Fluid Volume Excess
Conditions
Brief summary
Comparing the efficacy of both lung ultrasound and electrical cardiometry to detect the extravascular lung water and volume status in pediatric patients on regular hemodialysis and use them as non-invasive methods for early detection of hypervolemia or euvolemia even before appearance of clinical symptoms to decrease morbidity and mortality
Detailed description
This cross sectional study will be conducted to compare between the efficacy of both lung ultrasound and electrical cardiometry to detect the extravascular lung water and volume status in pediatric patients on regular hemodialysis and use them as a non-invasive method for early detection of hypervolemia or euvolemia even before appearance of clinical symptoms of both conditions.
Interventions
: B-lines of lung ultrasound and the parameters of cardiometry will be measured at the mid-week HD session before starting the session by 30 min then every 30min during HD session for 180 min and then after the end of the session of HD by 30 min and then The specificity and sensitivity of both techniques will be compared to each other
Sponsors
Study design
Eligibility
Inclusion criteria
* Pediatric patients with end stage renal disease aged from 5 to 18 years on regular hemodialysis
Exclusion criteria
* Patients with coexisting lung fibrosis, atelectasis, and interstitial lung disease. * Patients with heart failure. * Patients with implantable cardiac pacemaker or defibrillator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| volume status in pediatric patients on regular hemodialysis | six months | detection of the fluid status in pediatric patients on regular hemodialysis |
Countries
Egypt