Miniaturised ultrasound evaluation at the bedside

Area of Science:

• Uro-nephrology
• Medical Imaging
• Point-of-Care Diagnostics

Background:

• Point-of-Care Ultrasound (POCUS) is increasingly recognized, yet its specific utility in uro-nephrology requires further scientific investigation.
• Despite a position paper by ESFUMB in 2019, dedicated research on POCUS in uro-nephrological practice remains limited.

Purpose of the Study:

• To evaluate the current application and effectiveness of pocket ultrasound devices at the bedside in uro-nephrological settings.
• To assess the role of POCUS in addressing common clinical issues within uro-nephrology.

Main Methods:

• 27 experienced medical doctors performed 280 bedside examinations using pocket ultrasound devices.
• Investigators utilized the devices for common uro-nephrological indications.

Main Results:

• Key indications included hydronephrosis evaluation, volume management (e.g., IVC assessment), effusion detection, and residual urine measurement.
• Pocket ultrasound devices successfully answered specific clinical questions in 90% of cases.
• Frequent applications involved hydronephrosis (147), IVC assessment (195), effusions (113), and residual urine (52).

Conclusions:

• POCUS demonstrates significant utility in uro-nephrology, offering time savings and economic advantages.
• Pocket ultrasound devices are valuable for triage and bedside follow-up, despite technical limitations.
• The study highlights the practical benefits of POCUS in both inpatient and outpatient uro-nephrological care.