Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools

Detalhes bibliográficos
Autor(a) principal: Damas,Juliana
Data de Publicação: 2022
Outros Autores: Fernandes,Vasco
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115
Resumo: ABSTRACT 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.
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spelling Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic ToolsElectric ImpedanceKidney FailureChronic/therapyHydration StatusLung/diagnostic imagingRenal DialysisUltrasonographyWater-Electrolyte Imbalance/diagnosisABSTRACT 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.Sociedade Portuguesa de Nefrologia2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115Portuguese Journal of Nephrology & Hypertension v.36 n.2 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115Damas,JulianaFernandes,Vascoinfo:eu-repo/semantics/openAccess2024-02-06T17:05:14Zoai:scielo:S0872-01692022000200115Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:07.902295Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools
title Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools
spellingShingle Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools
Damas,Juliana
Electric Impedance
Kidney Failure
Chronic/therapy
Hydration Status
Lung/diagnostic imaging
Renal Dialysis
Ultrasonography
Water-Electrolyte Imbalance/diagnosis
title_short 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_sort Assessment of Fluid Status in Dialysis: Clinical Importance and Diagnostic Tools
author Damas,Juliana
author_facet Damas,Juliana
Fernandes,Vasco
author_role author
author2 Fernandes,Vasco
author2_role author
dc.contributor.author.fl_str_mv Damas,Juliana
Fernandes,Vasco
dc.subject.por.fl_str_mv Electric Impedance
Kidney Failure
Chronic/therapy
Hydration Status
Lung/diagnostic imaging
Renal Dialysis
Ultrasonography
Water-Electrolyte Imbalance/diagnosis
topic Electric Impedance
Kidney Failure
Chronic/therapy
Hydration Status
Lung/diagnostic imaging
Renal Dialysis
Ultrasonography
Water-Electrolyte Imbalance/diagnosis
description ABSTRACT 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.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692022000200115
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
publisher.none.fl_str_mv Sociedade Portuguesa de Nefrologia
dc.source.none.fl_str_mv Portuguese Journal of Nephrology & Hypertension v.36 n.2 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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