Bedside sonographic assessments for predicting predialysis fluid overload in children with end-stage kidney disease

Conclusion:  Randomized controlled studies are needed to prove the reliability of the combined use of lung ultrasounds and cIVC in the assessment of predialysis fluid overload.What is Known:• The association of chronic fluid overload with increased morbidity and mortality raises the need for optimal determination of fluid overload in pediatric patients who are dialysis-dependent at a young age.• The linear correlation between the total number of B-lines on lung ultrasound images and fluid overload by weight has been shown.What is New:• This study evaluates the lung ultrasound and inferior vena cava collapsibility index combined in predicting fluid overload in dialytic children.• If either the total number of B-lines or the cIVC was outside the corresponding cutoff range (>10.5 and cIVC ≤18.2, respectively), the severe predialysis fluid overload was predicted successfully in all eight (100%) sessions.
Source: European Journal of Pediatrics - Category: Pediatrics Source Type: research