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2020, vol. 77, iss. 9, pp. 943-949
Lung ultrasound for volume status assessment in chronic hemodialysis patients
aUniversity of Novi Sad, Faculty of Medicine, Institute for Cardiovascular Disease + University of Novi Sad, Faculty of Medicine
bGeneral Hospital Kikinda, Kikinda
cUniversity of Novi Sad, Faculty of Medicine + Clinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad
dUniversity of Novi Sad, Faculty of Medicine + Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica
Keywords: renal hemodialysis; lung; ultrasonography; natriuretic peptide, brain; vena cava, inferior; echocardiography; water-electrolyte imbalance
Background/Aim. Assessing volume status in chronic hemodialysis (HD) patients is difficult despite several techniques have been developed. The aim of this study was to demonstrate the adequacy and efficacy of lung ultrasound (LUS) and B line score (BLS) in the assessment of volume status in patients on HD in comparison to other techniques: ultrasonographic determination of inferior vena cava diameter (IVCD), echocardiography (ECHO) and B-type natriuretic peptide (BNP) determination. Methods. LUS, ECHO, ultrasonography of inferior vena cava in inspiration (IVCDi) and expiration (IVCDe), and BNP sampling were performed before and after HD in 83 patients. Results. A significant reduction of BLS, IVCDi, IVCDe, BNP and several ECHO parameters such as left atrium diameter (LA), left ventricular internal dimension in diastole and systole (LVIDd and LVIDs, respectively), and left atrial volume in systole (LAVs), was registered (p < 0.001). There was a significant correlation between BLS and BNP before (p = 0.01) and after HD (p = 0.05), and a weaker but significant correlation between BLS and IVCDi and IVCDe before HD (p = 0.05). Conclusion. All techniques assessed hypervolemia before and after HD successfully. BNP correlated with LUS before and after HD, and IVCDi and IVCDe correlated with LUS only before HD. LUS is cheap and simple to perform, can be performed bedside and can be reliably used for assessing volume status in HD patients.
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article language: English
document type: Original Scientific Paper
DOI: 10.2298/VSP180622167I
published in SCIndeks: 09/10/2020
peer review method: double-blind
Creative Commons License 4.0

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