Lung ultrasonography in end-stage renal disease: Moving from evidence to practice-a narrative review
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
DOI
10.1093/ckj/sfx107