Central venous pressure and ultrasonographic measurement correlation and their associations with intradialytic adverse events in hospitalized patients: A prospective observational study

Sekiguchi, Hiroshi; Seaburg, Luke; Suzuki, Jun; Astorne, Walter; Patel, Anil S.; Keller, A. Scott; Gajić, Ognjen; Kashani, Kianoush

doi:10.1016/j.jcrc.2017.10.039

Cited by 11 publications

(9 citation statements)

References 50 publications

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“…For example, B-lines in the lung suggestive of increased lung water are detected in ESRD patients even in the absence of symptoms such as dyspnea or peripheral edema[44]. Similarly, data suggests that inferior vena cava measurements by sonography are accurate to predict high or low central venous pressure in dialysis patients[45]. Focused bedside echocardiography is another must-have skill for the nephrologists, which helps quick detection of life-threatening conditions such as pericardial effusion.…”

Section: Beyond the Kidneymentioning

confidence: 99%

Point of care renal ultrasonography for the busy nephrologist: A pictorial review

Koratala¹,

Bhattacharya²,

Kazory³

2019

WJN

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The application of bedside ultrasonography in routine clinical practice has dramatically evolved over the last few decades and will likely continue to grow as technological advances lead to enhanced portability and affordability of the equipment. Despite mounting interest, most nephrology fellowship training programs do not offer formal training in renal ultrasonography and there is inertia among practicing nephrologists to adopt this skill as a practice-changing advancement. Lack of familiarity with the topic is considered a key reason for this inertia. Understanding of basic ultrasound physics, instrumentation, principles of optimal image acquisition and interpretation is critical for enhanced efficiency and patient safety while using this tool. Herein, we provide a brief overview of the basic principles of diagnostic renal ultrasonography as well as introduction to common sonographic pathologies encountered in day-to-day nephrology practice with illustrative images.

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Section: Beyond the Kidneymentioning

confidence: 99%

Point of care renal ultrasonography for the busy nephrologist: A pictorial review

Koratala¹,

Bhattacharya²,

Kazory³

2019

WJN

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“…On the other hand, there was non-significant difference between them regarding gender (Table 1). 80) 3 (20) 3.125 0.077 Z (Mann Whitney test) -χ 2 Chi square test **p ≤ 0.001 is statistically highly significant There was a significant decrease in IVC inspiratory after dialysis. There was a highly significant decrease in IVC expiratory and B lines after dialysis.…”

Section: Resultsmentioning

confidence: 96%

Dry Weight Assessment in Children on Regular Hemodialysis with Special Relation Between Acute and Chronic Renal Failure

Saadoon¹,

Youssef²,

Ali³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Adequate assessment of fluid status is an imperative objective in the management of HD patients. An inaccurate assessment of dry weight leads to many complications. Objective: The aim was to assess applicability of clinical using inferior vena cava (IVC) and lung ultrasonography to assess dry weight and the adequacy of fluid removal in hemodialysis children with special relation between acute and chronic renal failure. Patients and methods: 75 children were classified into two groups: Group (1): Chronic renal failure and group (2): Acute renal failure. Results: A statistically positive significant correlation between percent of weight loss after dialysis among the studied patients and all of serum ferritin, creatinine, phosphorus and iron. There was statistically negative significant correlation between percent of weight loss after dialysis among the studied patients and serum creatinine. There was statistically significant negative correlation between percent of weight loss after dialysis among the studied patients and SPAP. There was statistically non-significant correlation between percent of weight loss after dialysis among the studied patients and percent change in IVC inspiratory diameter, expiratory diameter, collapse index and B lines. There was statistically significant difference between the studied groups and expiratory IVCD, collapse index before and after dialysis, difference in B lines. Conclusion: Lung ultrasound is an accurate and sensitive method of quantifying subclinical fluid overload in children on dialysis before its clinical manifestation. IVC measurement is reliable to assess intravascular fluid overload in children on HD and was not correlated with extracellular fluid volume as need more time (2-3h) after dialysis and maneuver difficult with young age.

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“…The inferior vena cava (IVC) is a compliant tear-shaped vessel. IVC size and shape fluctuate with variations in CVP and intravascular volume (22,23). Several factors may affect the IVC size.…”

Section: Inferior Vena Cava (Ivc)mentioning

confidence: 99%

“…However, measuring IVC in the supine position is now recommended in the American Society of Echocardiography guidelines (25). The IVC diameter assessment is usually considered a noninvasive tool to measure central venous pressure (CVP) (22). Measuring CVP was described several decades ago (20) and has since become a standard method to assess volume status and guidance for intravenous fluid therapy.…”

Section: Inferior Vena Cava (Ivc)mentioning

confidence: 99%

Use of Ultrasound to Assess Hemodynamics in Acutely Ill Patients

2021

Self Cite

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Early diagnosis of acute kidney injury (AKI) and preventive measures can likely decrease the severity of the injury and improve patient outcomes. Current hemodynamic monitoring variables, including blood pressure, heart and respiratory rates, temperature, and oxygenation status, have been used to identify patients at high risk for AKI. Despite the widespread use of such variables, their ability to accurately and timely detect high-risk patients has been questioned. Therefore, there is a critical need to develop and validate tools that can measure new and more kidney-specific hemodynamic and laboratory variables, potentially assisting with AKI risk stratification, implementing appropriate and timely preventive measures, and hopefully improved outcomes. The new ultrasonography techniques provide novel insights into kidney hemodynamics and potential management and/or therapeutic targets. Contrast-enhanced ultrasonography, Doppler flow patterns of hepatic veins (HV), portal vein (PV), and intra- kidney veins (iKV), and ultrasound elastography are among approaches that may provide such information, particularly related to vascular changes in acute kidney injury, venous volume excess or congestion, and fluid tolerance. This review summarizes the current state of these techniques and their relevance to kidney hemodynamic management.

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Central venous pressure and ultrasonographic measurement correlation and their associations with intradialytic adverse events in hospitalized patients: A prospective observational study

Cited by 11 publications

References 50 publications

Point of care renal ultrasonography for the busy nephrologist: A pictorial review

Point of care renal ultrasonography for the busy nephrologist: A pictorial review

Dry Weight Assessment in Children on Regular Hemodialysis with Special Relation Between Acute and Chronic Renal Failure

Use of Ultrasound to Assess Hemodynamics in Acutely Ill Patients

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