Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools
Fluid status is crucial for dialysis patients. Volume overload is a major cardiovascular risk factor. Nevertheless, volume depletion is associated with myocardial stunning and cerebral ischaemia. For decades, many diagnostic tools have been proposed for increased accuracy in evaluation of volemia,...
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| Format: | Article |
| Language: | English |
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Publicações Ciência e Vida
2022-06-01
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| Series: | Revista Portuguesa de Nefrologia e Hipertensão |
| Subjects: | |
| Online Access: | https://cdn02.spnefro.pt/pjnh/84/12Nefro362REVIEW.pdf |
| _version_ | 1811221826184937472 |
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| author | Juliana Damas Vasco Fernandes |
| author_facet | Juliana Damas Vasco Fernandes |
| author_sort | Juliana Damas |
| collection | DOAJ |
| description | Fluid status is crucial for dialysis patients. Volume overload is a major cardiovascular risk factor. Nevertheless, volume depletion is associated with myocardial stunning and cerebral ischaemia. For decades, many diagnostic tools have been proposed for increased accuracy in
evaluation of volemia, considering that clinical assessment is unreliable. Lung ultrasound and bioimpedance analysis emerged as the most
useful tools, although randomized clinical studies are lacking to implement their universal use. Early management of hydration may improve
clinical outcomes, as it allows personalized dialysis prescriptions and nutritional support. |
| first_indexed | 2024-04-12T08:06:47Z |
| format | Article |
| id | doaj.art-8b8d983e1d7447a2a7c7bd394a87171d |
| institution | Directory Open Access Journal |
| issn | 0872-0169 2183-1289 |
| language | English |
| last_indexed | 2024-04-12T08:06:47Z |
| publishDate | 2022-06-01 |
| publisher | Publicações Ciência e Vida |
| record_format | Article |
| series | Revista Portuguesa de Nefrologia e Hipertensão |
| spelling | doaj.art-8b8d983e1d7447a2a7c7bd394a87171d2022-12-22T03:41:07ZengPublicações Ciência e VidaRevista Portuguesa de Nefrologia e Hipertensão0872-01692183-12892022-06-0136211512010.32932/pjnh.2022.06.189Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic ToolsJuliana Damas0https://orcid.org/0000-0002-1684-6794Vasco Fernandes1https://orcid.org/0000-0003-1798-4387 Nephrology Department, Hospital de Curry Cabral, Centro Hospitalar e Universitário de Lisboa Central, Lisboa, Portugal Nephrology Department, Hospital de Curry Cabral, Centro Hospitalar e Universitário de Lisboa Central, Lisboa, PortugalFluid status is crucial for dialysis patients. Volume overload is a major cardiovascular risk factor. Nevertheless, volume depletion is associated with myocardial stunning and cerebral ischaemia. For decades, many diagnostic tools have been proposed for increased accuracy in evaluation of volemia, considering that clinical assessment is unreliable. Lung ultrasound and bioimpedance analysis emerged as the most useful tools, although randomized clinical studies are lacking to implement their universal use. Early management of hydration may improve clinical outcomes, as it allows personalized dialysis prescriptions and nutritional support.https://cdn02.spnefro.pt/pjnh/84/12Nefro362REVIEW.pdfelectric impedancekidney failurechronic/therapyhydration statuslung/diagnostic imagingrenal dialysisultrasonographywater-electrolyte imbalance/diagnosis |
| spellingShingle | Juliana Damas Vasco Fernandes Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools Revista Portuguesa de Nefrologia e Hipertensão electric impedance kidney failure chronic/therapy hydration status lung/diagnostic imaging renal dialysis ultrasonography water-electrolyte imbalance/diagnosis |
| title | Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools |
| title_full | Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools |
| title_fullStr | Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools |
| title_full_unstemmed | Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools |
| title_short | Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools |
| title_sort | assessment of fluid status in dialysis clinical importance and diagnostic tools |
| topic | electric impedance kidney failure chronic/therapy hydration status lung/diagnostic imaging renal dialysis ultrasonography water-electrolyte imbalance/diagnosis |
| url | https://cdn02.spnefro.pt/pjnh/84/12Nefro362REVIEW.pdf |
| work_keys_str_mv | AT julianadamas assessmentoffluidstatusindialysisclinicalimportanceanddiagnostictools AT vascofernandes assessmentoffluidstatusindialysisclinicalimportanceanddiagnostictools |