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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 Clin+Kidney+J
2018 ; 11
(2
): 172-178
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Lung ultrasonography in end-stage renal disease: moving from evidence to
practice-a narrative review
#MMPMID29644056
Ross DW
; Abbasi MM
; Jhaveri KD
; Sachdeva M
; Miller I
; Barnett R
; Narasimhan M
; Mayo P
; Merzkani M
; Mathew AT
Clin Kidney J
2018[Apr]; 11
(2
): 172-178
PMID29644056
show ga
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.