Point-of-care ultrasound in pediatric nephrology

Pediatr Nephrol. 2023 Jun;38(6):1733-1751. doi: 10.1007/s00467-022-05729-5. Epub 2022 Sep 26.

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.

Keywords: Kidney; Nephrology; POCUS; Pediatrics; Point-of-care systems; Ultrasonography; Urinary tract.

Publication types

  • Review

MeSH terms

  • Child
  • Echocardiography
  • Humans
  • Nephrology*
  • Point-of-Care Systems*
  • Point-of-Care Testing
  • Ultrasonography