Critical Care Ultrasonography and Acute Kidney Injury
- 1 Mentions
- 1.8k Downloads
Introduction
Ultrasonography is an essential imaging modality in the intensive care unit (ICU) used for diagnosis and to guide treatment. Critical care ultrasonography is defined as focused echography since it informs specific clinical questions. The examination is performed at point of care and results are combined with clinical and laboratory data. Recently, Narasimhan et al., have suggested that critical care ultrasonography should shift towards a whole‐body approach, rather than taking a single‐organ approach [1]. Other studies have proposed that a whole‐body ultrasonography approach may have benefits in terms of diagnosis, may lead to decreased use of other diagnostic tests and may also decrease costs. Acute kidney injury (AKI) is one of the current challenges in critical care [2] and literature on the role of ultrasound in understanding and diagnosing AKI is scarce. Many overviews on ultrasonography in critical and emergency care have focused on cardiopulmonary evaluations...
References
- 1.Narasimhan M, Koenig SJ, Mayo PH (2016) A whole-body approach to point of care ultrasound. Chest 150:772–776CrossRefGoogle Scholar
- 2.Pickkers P, Ostermann M, Joannidis M et al (2017) The intensive care medicine agenda on acute kidney injury. Intensive Care Med 43:1198–1209CrossRefGoogle Scholar
- 3.Koster G, van der Horst ICC (2017) Critical care ultrasonography in circulatory shock. Curr Opin Crit Care 23:326–333CrossRefGoogle Scholar
- 4.Vincent J-L, De Backer D (2013) Circulatory shock. N Engl J Med 369:1726–1734CrossRefPubMedPubMedCentralGoogle Scholar
- 5.Kotecha A, Vallabhajosyula S, Coville HH, Kashani K (2017) Cardiorenal syndrome in sepsis: a narrative review. J Crit Care 43:122–127CrossRefPubMedPubMedCentralGoogle Scholar
- 6.Hoste EA, Bagshaw SM, Bellomo R et al (2015) Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive Care Med 41:1411–1423CrossRefGoogle Scholar
- 7.Perner A, Prowle J, Joannidis M, Young P, Hjortrup PB, Pettila V (2017) Fluid management in acute kidney injury. Intensive Care Med 43:807–815CrossRefGoogle Scholar
- 8.Bouchard J, Acharya A, Cerda J et al (2015) A prospective international Multicenter study of AKI in the intensive care unit. Clin J Am Soc Nephrol 10:1324–1331CrossRefPubMedPubMedCentralGoogle Scholar
- 9.Perinel S, Vincent F, Lautrette A et al (2015) Transient and persistent acute kidney injury and the risk of hospital mortality in critically ill patients: results of a multicenter cohort study. Crit Care Med 43:e269–e275CrossRefPubMedGoogle Scholar
- 10.Parikh CR, Mansour SG (2017) Perspective on clinical application of biomarkers in AKI. J Am Soc Nephrol 28:1677–1685CrossRefGoogle Scholar
- 11.Chen KP, Cavender S, Lee J et al (2016) Peripheral edema, central venous pressure, and risk of AKI in critical illness. Clin J Am Soc Nephrol 11:602–608CrossRefPubMedPubMedCentralGoogle Scholar
- 12.Wei J, Song J, Jiang S et al (2017) Role of intratubular pressure during the ischemic phase in acute kidney injury. Am J Physiol Renal Physiol 312:F1158–F1165CrossRefGoogle Scholar
- 13.Marik PE, Baram M, Vahid B (2008) Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest 134:172–178CrossRefGoogle Scholar
- 14.Magder SS (2016) Volume and its relationship to cardiac output and venous return. Crit Care 20:271CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Aronson D, Abassi Z, Allon E, Burger AJ (2013) Fluid loss, venous congestion, and worsening renal function in acute decompensated heart failure. Eur J Heart Fail 15:637–643CrossRefGoogle Scholar
