Renal Failure (Dec 2023)

Renal hemodynamic evaluation protocol based on the pathophysiological mechanism of acute kidney injury: Critical Care UltraSound Guided-A(KI)BCDE

  • Lixia Liu,
  • Dawei Liu,
  • Zhenjie Hu,
  • Xiaoting Wang,
  • Yangong Chao,
  • Jun Wu,
  • Wanhong Yin,
  • Hongmin Zhang,
  • Lina Zhang,
  • Wei He,
  • Ran Zhu,
  • Qianghong Xu,
  • Rongli Yang,
  • Yan Huo,
  • Qian Zhang,
  • Haitao Liu,
  • Weihua Zhu,
  • Qian Zhang,
  • Rong Li

DOI
https://doi.org/10.1080/0886022X.2023.2284842
Journal volume & issue
Vol. 45, no. 2

Abstract

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AbstractThe multiple etiological characteristics of acute kidney injury (AKI) have brought great challenges to its clinical diagnosis and treatment. Renal injury in critically ill patients always indicates hemodynamic injury. The Critical Care UltraSound Guided (CCUSG)-A(KI)BCDE protocol developed by the Chinese Critical Ultrasound Study Group (CCUSG), respectively, includes A(KI) diagnosis and risk assessment and uses B-mode ultrasound, Color doppler ultrasound, spectral Doppler ultrasound, and contrast Enhanced ultrasound to obtain the hemodynamic characteristics of the kidney so that the pathophysiological mechanism of the occurrence and progression of AKI can be captured and the prognosis of AKI can be predicted combined with other clinical information; therefore, the corresponding intervention and treatment strategies can be formulated to achieve targeted, protocolized, and individualized therapy.

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