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

Koratala, Abhilash; Bhattacharya, Deepti; Kazory, Amir

doi:10.5527/wjcc.v8.i3.44

Cited by 38 publications

(45 citation statements)

References 47 publications

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“…Point of care ultrasound (POCUS) is a fast, portable, and non-invasive diagnostic tool [1][2][3]. Physicians proficient in its use can quickly answer specific clinical questions at the bedside.…”

Section: Introductionmentioning

confidence: 99%

“…Physicians proficient in its use can quickly answer specific clinical questions at the bedside. The diagnostic accuracy of POCUS for detection of many pathologies (e.g., pleural effusion, pneumothorax, pneumonia, and interstitial syndromes [4][5][6][7][8][9], hydronephrosis [1,2], hepatomegaly [10], splenomegaly [11], and ascites [10]) is excellent. Therefore, POCUS is an invaluable adjunct to bedside diagnostic evaluation.…”

Section: Introductionmentioning

confidence: 99%

“…There is substantial evidence to support the clinical value of POCUS to several specialties [1][2][3]12]. Yet, surprisingly, practicing physicians have been mostly reluctant to integrate this paradigm-shifting technology into their routine practice [1]. This is partly due to their lack of familiarity with the tool [1].…”

Section: Introductionmentioning

confidence: 99%

“…Yet, surprisingly, practicing physicians have been mostly reluctant to integrate this paradigm-shifting technology into their routine practice [1]. This is partly due to their lack of familiarity with the tool [1]. As POCUS is a relatively new technology, most frontline physicians have little or no experience with its use.…”

Section: Introductionmentioning

confidence: 99%

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Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Jarwan¹,

Alshamrani²,

Alghamdi³

et al. 2020

Cureus

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Background and objective The use of point-of-care ultrasound (POCUS) is generally on the rise worldwide. However, as the epidemiology of diseases and the approach to their management vary internationally, POCUS may not be universally applicable. The resources available for medical education are generally limited. Thus, when considering the development of a training program during the internship year, we sought to determine interns' perceptions of the applicability of POCUS to clinical practice, the current skill gaps, and barriers to training. Methods A validated questionnaire was distributed to the interns of the College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh to determine their proficiency in POCUS, and their opinions on its applicability on a 5-point Likert scale. Each skill gap was calculated by subtracting selfreported proficiency in POCUS from its perceived applicability. Results Of the 300 total interns (male: 200, female: 100), 229 participated [response rate: 76%; male: 136 (68%), female: 93 (93%)]. The use of POCUS to detect abdominal free fluid was perceived to be the most applicable use (mean: 3.9 ±1.1); scanning for consolidation was the least applicable (mean: 3.0 ±1.2). Knowledge and proficiency among the sample were generally poor. The skill gap was greatest for the assessment of inferior vena cava collapsibility (mean: 1.4 ±1.3) and least for the identification of pneumothorax (mean: 0.5 ±1.5). Although three-quarters of the participants (170) agreed that POCUS was an essential skill, 36 (16%) stated that they had no interest in it, and nearly half (101) believed that they did not have time to learn POCUS. Conclusions While POCUS is applicable to medical interns in Saudi Arabia, significant skill gaps exist. However, our sample's perception of the applicability of POCUS was less favorable than that of internal medicine (IM) residents in Canada. Thus, initiating POCUS training during the internship year may yield suboptimal results. Interns must prioritize medical licensing examinations and applications for residency training. Indeed, many interns believe that they do not have enough time to learn POCUS. Thus, prioritizing the training of residents in POCUS may be a more effective use of the finite resources available for medical education.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Jarwan¹,

Alshamrani²,

Alghamdi³

et al. 2020

Cureus

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“…Voiding cystourethrography (VCUG) is recommended if ultrasonography diagnoses scarring, hydronephrosis or other ndings suggestive of obstructive uropathy or vesicoureteral re ux [19]. Renal scintigraphy scan is a preferred diagnostic test to estimate GFR and blood ow in kidneys [20]. In most of the cases, renal US are effective to identify urinary tract abnormalities but not prioritized for renal parenchymal diagnosis [21].…”

Section: Accurate Diagnosis Of Kidney Disease Proves Bottleneck Solelmentioning

confidence: 99%

A correlation study of the effectiveness of renal scintigraphy and sonography in the detection and evaluation of renal disorders

Alsubhi

Alghanmi

Alzabidi

et al. 2020

Preprint

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Background: This retrospective study was undertaken to assess correlation between renal scintigraphy employing technetium Tc-99m chelated with radiopharmaceutical drug Diethylenetriamine Penta Acetic Acid (DTPA) and renal ultrasonography morphological findings. Methods: For this purpose, ninety six patients imaging data was statistically analyzed including 43 females and 53 males. All the patients were subjected to renal scintigraphy while 68 patients underwent renal ultrasonography. Renal U/S reported anatomical renal anomaly in 94.1% patients versus 85.4% detected by scintigraphy. There were 41 patients out of 68 diagnosed with hydronephrosis and 21 of them were suffering with mild hydronephrosis as suggested by U/S imaging. Results: Renal scintigraphy of 41 hydronephrotic patients validated that 19 patients having non-obstructive bilateral pelvic dilation while remaining 22 with mild to severe obstruction. Ultrasonography diagnosed 4 patients with renal obstruction. Conversely, renal scintigraphy validated 2 of them with renal obstruction on the basis of renal function. In total, 19 out 96 patients were reported with renal obstruction through scintigraphy and validated obstruction in 1 of the 3 patients who were diagnosed with abnormal postvoid residual volume through U/S. Conclusion: Renal scintigraphy is not significant in diagnosing kidney disease; rather this is a vibrant imaging tool providing supplementary data on the basis of renal function. Effectively targeted intervention regime can be achieved by correlating renal scintigraphy and renal ultrasonography results to minimize renal disease incidence.

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Point-of-care ultrasound in pediatric nephrology

et al. 2022

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Point-of-care ultrasound (POCUS) has evolved in recent years in clinical practice, helping in early bedside diagnosis of important etiologies. Many medical schools and training programs are integrating POCUS into their curriculum. Especially with the technological advances of newer handheld ultrasound devices, POCUS has now become a component adjunct to clinical examination, in the clinic and bedside in critical care units. The diagnostic utility of POCUS lies both in early identification of critical kidney disease, and also extra-renal pathologies from a focused cardiac ultrasound, lung ultrasound, and integrated fluid assessment. There is a need to incorporate POCUS in training in pediatric nephrology and establish competency standard criteria. This review shall cover how POCUS helps in enhancing patient care in pediatric kidney disorders and critical children, and the recent advances.

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

Cited by 38 publications

References 47 publications

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

Point-of-Care Ultrasound Training: An Assessment of Interns’ Needs and Barriers to Training

A correlation study of the effectiveness of renal scintigraphy and sonography in the detection and evaluation of renal disorders

Point-of-care ultrasound in pediatric nephrology

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