- 16.Gambardella I, Gaudino M, Ronco C, Lau C, Ivascu N, Girardi LN (2016) Congestive kidney failure in cardiac surgery: the relationship between central venous pressure and acute kidney injury. Interact Cardiovasc Thorac Surg 23:800–805CrossRefGoogle Scholar
- 17.Mullens W, Abrahams Z, Francis GS et al (2009) Importance of venous congestion for worsening of renal function in advanced decompensated heart failure. J Am Coll Cardiol 53:589–596CrossRefPubMedPubMedCentralGoogle Scholar
- 18.Mao MA, Thongprayoon C, Wu Y et al (2015) Incidence, severity, and outcomes of acute kidney injury in octogenarians following heart valve replacement surgery. Int J Nephrol 2015:237951CrossRefPubMedPubMedCentralGoogle Scholar
- 19.Haase-Fielitz A, Haase M, Bellomo R et al (2017) Perioperative hemodynamic instability and fluid overload are associated with increasing acute kidney injury severity and worse outcome after cardiac surgery. Blood Purif 43:298–308CrossRefGoogle Scholar
- 20.Raimundo M, Crichton S, Martin JR et al (2015) Increased fluid administration after early acute kidney injury is associated with less renal recovery. Shock 44:431–437CrossRefPubMedGoogle Scholar
- 21.Rudski LG, Lai WW, Afilalo J et al (2010) Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr 23:685–713CrossRefPubMedGoogle Scholar
- 22.Nohria A, Hasselblad V, Stebbins A et al (2008) Cardiorenal interactions: insights from the ESCAPE trial. J Am Coll Cardiol 51:1268–1274CrossRefPubMedGoogle Scholar
- 23.Haddad F, Fuh E, Peterson T et al (2011) Incidence, correlates, and consequences of acute kidney injury in patients with pulmonary arterial hypertension hospitalized with acute right-side heart failure. J Card Fail 17:533–539CrossRefPubMedGoogle Scholar
- 24.Mukherjee M, Sharma K, Madrazo JA, Tedford RJ, Russell SD, Hays AG (2017) Right-sided cardiac dysfunction in heart failure with preserved ejection fraction and worsening renal function. Am J Cardiol 120:274–278CrossRefPubMedGoogle Scholar
- 25.Guinot PG, Abou-Arab O, Longrois D, Dupont H (2015) Right ventricular systolic dysfunction and vena cava dilatation precede alteration of renal function in adult patients undergoing cardiac surgery: an observational study. Eur J Anaesthesiol 32:535–542CrossRefPubMedGoogle Scholar
- 26.Ferrada P, Anand RJ, Whelan J et al (2012) Qualitative assessment of the inferior vena cava: useful tool for the evaluation of fluid status in critically ill patients. Am Surg 78:468–470PubMedGoogle Scholar
- 27.Muniz Pazeli J, Fagundes Vidigal D, Cestari Grossi T et al (2014) Can nephrologists use ultrasound to evaluate the inferior vena cava? a cross-sectional study of the agreement between a nephrologist and a cardiologist. Nephron Extra 4:82–88CrossRefPubMedPubMedCentralGoogle Scholar
- 28.De Vecchis R, Ariano C, Fusco A et al (2012) Ultrasound evaluation of the inferior vena cava collapsibility index in congestive heart failure patients treated with intravenous diuretics: new insights about its relationship with renal function: an observational study. Anadolu Kardiyol Derg 12:391–400PubMedGoogle Scholar
- 29.Kaptein MJ, Kaptein EM (2017) Focused Real-time ultrasonography for nephrologists. Int J Nephrol 2017:3756857CrossRefPubMedPubMedCentralGoogle Scholar
- 30.Youngrock H, Hongchuen T (2016) The SAFER Lasso; a novel approach using point-of-care ultrasound to evaluate patients with abdominal complaints in the emergency department. Crit Ultrasound J 8(Suppl 1):A12–A22Google Scholar
- 31.Wilson JG, Breyer KE (2016) Critical care ultrasound: a review for practicing nephrologists. Adv Chronic Kidney Dis 23:141–145CrossRefGoogle Scholar
- 32.Ninet S, Schnell D, Dewitte A, Zeni F, Meziani F, Darmon M (2015) Doppler-based renal resistive index for prediction of renal dysfunction reversibility: A systematic review and meta-analysis. J Crit Care 30:629–635CrossRefGoogle Scholar
