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Point-of-care ultrasound in diagnosis and management of congestive nephropathy
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075049/ https://www.ncbi.nlm.nih.gov/pubmed/37034023 http://dx.doi.org/10.5492/wjccm.v12.i2.53 |
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author | Turk, Michael Robertson, Thomas Koratala, Abhilash |
author_facet | Turk, Michael Robertson, Thomas Koratala, Abhilash |
author_sort | Turk, Michael |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10075049 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-100750492023-04-06 Point-of-care ultrasound in diagnosis and management of congestive nephropathy Turk, Michael Robertson, Thomas Koratala, Abhilash World J Crit Care Med Minireviews 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. Baishideng Publishing Group Inc 2023-03-09 /pmc/articles/PMC10075049/ /pubmed/37034023 http://dx.doi.org/10.5492/wjccm.v12.i2.53 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Minireviews Turk, Michael Robertson, Thomas Koratala, Abhilash Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title | Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title_full | Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title_fullStr | Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title_full_unstemmed | Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title_short | Point-of-care ultrasound in diagnosis and management of congestive nephropathy |
title_sort | point-of-care ultrasound in diagnosis and management of congestive nephropathy |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10075049/ https://www.ncbi.nlm.nih.gov/pubmed/37034023 http://dx.doi.org/10.5492/wjccm.v12.i2.53 |
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