Point-of-care ultrasound in nephrology: A private practice viewpoint

Abstract

Point-of-care ultrasound (POCUS) is a limited ultrasound examination performed by the clinician at the bedside, emerging as a complement to physical examination across various medical specialties. In the field of nephrology, its integration has been gradual, primarily limited to guiding procedures like temporary dialysis catheter placement or, in some cases, diagnostic kidney ultrasounds. In reality, the assessment of hemodynamic status at the bedside holds immense value for nephrologists, yet there exists limited awareness among practitioners regarding its implementation. While there is a growing trend towards incorporating multi-organ POCUS training in fellowship programs, private practice nephrologists remain relatively uninformed. This discussion explores the untapped potential of POCUS as a valuable diagnostic tool in everyday nephrology practice, demonstrating its effectiveness in diverse clinical settings, ranging from medical wards to outpatient dialysis units. Additionally, we delve into the challenges hindering its widespread adoption and consider the future trajectory of this innovative approach.

Keywords: Point-of-care ultrasound; Bedside ultrasound; Nephrology; Hemodynamics; Cirrhosis; Acute kidney injury

Core Tip: The integration of point-of-care ultrasound (POCUS) into nephrology practice offers significant potential to streamline diagnosis and enhance patient care. Despite some barriers to implementation, such as time constraints and initial costs, the benefits of POCUS in improving diagnostic accuracy and practical outcomes are substantial. By leveraging available resources and gradually incorporating POCUS into practice, nephrologists can overcome these barriers and harness the full potential of this valuable diagnostic tool.