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Point-of-Care Ultrasonography for Objective Volume Management in End-Stage Renal Disease. Blood Purif 2020;49(1-2):132-136

Date

10/10/2019

Pubmed ID

31597153

DOI

10.1159/000503000

Abstract

Focused ultrasonography or point-of-care ultrasonography (POCUS) is increasingly considered as an essential bedside diagnostic tool. In patients with end-stage renal disease (ESRD) treated with hemodialysis, it can be used as an adjunct to physical examination to objectively assess the volume status and guide the rate and amount of ultrafiltration. Herein, we describe the case of an ESRD patient presenting with hypertensive urgency where POCUS disclosed the presence of hypervolemia despite unremarkable physical examination. The sonographic findings of the inferior vena cava, heart, and lungs guided fluid extraction during hemodialysis therapy, and the actual ultrafiltration volume was significantly higher than what was anticipated based on clinical findings. This case highlights the importance of using -POCUS as a tool for objective and precise assessment of volume status in patients with ESRD.

Author List

Koratala A, Chamarthi G, Kazory A

Author

Abhilash Koratala MD Assistant Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Female
Humans
Kidney Failure, Chronic
Point-of-Care Systems
Renal Dialysis
Ultrasonography