Point-of-care ultrasound in diagnosis and management of congestive nephropathy  

作　　者：Michael Turk Thomas Robertson Abhilash Koratala 

机构地区：[1]Department of Medicine,Allegheny Health Network,Pittsburgh,PA 15222,United States [2]Division of Nephrology,Medical College of Wisconsin,Milwaukee,WI 53226,United States

出　　处：《World Journal of Critical Care Medicine》2023年第2期53-62,共10页世界重症医学杂志

摘　　要：Congestive nephropathy is kidney dysfunction caused by the impact of elevated venous pressures on renal hemodynamics.As a part of cardiorenal syndrome,the diagnosis is usually made based on history and physical examination,with findings such as jugular venous distension,a third heart sound,and vital signs as supporting findings.More recently,however,these once though objective measures have come under scrutiny for their accuracy.At the same time,bedside ultrasound has increased in popularity and is routinely being used by clinicians to take some of the guess work out of making the diagnosis of volume overload and venous congestion.In this mini-review,we will discuss some of the traditional methods used to measure venous congestion,describe the role of point-of-care ultrasound and how it can ameliorate a clinician’s evaluation,and offer a description of venous excess ultrasound score,a relatively novel scoring technique used to objectively quantify congestion.While there is a paucity of published large scale clinical trials evaluating the potential benefit of ultrasonography in venous congestion compared to gold standard invasive measurements,more study is underway to solidify the role of this objective measure in daily clinical practice.

关 键 词：ULTRASOUND Point-of-care ultrasonography Doppler Venous excess ultrasound score Congestion Hemodynamics Heart failure NEPHROLOGY 

分 类 号：R473.5[医药卫生—护理学]