Health Condition 1: N179- Acute kidney failure, unspecified
Conditions
Interventions
Intervention1: Ultrasound guided fluid removal during dialysis: A lung ultrasound will be done to assess the fluid status . Dialysis fluid removal will be done based on Kerley B lines in lung
Control
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients with Acute Kidney injury requiring intermittent hemodialysis
Exclusion criteria
Exclusion criteria: Patients with CKD stage 5D(eGFR Patients who are on inotropes or systolic blood pres-sure Patients with decompensated liver disease Patients with HFrEF with EF ARDS ,pneumonia or any other lung pathology interfering with lung ultrasound visualisation of B lines Receiving any form of renal replacement therapy before admission to JIPMER.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the status of euvolemia(defined as BLS score 5)in conventional versus ultrasound-guided ultrafiltration among hemodynamically stable AKI patients requiring dialysis.Timepoint: before and after dialysis , for a maximum of two weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| changes in NT Pro BNPTimepoint: Before and after First and second dialysis ;To compare adverse intradialytic hypotensionTimepoint: Every session of dialysis , 2 weeks;bio impedance spectroscopy and IVC diameter -Timepoint: before and after every dialysis session for 2 Weeks;3) To assess the time taken for renal recovery in the conventional and ultrasound-guided hemodialysis patients with acute kidney injuryTimepoint: entry and exit | — |
Countries
India
Contacts
Public ContactPriyamvada P S
Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed