Clinical Kidney Journal - May 2024

A Clinical Kidney Journal 2024. májusi száma megtekinthető ide kattintva

EDITOR’S CHOICE

Acute kidney injury and point-of-care ultrasound in liver cirrhosis: redefining hepatorenal syndrome

­Whether to administer intravenous fluids or use diuretics (“to fill or to drain”) is a common clinical dilemma faced by clinicians providing care for patients with cirrhosis having AKI. Addressing the causes of AKI by combining traditional tools with point-of-care ultrasound scan (PoCUS) allows for a rapid and accurate diagnostic approach, applying individualized therapeutic strategies instead of the universal withdrawal of diuretics and volume expansion with albumin proposed by the ICA guidelines.