Lung Ultrasound: A Novel Technique for Detecting Fluid Overload in Children on Hemodialysis

Document Type : Original Research Papers

Authors

1 Pediatrics, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

2 Radiology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Abstract

Adult hemodialysis patients have benefited from studies on the use of lung ultrasounds. Despite this, it is still difficult to use in paediatric patients. The purpose of this research is to determine whether or not juvenile hemodialysis patients can be monitored for dry weight using lung ultrasonography to measure volume overload. Sources and Procedures: An observational research in the nephrology unit of Benha University Hospital's hospital nephrology department was conducted. The B-line scores of the dry-weight and non-dry-weight groups were compared before and after dialysis. Dialysis sessions and interdialytic periods were documented for changes in body weight and B-line scores, and the association was examined. A total of 40 lung ultrasounds were done on 20 children before to and after hemodialysis, respectively. After dialysis, all patients' B-line scores dropped significantly (p 0.001). r=0.811, p0.01 and r=0.59, p0.001 and r=0.75, p0.001 respectively) were shown to be associated with an increase in interdialytic weight, blood pressure, and the clinical fluid score prior to dialysis. When it comes to B-line score decrease, dialytic weight loss (r=0.891, p0.01) is directly and positively connected (r=0.891). Pediatric hemodialysis patients' fluid volume changes may be assessed using lung ultrasonography. In addition, lung ultrasonography may be used to assess dry weight in children undergoing hemodialysis.

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