Point-of-care ultrasound (POCUS) systems are becoming a common sight in nephrology departments and renal dialysis clinics, helping clinical staff to evaluate and effectively access the vasculature of dialysis patients. Dr. Jean-Yves Bosc, a nephrologist and vascular doctor working at the nonprofit private health establishment AIDER SANTÉ in the South of France, has been a champion of ultrasound for over a decade.
Point-of-care ultrasound (POCUS) is widely used in nephrology for guiding the creation of fistulas and informing decisions on their viability and performance for dialysis.
Dr. Justin Kirk-Bayley is the Clinical Director of Therapeutics at the Royal Surrey County Hospital in Guildford, England. Dr. Kirk-Bayley is an expert in the use of ultrasound in the ICU and anesthesiology.
Alexandros Mallios is a vascular surgeon at the Institut Mutualiste Montsouris (IMM) hospital in Paris. For the last four years, he has pioneered the use of ultrasound-guided percutaneous arteriovenous fistula access in patients undergoing hemodialysis. Dr. Mallios explains why he believes point-of-care ultrasound (POCUS) should be the standard of care for vascular access in all patients.
St Helier Hospital in the London borough of Sutton has one of the largest renal medicine departments in the UK, and relies on FUJIFILM Sonosite point-of-care ultrasound (POCUS) systems to improve care and patient safety. Dr Pritpal Virdee, a senior registrar in the department, explained: “We have a very busy renal department offering a wide range of services to people with kidney conditions.
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Point-of-care ultrasound is an essential tool for busy nephrology departments, and dialysis units in particular. Dr. Christoph C. Haufe, clinical lead at an outpatient dialysis centre in Erfurt, Germany, discusses the use of the technique in daily practise and his involvement in ultrasound training.
Point-of-care ultrasound is a valuable tool for successful dialysis fistula surgery, allowing pre-operative mapping to find a suitable site and post operative fistula scanning to check for stenosis and adequate blood flow.
Anna Jerram, a clinical vascular scientist at the Manchester Royal Infirmary, discusses the role POC ultrasound played during a recent trip to The Gambia to provide critical fistula surgery to patients.
Point-of-care ultrasound is fast becoming a key instrumental technique in nephrology , supporting diagnostics and improving delivery of renal replacement therapy and subsequent vascular monitoring.
Part 3 of our compelling 6 part series.