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    Use of Ultrasound to Assess Hemodynamics in Acutely Ill Patients.

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    Author
    Safadi, Sami
    Murthi, Sarah
    Kashani, Kianoush B
    Date
    2021-06-02
    Journal
    Kidney360
    Publisher
    American Society of Nephrology
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.34067/KID.0002322021
    https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/35369668/
    Abstract
    Early diagnosis of AKI and preventive measures can likely decrease the severity of the injury and improve patient outcomes. Current hemodynamic monitoring variables, including BP, 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 patients who are high risk 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, portal vein, and intrakidney veins; and ultrasound elastography are among approaches that may provide such information, particularly related to vascular changes in AKI, venous volume excess or congestion, and fluid tolerance. This review summarizes the current state of these techniques and their relevance to kidney hemodynamic management.
    Rights/Terms
    Copyright © 2021 by the American Society of Nephrology.
    Keyword
    AKI
    IVF
    POCU
    acute kidney injury
    acute kidney injury and ICU nephrology
    hemodynamics
    intravenous fluids
    kidney congestion
    ultrasound
    volume overload
    volume tolerance
    Show allShow less
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18485
    ae974a485f413a2113503eed53cd6c53
    10.34067/KID.0002322021
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