Point of care kidney ultrasonography and its role in the diagnosis of urinary obstruction: a case report

Abstract

POCUS assessment of the renal tract may become the new standard of care among nephrologists by enabling the expansion of clinical information in a timely fashion, allowing faster resolution of cases and permitting the monitoring of the treatment done.

Vantagens da ultrassonografia de bexiga na mensuração do volume urinário em pacientes críticos: revisão integrativa [Advantages of bladder ultrasound in measuring urine volume in critically ill patients: an integrative review] [Ventajas de la ecografía vesical en la medición del volumen urinario en pacientes críticos: revisión integradora]

“…To carry out the initial UR diagnosis, anamnesis and physical examination are adopted; however, these methods are influenced by the patients' clinical conditions, causing precision loss in the Nursing diagnosis. The use of technology contributes to urinary volume analysis; imaging techniques, including bladder ultrasonography (US), are very effective for the use of reliable UR diagnoses in order to prevent unnecessary catheterizations 8,9 .…”

“…Bladder ultrasonography is noteworthy for being a quick and non-invasive procedure that offers real-time UR diagnosis at the bedside, leading to fast decision-making and, subsequently, to the adoption of a course of action by health professionals, especially nurses since, with US, it is possible to estimate urinary volume more efficiently and accurately [8][9][10] .…”

“…The national scientific productions whose objective is US use by nurses in the in-hospital setting to measure urinary volume are still little explored. This lack of research makes it difficult to understand the advantages of its use by Nursing professionals, generating barriers to adherence in measuring urinary volume through bladder US [6][7][8][9][10][11] . The publications are related to patients in post-anesthesia recovery rooms and mediate post-operative period 6,12 .…”

Uso do ultrassom portátil para detecção de retenção urinária por enfermeiros na recuperação anestésica

“…Diferentemente das técnicas de imagens, como radiografia convencional, tomografia computadorizada, ressonância magnética, cintilografia radioisotópica e ultrassonografia, o exame físico tradicional não possibilita visualização sob a pele do paciente 5,6 .…”

“…Dentre os métodos de imagem, a ultrassonografia é a mais aceita, por não utilizar radiação ionizante, não ser invasiva, permitir estudos dinâmicos e orientação de procedimentos, o que a torna um método com enorme potencialidade para incorporação à prática clínica e serve como extensão ao exame físico 5,6 .…”