Skip to main content
Top
Published in: Pediatric Nephrology 6/2023

26-09-2022 | Ultrasound | Educational Review

Point-of-care ultrasound in pediatric nephrology

Authors: Sidharth Kumar Sethi, Rupesh Raina, Abhilash Koratala, Afagh Hassanzadeh Rad, Ananya Vadhera, Hamidreza Badeli

Published in: Pediatric Nephrology | Issue 6/2023

Login to get access

Abstract

Point-of-care ultrasound (POCUS) has evolved in recent years in clinical practice, helping in early bedside diagnosis of important etiologies. Many medical schools and training programs are integrating POCUS into their curriculum. Especially with the technological advances of newer handheld ultrasound devices, POCUS has now become a component adjunct to clinical examination, in the clinic and bedside in critical care units. The diagnostic utility of POCUS lies both in early identification of critical kidney disease, and also extra-renal pathologies from a focused cardiac ultrasound, lung ultrasound, and integrated fluid assessment. There is a need to incorporate POCUS in training in pediatric nephrology and establish competency standard criteria. This review shall cover how POCUS helps in enhancing patient care in pediatric kidney disorders and critical children, and the recent advances.
Literature
3.
4.
go back to reference Hassanzadeh Rad A, Badeli H (2017) Point-of-care ultrasonography: is it time nephrologists were equipped with the 21th century’s stethoscope? Iran J Kidney Dis 11:259–262PubMed Hassanzadeh Rad A, Badeli H (2017) Point-of-care ultrasonography: is it time nephrologists were equipped with the 21th century’s stethoscope? Iran J Kidney Dis 11:259–262PubMed
5.
go back to reference Cox EGM, Koster G, Baron A, Kaufmann T, Eck RJ, Veenstra TC, Hiemstra B, Wong A, Kwee TC, Tulleken JE, Keus F, Wiersema R, van der Horst ICC (2020) Should the ultrasound probe replace your stethoscope? A SICS-I sub-study comparing lung ultrasound and pulmonary auscultation in the critically ill. Crit Care 24:14. https://doi.org/10.1186/s13054-019-2719-8 Cox EGM, Koster G, Baron A, Kaufmann T, Eck RJ, Veenstra TC, Hiemstra B, Wong A, Kwee TC, Tulleken JE, Keus F, Wiersema R, van der Horst ICC (2020) Should the ultrasound probe replace your stethoscope? A SICS-I sub-study comparing lung ultrasound and pulmonary auscultation in the critically ill. Crit Care 24:14. https://​doi.​org/​10.​1186/​s13054-019-2719-8
17.
go back to reference Parri N, Berant R, Giacalone M, Corsini I, Titomanlio L, Connolly J, Kwan C, Teng D, European Society of Emergency Pediatrics (EUSEP), the Ultrasound Section of the European Society for Emergency Medicine (EUSEM), and the Pediatric Emergency Medicine Point-of-Care Ultrasound (P2) Network (2021) Point-of-care ultrasonography in pediatrics. Pediatr Radiol 51:1271–1272. https://doi.org/10.1007/s00247-021-05077-wCrossRefPubMed Parri N, Berant R, Giacalone M, Corsini I, Titomanlio L, Connolly J, Kwan C, Teng D, European Society of Emergency Pediatrics (EUSEP), the Ultrasound Section of the European Society for Emergency Medicine (EUSEM), and the Pediatric Emergency Medicine Point-of-Care Ultrasound (P2) Network (2021) Point-of-care ultrasonography in pediatrics. Pediatr Radiol 51:1271–1272. https://​doi.​org/​10.​1007/​s00247-021-05077-wCrossRefPubMed
19.
go back to reference Gimpel C, Avni EF, Breysem L, Burgmaier K, Caroli A, Cetiner M, Haffner D, Hartung EA, Franke D, König J, Liebau MC, Mekahli D, Ong ACM, Pape L, Titieni A, Torra R, Winyard PJD, Schaefer F (2019) Imaging of kidney cysts and cystic kidney diseases in children: an International Working Group consensus statement. Radiology 290:769–782. https://doi.org/10.1148/radiol.2018181243CrossRefPubMed Gimpel C, Avni EF, Breysem L, Burgmaier K, Caroli A, Cetiner M, Haffner D, Hartung EA, Franke D, König J, Liebau MC, Mekahli D, Ong ACM, Pape L, Titieni A, Torra R, Winyard PJD, Schaefer F (2019) Imaging of kidney cysts and cystic kidney diseases in children: an International Working Group consensus statement. Radiology 290:769–782. https://​doi.​org/​10.​1148/​radiol.​2018181243CrossRefPubMed
25.
go back to reference Hsieh YC, Tsai WS, Tsau YK (1998) Urinary bladder outlet obstruction in children. Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi 39:376–379PubMed Hsieh YC, Tsai WS, Tsau YK (1998) Urinary bladder outlet obstruction in children. Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi 39:376–379PubMed
28.
