Abstract
Intradialytic Hypotension in Critically Ill Patients on Hemodialysis With A-Line versus B-Line Pattern on Lung Ultrasonography
Highlights
A dequate volume removal in critically ill patients during hemodialysis can be limited due to intradialytic hypotension (IDH)
Point of care ultrasonography (POCUS) is a reliable tool to aid in volume assessment
If an ultrasound wave meets a waterthickened interlobular septa beneath the pleural surface, the waves are reverberated in an air-fluid microenvironment, creating a linear reverberation artifact known as a “B-line.”
Summary
A dequate volume removal in critically ill patients during hemodialysis can be limited due to intradialytic hypotension (IDH). We hypothesize that patients with A-line pattern (dry lungs) on LUS have a higher incidence of IDH Kidney International Reports (2021) 6, 1969–1972 compared with patients with B-line pattern (wet lungs).
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