Lung ultrasonography in end-stage renal disease: Moving from evidence to practice-a narrative review

Daniel W. Ross, Mohammed M. Abbasi, Kenar D. Jhaveri, Mala Sachdeva, Ilene Miller, Richard Barnett, Mangala Narasimhan, Paul Mayo, Massini Merzkani, Anna T. Mathew

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations

Abstract

Traditionally, point of care ultrasonography in nephrology has been used for renal biopsies and dialysis line placement. However, there is an emerging literature supporting the value of point of care lung ultrasonography in the assessment of volume status for dialysis patients.We conducted a review and identified 12 studies that examined the utility of lung ultrasonography in assessing volume status in patients with end-stage renal disease.We conclude that lung ultrasonography can be used to determine volume status in chronic dialysis patients by identifying lung congestion using the B-line score. Incorporating this technique into practice may have significant diagnostic and prognostic value for this high-risk population, as it provides the nephrologist with a useful bedside technique to assess extravascular lung water. Developing competence in lung ultrasonography is straightforward. The nephrology community should consider adding this useful tool into fellowship training, paralleling its broader use in other internal medicine specialties.

Original languageEnglish
Pages (from-to)172-178
Number of pages7
JournalClinical Kidney Journal
Volume11
Issue number2
DOIs
StatePublished - Apr 1 2018

Keywords

  • Fellowship
  • Lung ultrasonography
  • Lung ultrasonography in nephrology
  • Ultrasonography in dialysis
  • Volume assessment

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