go back to reference Marin JR, Abo AM, Arroyo AC, Doniger SJ, Fischer JW, Rempell R, Gary B, Holmes JF, Kessler DO, Lam SH, Levine MC, Levy JA, Murray A, Ng L, Noble VE, Ramirez-Schrempp D, Riley DC, Saul T, Shah V, Sivitz AB, Tay ET, Teng D, Chaudoin L, Tsung JW, Vieira RL, Vitberg YM, Lewiss RE (2016) Pediatric emergency medicine point-of-care ultrasound: summary of the evidence. Crit Ultrasound J 8:16. https://doi.org/10.1186/s13089-016-0049-5CrossRefPubMedPubMedCentral Marin JR, Abo AM, Arroyo AC, Doniger SJ, Fischer JW, Rempell R, Gary B, Holmes JF, Kessler DO, Lam SH, Levine MC, Levy JA, Murray A, Ng L, Noble VE, Ramirez-Schrempp D, Riley DC, Saul T, Shah V, Sivitz AB, Tay ET, Teng D, Chaudoin L, Tsung JW, Vieira RL, Vitberg YM, Lewiss RE (2016) Pediatric emergency medicine point-of-care ultrasound: summary of the evidence. Crit Ultrasound J 8:16. https://​doi.​org/​10.​1186/​s13089-016-0049-5CrossRefPubMedPubMedCentral
39.
go back to reference Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T, International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS) (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577–591. https://doi.org/10.1007/s00134-012-2513-4CrossRefPubMed Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T, International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS) (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577–591. https://​doi.​org/​10.​1007/​s00134-012-2513-4CrossRefPubMed
52.
go back to reference Mertens L, Seri I, Marek J, Arlettaz R, Barker P, McNamara P, Moon-Grady AJ, Coon PD, Noori S, Simpson J, Lai WW, Writing Group of the American Society of Echocardiography; European Association of Echocardiography; Association for European Pediatric Cardiologists (2011) Targeted neonatal echocardiography in the neonatal intensive care unit: practice guidelines and recommendations for training. Writing Group of the American Society of Echocardiography (ASE) in collaboration with the European Association of Echocardiography (EAE) and the Association for European Pediatric Cardiologists (AEPC). J Am Soc Echocardiogr 24:1057–1078. https://doi.org/10.1016/j.echo.2011.07.014CrossRefPubMed Mertens L, Seri I, Marek J, Arlettaz R, Barker P, McNamara P, Moon-Grady AJ, Coon PD, Noori S, Simpson J, Lai WW, Writing Group of the American Society of Echocardiography; European Association of Echocardiography; Association for European Pediatric Cardiologists (2011) Targeted neonatal echocardiography in the neonatal intensive care unit: practice guidelines and recommendations for training. Writing Group of the American Society of Echocardiography (ASE) in collaboration with the European Association of Echocardiography (EAE) and the Association for European Pediatric Cardiologists (AEPC). J Am Soc Echocardiogr 24:1057–1078. https://​doi.​org/​10.​1016/​j.​echo.​2011.​07.​014CrossRefPubMed
55.
57.
go back to reference Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, Tsung JW, Neskovic AN, Price S, Oren-Grinberg A, Liteplo A, Cordioli R, Naqvi N, Rola P, Poelaert J, Guliĉ TG, Sloth E, Labovitz A, Kimura B, Breitkreutz R, Masani N, Bowra J, Talmor D, Guarracino F, Goudie A, Xiaoting W, Chawla R, Galderisi M, Blaivas M, Petrovic T, Storti E, Neri L, Melniker L, International Liaison Committee on Focused Cardiac UltraSound (ILC-FoCUS); International Conference on Focused Cardiac UltraSound (IC-FoCUS) (2014) International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr 27:683.e1-683.e33. https://doi.org/10.1016/j.echo.2014.05.001CrossRefPubMed Via G, Hussain A, Wells M, Reardon R, ElBarbary M, Noble VE, Tsung JW, Neskovic AN, Price S, Oren-Grinberg A, Liteplo A, Cordioli R, Naqvi N, Rola P, Poelaert J, Guliĉ TG, Sloth E, Labovitz A, Kimura B, Breitkreutz R, Masani N, Bowra J, Talmor D, Guarracino F, Goudie A, Xiaoting W, Chawla R, Galderisi M, Blaivas M, Petrovic T, Storti E, Neri L, Melniker L, International Liaison Committee on Focused Cardiac UltraSound (ILC-FoCUS); International Conference on Focused Cardiac UltraSound (IC-FoCUS) (2014) International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr 27:683.e1-683.e33. https://​doi.​org/​10.​1016/​j.​echo.​2014.​05.​001CrossRefPubMed
69.
go back to reference Koratala A (2021) Lung and cardiac ultrasound for assessment of intravascular volume status in children. In: Sethi SK, Raina R, McCulloch M, Bunchman TE (eds) Advances in critical care pediatric nephrology: point of care ultrasound and diagnostics. Springer, Singapore. https://doi.org/10.1007/978-981-33-4554-6 Koratala A (2021) Lung and cardiac ultrasound for assessment of intravascular volume status in children. In: Sethi SK, Raina R, McCulloch M, Bunchman TE (eds) Advances in critical care pediatric nephrology: point of care ultrasound and diagnostics. Springer, Singapore. https://​doi.​org/​10.​1007/​978-981-33-4554-6
70.
Metadata
Title
Point-of-care ultrasound in pediatric nephrology
Authors
Sidharth Kumar Sethi
Rupesh Raina
Abhilash Koratala
Afagh Hassanzadeh Rad
Ananya Vadhera
Hamidreza Badeli
Publication date
26-09-2022
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 6/2023
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-022-05729-5

Other articles of this Issue 6/2023

Pediatric Nephrology 6/2023 Go to the issue