Point-of-care ultrasonography in nephrology:Growing applications,misconceptions and future outlook  

作　　者：Hugo Diniz Filipa Ferreira Abhilash Koratala 

机构地区：[1]Department of Nephrology,Centro Hospitalar E Universitário De São João,Porto 4200-319,Portugal [2]Division of Nephrology,Medical College of Wisconsin,Milwaukee,WI 53226,United States

出　　处：《World Journal of Nephrology》2025年第2期34-44,共11页世界肾病学杂志(英文)

摘　　要：Ultrasound has long been an essential tool in nephrology,traditionally used for procedures like vascular access and kidney biopsies.Point-of-care ultrasonography(POCUS),a rapidly evolving bedside technology,is now gaining momentum in nephrology by providing real-time imaging to enhance physical examination findings.Unlike comprehensive radiology-performed ultrasound,POCUS focuses on specific clinical questions,providing immediate and actionable insights.This narrative review examines the philosophy behind POCUS,its expanding applications in nephrology,and its impact on patient care,including its role in diagnosing obstructive uropathy,guiding fluid management,and evaluating hemodynamics in cardiorenal syndrome.Additionally,the review addresses barriers to widespread adoption,such as the need for structured training,competency validation,and interdisciplinary cooperation.By integrating POCUS into routine practice,nephrologists can refine diagnostic accuracy,improve patient outcomes,and strengthen the role of bedside medicine.

关 键 词：Point-of-care ultrasonography NEPHROLOGY Fluid management Hemodynamic assessment Competency assessment Bedside diagnostics 

分 类 号：R69[医药卫生—泌尿科学]