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Lung ultrasound can efficiently diagnose volume overload in hemodialysis patients
An abbreviated lung ultrasound protocol can efficiently determine presence of lung congestion in patients receiving hemodialysis and help expedite care.Pulmonary congestion owing to fluid overload is common among patients with kidney failure on hemodialysis (HD) and contributes to excess morbidity and mortality in this population. Physical examination is an insensitive approach to...
An abbreviated lung ultrasound protocol can efficiently determine presence of lung congestion in patients receiving hemodialysis and help expedite care.
Pulmonary congestion owing to fluid overload is common among patients with kidney failure on hemodialysis (HD) and contributes to excess morbidity and mortality in this population. Physical examination is an insensitive approach to detecting pulmonary congestion. Previous studies have shown that 28-zone lung ultrasound is a sensitive test for detecting pulmonary congestion that is associated with adverse clinical outcomes. It is unknown whether abbreviated forms of lung ultrasound tests examining fewer than 28 zones have similar diagnostic sensitivity. In this comparative study published in the American Journal of Kidney Diseases (AJKD), Nathaniel Reisinger et al found that several abbreviated lung ultrasound protocols (4, 6, or 8-zone) performed similarly to 28-zone studies among patients with kidney failure on hemodialysis seeking care in an emergency department. The researchers did not demonstrate mortality differences between those with no-to-mild and moderate-to-severe pulmonary congestion. These data suggest that abbreviated lung ultrasound may be useful for expeditious evaluation of pulmonary congestion.
https://www.ajkd.org/article/S0272-6386(21)00632-6/fulltext
Hina Zahid Joined Medical Dialogue in 2017 with a passion to work as a Reporter. She coordinates with various national and international journals and association and covers all the stories related to Medical guidelines, Medical Journals, rare medical surgeries as well as all the updates in the medical field. Email:Â editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751