Utilizing point-of-care ultrasound in the cardiorenal clinic to enhance patient care

Abstract

Utilizing point-of-care ultrasound in the cardiorenal clinic to enhance patient careA utilização de ultrassom point-of-care na clínica cardiorrenal para melhorar o atendimento ao paciente

Point‐of‐care Doppler ultrasound in the management of hyponatremia: Another string to nephrologists' Bow

“…Lung ultrasound was not suggestive of congestion and consisted of predominantly A‐line pattern. While one may argue these findings could be seen in chronic pulmonary hypertension, in our experience from the cardiorenal clinic at our institution, 7 portal vein tends to be less congested compared to hepatic and intrarenal veins even in patients with severe chronic pulmonary hypertension. This is likely because central venous pressure is not completely transmitted to portal vein through the hepatic sinusoidal system as opposed to hepatic vein, which is a direct tributary of the IVC 8 .…”

Comprehensive Assessment of Fluid Status by Point-of-Care Ultrasonography

“…Users with additional training in Doppler echocardiography assess additional parameters such as cardiac output and its response to fluid administration, LV filling pressures and right ventricular filling pressures at the bedside. 39 Venous Doppler:…”

“…Therefore, IVC ultrasound should be interpreted in conjunction with other POCUS findings and the overall clinical picture. Users with further training in Doppler echocardiography assess additional parameters, such as cardiac output and its response to fluid administration, LV filling pressures, and right ventricular filling pressures at the bedside (39).…”

Venous Excess Doppler Ultrasound for the Nephrologist: Pearls and Pitfalls

“…In addition to quantification of congestion and prognostic significance, serial monitoring of these waveforms provides a real-time appraisal of the efficacy of decongestive therapy, as reported in multiple case studies. 39 , 40 , 41 , 42 , 43 , 44 , 45 Following are 2 case examples from our practice.…”