhydration.5,6

The BCM - Body Composition Monitor is a device on the market to distinguish the muscle mass from fluid overload. This is of special interest for detecting malnutrition in chronic kidney disease patients.5 

It was especially designed to support Fluid Management in ESRD patients and also offers benefits for the assessment of the nutritional status.6,7

Learn more about the BCM - Body Composition Monitor

BCM - Body Composition Monitor

The BCM - Body Composition Monitor seperates excess fluid (overhydration) from the lean and adipose tissue components of the body on the basis of a unipue body composition model.

Fluid Management solutions

Fluid management solutions
This graphic is extracted from the fluid management tool and is an example which displays the chronological trend of the determined parameters.

BVM – Blood Volume Monitor

Related content

1. Dekker et al., Impact of fluid status and inflammation and their interaction on survival: a study in an international hemodialysis patient cohort. Kidney International (2017) 91(5): 1214-1223.
2. Agarwal et al., Dry-Weight: A Concept Revisited in an Effort to Avoid Medication-Directed Approaches for Blood Pressure Control in Hemodialysis Patients. Clin J Am Soc Nephrol (2010); 5: 1255-1260.
3. Charra, Fluid balance, dry weight, and blood pressure in dialysis. Hemodialysis International (2007), 11(1), 21-31.
4. Zoccali et al., Chronic Fluid Overload and Mortality in ESRD, J Am Soc Nephro (2017); 28(8):2496.​​​​​​​
5. Marcelli et al., Body Composition and Survival in Dialysis Patients: Results from an International Cohort Study, Clin J Am Soc Nephrol (2015); 10(7):1192-1200.)​​​​​​​
6. Chamney et al., A whole-body model to distinguish excess fluid from the hydration of major body tissues. Am J Clin Nutr (2007); 85: 80-89.
7. Arias-Guillén M., Bioimpedance Spectroscopy as a Practical Tool for the Early Detection and Prevention of Protein-Energy Wasting in Hemodialysis Patients. J Ren Nutr. 2018 Sep;28(5):324-332.
8. Gabrielli et al., Improved intradialytic stability during haemodialysis with blood volume-controlled ultrafiltration. J Nephrol. 2009 Mar-Apr;22(2):232-40.