{"title":"POCUS in Critically-ill Children with Acute Kidney Injury.","authors":"Sidharth Sethi, Jieji Hu, Rupesh Raina","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Acute kidney injury (AKI) in children is associated with increased mortality and morbidity including the need for prolonged stay in pediatric intensive care unit (PICU) and longer duration of mechanical ventilation. Technological advancements have expanded the array of bedside tools available to clinicians for patient evaluation beyond the traditional physical examination. Point-of-care ultrasound (POCUS) has emerged as a crucial tool for clinicians to quickly diagnose kidney pathology and assess the volume status. This is especially useful in the PICU setting as clinicians seek to optimize fluid requirements, modify dialysis settings based on fluid overload status, and differentiate causes of shock. Herein, we review the role of POCUS focusing on management of critically ill children with AKI, and the improvements in technology and artificial intelligence (AI) in POCUS that allow for better outcomes.</p>","PeriodicalId":13291,"journal":{"name":"Indian pediatrics","volume":" ","pages":"1140-1144"},"PeriodicalIF":1.7000,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian pediatrics","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/26 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Acute kidney injury (AKI) in children is associated with increased mortality and morbidity including the need for prolonged stay in pediatric intensive care unit (PICU) and longer duration of mechanical ventilation. Technological advancements have expanded the array of bedside tools available to clinicians for patient evaluation beyond the traditional physical examination. Point-of-care ultrasound (POCUS) has emerged as a crucial tool for clinicians to quickly diagnose kidney pathology and assess the volume status. This is especially useful in the PICU setting as clinicians seek to optimize fluid requirements, modify dialysis settings based on fluid overload status, and differentiate causes of shock. Herein, we review the role of POCUS focusing on management of critically ill children with AKI, and the improvements in technology and artificial intelligence (AI) in POCUS that allow for better outcomes.
期刊介绍:
The general objective of Indian Pediatrics is "To promote the science and practice of Pediatrics." An important guiding principle has been the simultaneous need to inform, educate and entertain the target audience. The specific key objectives are:
-To publish original, relevant, well researched peer reviewed articles on issues related to child health.
-To provide continuing education to support informed clinical decisions and research.
-To foster responsible and balanced debate on controversial issues that affect child health, including non-clinical areas such as medical education, ethics, law, environment and economics.
-To achieve the highest level of ethical medical journalism and to produce a publication that is timely, credible and enjoyable to read.