Application of Point-of-Care Ultrasound(POCUS) in Children with End-Stage KidneyDisease

Abstract

The use of point-of-care ultrasound is becoming increasingly common among non-radiologist clinicians. There has also been increased interest in the bedside assessment of fluid status in hemodialytic patients. Lung ultrasound and inferior vena cava collapsibility index measurement methods may assist the detection of fluid overload. Current information on the role of POCUS in regard of the assessment of predialytic fluid overload in hemodialytic children is scarce. In this article, we aim to review and emphasize the importance of a non-invasive bedside method of assessing the predialytic volume overload of children based on the published literature. Well-designed studies with larger samples are needed to prove the reliability of the use of lung ultrasound and inferior vena cava collapsibility index in the assessment of predialysis fluid overload in children.