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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Crit+Ultrasound+J
2015 ; 7
(1
): 24
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English Wikipedia
Bedside Doppler ultrasound for the assessment of renal perfusion in the ICU:
advantages and limitations of the available techniques
#MMPMID26058500
Schnell D
; Darmon M
Crit Ultrasound J
2015[Dec]; 7
(1
): 24
PMID26058500
show ga
Three Doppler-derived techniques have been proposed to assess renal perfusion at
bedside: Doppler-based renal resistive index (RI) which has been extensively but
imperfectly studied in assessing renal allograft status and changes in renal
perfusion in critically ill patients and for predicting the reversibility of an
acute kidney injury (AKI), semi-quantitative evaluation of renal perfusion using
colour-Doppler which may be easier to perform and may give similar information
than RI and contrast-enhanced sonography that may allow more precise renal and
cortical perfusion assessment. These promising tools have several obvious
advantages including their feasibility, non-invasiveness, repeatability and
potential interest in assessing renal function or perfusion. However, several
limits need to be taken into account with these techniques, and promising results
remain associated with large areas of uncertainty. This editorial will describe
more carefully advantages and limits of these techniques and will discuss their
potential interest in assessing renal perfusion.