使用SAFE - A方案对血液透析前后患者进行超声检查的结果。

Sonographic findings using the SAFE-A protocol in pre- and post-hemodialysis patients.

作者信息

Rabahi Matheus, Polito Maria Goretti, Takaoka Larissa Louise Cândida Pereira, Conte Marcus Barreto, Colares Philippe Figueiredo Braga

机构信息

Departamento de Medicina Interna, Hospital Estadual Alberto Rassi, Goiânia, GO, Brazil.

Departamento de Nefrologia, Hospital Estadual Alberto Rassi, Goiânia, GO, Brazil.

出版信息

Ultrasound J. 2024 Aug 27;16(1):41. doi: 10.1186/s13089-024-00390-5.

DOI:10.1186/s13089-024-00390-5

PMID:39190180

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349959/

Abstract

BACKGROUND

Accurate assessment of relative intravascular volume is one of the cornerstones for the proper management of hospitalized patients requiring hemodialysis. Currently, the use of dynamic parameters such as bedside ultrasonography is recommended to support the assessment of the intravascular volume profile. This study aimed to prospectively evaluate findings of sonographic assessment of intravascular volume estimate (SAFE-A) protocol among hemodialysis inpatients with end-stage renal disease, before and after the hemodialysis sessions, and correlate these findings with the net ultrafiltrate (UFNET).

RESULTS

A positive correlation was found between the negative variation of 1 point in the score of the SAFE-A protocol with the withdrawal of 426.73 mL of net ultrafiltrate.

CONCLUSIONS

There was a strong correlation between the score of the SAFE-A protocol and the net ultrafiltrate. Therefore, this study concludes that the application of the SAFE-A protocol in dialysis patients demonstrates a correlation between the suggested score and volume status, consistent with findings from the original study conducted in a distinct population.

摘要