Sinanan Rajiv, Moshtaghi Afsheen, Koratala Abhilash
Arizona Kidney Disease and Hypertension Centers, Phoenix, AZ 85016, United States.
Department of Medicine, Verde Valley Medical Center, Cottonwood, AZ 86326, United States.
World J Methodol. 2024 Dec 20;14(4):95685. doi: 10.5662/wjm.v14.i4.95685.
Point-of-care ultrasound (POCUS) is a limited ultrasound examination performed by the clinician at the bedside, emerging as a complement to physical examination across various medical specialties. In the field of nephrology, its integration has been gradual, primarily limited to guiding procedures like temporary dialysis catheter placement or, in some cases, diagnostic kidney ultrasounds. In reality, the assessment of hemodynamic status at the bedside holds immense value for nephrologists, yet there exists limited awareness among practitioners regarding its implementation. While there is a growing trend towards incorporating multi-organ POCUS training in fellowship programs, private practice nephrologists remain relatively uninformed. This discussion explores the untapped potential of POCUS as a valuable diagnostic tool in everyday nephrology practice, demonstrating its effectiveness in diverse clinical settings, ranging from medical wards to outpatient dialysis units. Additionally, we delve into the challenges hindering its widespread adoption and consider the future trajectory of this innovative approach.
床旁超声检查(POCUS)是临床医生在床边进行的有限超声检查,正逐渐成为各个医学专科体格检查的补充手段。在肾脏病领域,其整合过程较为缓慢,主要局限于指导诸如临时透析导管置入等操作,或在某些情况下用于诊断性肾脏超声检查。实际上,床边血流动力学状态评估对肾脏病医生具有巨大价值,但从业者对其应用的认识有限。虽然在 fellowship 项目中纳入多器官 POCUS 培训的趋势日益增强,但私人执业的肾脏病医生仍然了解较少。本讨论探讨了 POCUS 在日常肾脏病实践中作为一种有价值的诊断工具的未被开发的潜力,展示了其在从内科病房到门诊透析单元等各种临床环境中的有效性。此外,我们深入研究了阻碍其广泛应用的挑战,并考虑了这种创新方法的未来发展轨迹。