- 33.Qin H, Wu H, Chen Y, Zhang N, Fan Z (2017) Early detection of postoperative acute kidney injury in acute stanford type a aortic dissection with Doppler renal resistive index. J Ultrasound Med 36:2105–2111CrossRefGoogle Scholar
- 34.Hjortrup PB, Haase N, Wetterslev J et al (2017) Effects of fluid restriction on measures of circulatory efficacy in adults with septic shock. Acta Anaesthesiol Scand 61:390–398CrossRefGoogle Scholar
- 35.Stevens PE, Gwyther SJ, Hanson ME, Boultbee JE, Kox WJ, Phillips ME (1990) Noninvasive monitoring of renal blood flow characteristics during acute renal failure in man. Intensive Care Med 16:153–158CrossRefGoogle Scholar
- 36.Lerolle N, Guerot E, Faisy C, Bornstain C, Diehl JL, Fagon JY (2006) Renal failure in septic shock: predictive value of Doppler-based renal arterial resistive index. Intensive Care Med 32:1553–1559CrossRefGoogle Scholar
- 37.Lauschke A, Teichgraber UK, Frei U, Eckardt KU (2006) ‘Low-dose’ dopamine worsens renal perfusion in patients with acute renal failure. Kidney Int 69:1669–1674CrossRefGoogle Scholar
- 38.Deruddre S, Cheisson G, Mazoit JX, Vicaut E, Benhamou D, Duranteau J (2007) Renal arterial resistance in septic shock: effects of increasing mean arterial pressure with norepinephrine on the renal resistive index assessed with Doppler ultrasonography. Intensive Care Med 33:1557–1562CrossRefGoogle Scholar
- 39.Darmon M, Schortgen F, Vargas F et al (2011) Diagnostic accuracy of Doppler renal resistive index for reversibility of acute kidney injury in critically ill patients. Intensive Care Med 37:68–76CrossRefGoogle Scholar
- 40.Bossard G, Bourgoin P, Corbeau JJ, Huntzinger J, Beydon L (2011) Early detection of postoperative acute kidney injury by Doppler renal resistive index in cardiac surgery with cardiopulmonary bypass. Br J Anaesth 107:891–898CrossRefGoogle Scholar
- 41.Schnell D, Deruddre S, Harrois A et al (2012) Renal resistive index better predicts the occurrence of acute kidney injury than cystatin C. Shock 38:592–597CrossRefPubMedGoogle Scholar
- 42.Dewitte A, Coquin J, Meyssignac B et al (2012) Doppler resistive index to reflect regulation of renal vascular tone during sepsis and acute kidney injury. Crit Care 16:R165CrossRefPubMedPubMedCentralGoogle Scholar
- 43.Schnell D, Camous L, Guyomarc’h S et al (2013) Renal perfusion assessment by renal Doppler during fluid challenge in sepsis. Crit Care Med 41:1214–1220CrossRefPubMedGoogle Scholar
- 44.Schnell D, Reynaud M, Venot M et al (2014) Resistive Index or color-Doppler semi-quantitative evaluation of renal perfusion by inexperienced physicians: results of a pilot study. Minerva Anestesiol 80:1273–1281PubMedGoogle Scholar
- 45.Lahmer T, Rasch S, Schnappauf C, Schmid RM, Huber W (2016) Influence of volume administration on Doppler-based renal resistive index, renal hemodynamics and renal function in medical intensive care unit patients with septic-induced acute kidney injury: a pilot study. Int Urol Nephrol 48:1327–1334CrossRefPubMedGoogle Scholar
- 46.Marty P, Ferre F, Labaste F et al (2016) The Doppler renal resistive index for early detection of acute kidney injury after hip fracture. Anaesth Crit Care Pain Med 35:377–382CrossRefPubMedGoogle Scholar
- 47.Boddi M, Bonizzoli M, Chiostri M et al (2016) Renal Resistive Index and mortality in critical patients with acute kidney injury. Eur J Clin Invest 46:242–251CrossRefPubMedGoogle Scholar
- 48.Regolisti G, Maggiore U, Cademartiri C et al (2017) Renal resistive index by transesophageal and transparietal echo-doppler imaging for the prediction of acute kidney injury in patients undergoing major heart surgery. J Nephrol 30:243–253CrossRefPubMedGoogle Scholar