الفهرس | Only 14 pages are availabe for public view |
Abstract Volume overload is associated with increased incidence of cardiovascular diseases, morbidity, hospital admission and mortality. All efforts have been exerted for dry weight probing. Lung ultrasound has been proposed for the non-invasive, inexpensive, radiation free, bedside estimation of extravascular lung water through B-lines assessment. The present study aimed to evaluate the utility of lung ultrasonography to determine the accuracy of prescribed dry weight in chronic hemodialysis patients and to ascertain the adequacy of fluid removal. We concluded that the intradialytic percentage change in B-lines is associated significantly with the percent change in total body weight reduction and the ultrafiltration rate. With its noninvasiveness, freedom from radiation, ease of use, acceptable intra/inter-operator reproducibility, and availability of portable ultrasound devices in dialysis units, so lung ultrasonography can be considered one of the most interesting methods for near-precise assessment of volume status in patients on maintenance hemodialysis. Consequently, as demonstrated in this study lung ultrasound is valuable guide for the evaluation of dry weight. |