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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Crit Care Med. Mar 9, 2023; 12(2): 53-62
Published online Mar 9, 2023. doi: 10.5492/wjccm.v12.i2.53
Published online Mar 9, 2023. doi: 10.5492/wjccm.v12.i2.53
Point-of-care ultrasound in diagnosis and management of congestive nephropathy
Michael Turk, Thomas Robertson, Department of Medicine, Allegheny Health Network, Pittsburgh, PA 15222, United States
Abhilash Koratala, Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI 53226, United States
Author contributions: Turk M and Roberson T drafted the manuscript; Koratala A designed and reviewed the manuscript, and revised it for critical intellectual content; all authors have read and approved the final version.
Conflict-of-interest statement: All the authors declare no potential conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Abhilash Koratala, MD, Associate Professor, Division of Nephrology, Medical College of Wisconsin, 8701 W Watertown Plank Rd, Milwaukee, WI 53226, United States. akoratala@mcw.edu
Received: December 23, 2022
Peer-review started: December 23, 2022
First decision: January 5, 2023
Revised: January 8, 2023
Accepted: February 17, 2023
Article in press: February 17, 2023
Published online: March 9, 2023
Processing time: 73 Days and 21.6 Hours
Peer-review started: December 23, 2022
First decision: January 5, 2023
Revised: January 8, 2023
Accepted: February 17, 2023
Article in press: February 17, 2023
Published online: March 9, 2023
Processing time: 73 Days and 21.6 Hours
Core Tip
Core Tip: Congestive nephropathy denotes kidney dysfunction in fluid overload states as a result of venous congestion. Conventional methods to assess congestion at the bedside lack sensitivity and diagnostic accuracy. Point-of-care ultrasound is emerging as an enhancement to physical examination for objective assessment of congestion and guide therapy. Future research should focus on its impact on practical outcomes such as freedom from congestive symptoms, quality of life, and recurrent hospitalizations.