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dc.contributor.authorSafadi, Sami
dc.contributor.authorMurthi, Sarah
dc.contributor.authorKashani, Kianoush B
dc.date.accessioned2022-04-07T15:00:42Z
dc.date.available2022-04-07T15:00:42Z
dc.date.issued2021-06-02
dc.identifier.urihttp://hdl.handle.net/10713/18485
dc.description.abstractEarly 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.en_US
dc.description.urihttps://doi.org/10.34067/KID.0002322021en_US
dc.description.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/35369668/en_US
dc.language.isoenen_US
dc.publisherAmerican Society of Nephrologyen_US
dc.relation.ispartofKidney360en_US
dc.rightsCopyright © 2021 by the American Society of Nephrology.en_US
dc.subjectAKIen_US
dc.subjectIVFen_US
dc.subjectPOCUen_US
dc.subjectacute kidney injuryen_US
dc.subjectacute kidney injury and ICU nephrologyen_US
dc.subjecthemodynamicsen_US
dc.subjectintravenous fluidsen_US
dc.subjectkidney congestionen_US
dc.subjectultrasounden_US
dc.subjectvolume overloaden_US
dc.subjectvolume toleranceen_US
dc.titleUse of Ultrasound to Assess Hemodynamics in Acutely Ill Patients.en_US
dc.typeArticleen_US
dc.identifier.doi10.34067/KID.0002322021
dc.identifier.pmid35369668
dc.source.journaltitleKidney360
dc.source.volume2
dc.source.issue8
dc.source.beginpage1349
dc.source.endpage1359
dc.source.countryUnited States


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