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Multi-Organ Point-Of-Care Ultrasound in Acute Kidney Injury. Blood Purif 2022 Mar 18:1-5

Date

03/21/2022

Pubmed ID

35306497

DOI

10.1159/000522652

Scopus ID

2-s2.0-85127914365   1 Citation

Abstract

Acute kidney injury (AKI) is a clinical syndrome caused by a multitude of hemodynamic, toxic, and structural insults to the kidney, and portends worse patient outcomes. Despite careful history taking, physical examination, and analysis of laboratory data, a void is evident in the diagnostic process and clinical monitoring of AKI. Point-of-care ultrasonography (POCUS) is a limited ultrasound study performed by the clinician at bedside as an adjunct to physical examination. Growing body of evidence points to POCUS as a powerful tool in a variety of clinical settings. Herein, we discuss how nephrologist-performed POCUS has the potential to provide answers to focused questions that we encounter in diagnosis and management of patients with AKI. From excluding hydronephrosis to providing real-time insights into hemodynamics, incorporation of POCUS helps integrate all the pieces of patient data and formulate individualized treatment plans. Future studies are needed to evaluate the impact of multi-organ POCUS on AKI-related pragmatic patient outcomes, the potential of this technique to stratify the risk and to identify patients with different levels of severity of AKI and different pathophysiological signatures.

Author List

Koratala A, Ronco C, Kazory A

Author

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