Publication Date

2018

Journal Title

Clin Kidney J

Abstract

© The Author 2017. Published by Oxford University Press on behalf of ERA-EDTA. Traditionally, point of care ultrasonography in nephrology has been used for renal biopsies and dialysis line placement. However, there is an emerging literature supporting the value of point of care lung ultrasonography in the assessment of volume status for dialysis patients.We conducted a review and identified 12 studies that examined the utility of lung ultrasonography in assessing volume status in patients with end-stage renal disease.We conclude that lung ultrasonography can be used to determine volume status in chronic dialysis patients by identifying lung congestion using the B-line score. Incorporating this technique into practice may have significant diagnostic and prognostic value for this high-risk population, as it provides the nephrologist with a useful bedside technique to assess extravascular lung water. Developing competence in lung ultrasonography is straightforward. The nephrology community should consider adding this useful tool into fellowship training, paralleling its broader use in other internal medicine specialties.

Volume Number

11

Issue Number

2

Pages

172 - 178

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Nephrology

Additional Departments

Pulmonary, Critical Care, and Sleep Medicine

PMID

29644056

DOI

10.1093/ckj/sfx107


Included in

Nephrology Commons

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