Consensus document for ultrasound training in the speciality of Nephrology
Ultrasound is an essential tool in the management of the nephrological patient allowing the diagnosis, monitoring and performance of kidney intervention. However, the usefulness of ultrasound in the hands of the nephrologist is not limited exclusively to the ultrasound study of the kidney. By ultras...
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Published in | Nefrología Vol. 40; no. 6; pp. 623 - 633 |
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Main Authors | , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier España, S.L.U
01.11.2020
Elsevier |
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Abstract | Ultrasound is an essential tool in the management of the nephrological patient allowing the diagnosis, monitoring and performance of kidney intervention. However, the usefulness of ultrasound in the hands of the nephrologist is not limited exclusively to the ultrasound study of the kidney. By ultrasound, the nephrologist can also optimize the management of arteriovenous fistula for hemodialysis, measure cardiovascular risk (mean intimate thickness), implant central catheters for ultrasound-guided HD, as well as the patient's volemia using basic cardiac ultrasound, ultrasound of the Cava Inferior vein and lungs.
From the Working Group on Interventional Nephrology of the Spanish Society of Nephrology (G.N.D.I. of the S.E.N.) we have prepared this Consensus Document that summarizes the main applications of ultrasound to Nephrology, including the necessary basic technical requirements, the framework normative and the level of training of nephrologists in this area. The objective of this work is to promote the inclusion of ultrasound, both diagnostic and interventional, in the usual clinical practice of the nephrologist and in the Nephrology Services portfolio with the final objective of offering diligent, efficient and comprehensive management to the nephrological patient.
La ecografía es una herramienta esencial en el manejo del paciente nefrológico permitiendo el diagnóstico, seguimiento y realización de intervencionismo sobre el riñón. La utilidad de los ultrasonidos en Nefrología no se circunscribe exclusivamente al estudio ecográfico del riñón. Mediante ecografía el nefrólogo puede, además, optimizar el manejo de la fístula arteriovenosa para hemodiálisis, medir el riesgo cardiovascular (grosor íntima media), implantar catéteres centrales para hemodiálisis ecoguiados y ayudar en la colocación de los peritoneales, así como calcular la volemia del paciente medianteecografía cardiaca básica, ecografía de la vena cava inferior y pulmonar.
Desde el G.N.D.I. de la S.E.N hemos elaborado este documento de consenso en el que se resumen las principales aplicaciones de la ecografía en Nefrología, incluyendo los requisitos técnicos básicos necesarios, el marco normativo y el nivel de capacitación de los nefrólogos en esta materia. El objetivo de este trabajo es promover la inclusión de la ecografía, tanto diagnóstica como intervencionista, en la práctica clínica habitual del nefrólogo y en la cartera de servicios de Nefrología con el objetivo final de ofrecer un manejo diligente, eficiente e integral al paciente nefrológico. |
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AbstractList | Ultrasound is an essential tool in the management of the nephrological patient allowing the diagnosis, monitoring and performance of kidney intervention. However, the usefulness of ultrasound in the hands of the nephrologist is not limited exclusively to the ultrasound study of the kidney. By ultrasound, the nephrologist can also optimize the management of arteriovenous fistula for hemodialysis, measure cardiovascular risk (mean intimate thickness), implant central catheters for ultrasound-guided HD, as well as the patient's volemia using basic cardiac ultrasound, ultrasound of the Cava Inferior vein and lungs.From the Working Group on Interventional Nephrology of the Spanish Society of Nephrology (G.N.D.I. of the S.E.N.) we have prepared this Consensus Document that summarizes the main applications of ultrasound to Nephrology, including the necessary basic technical requirements, the framework normative and the level of training of nephrologists in this area. The objective of this work is to promote the inclusion of ultrasound, both diagnostic and interventional, in the usual clinical practice of the nephrologist and in the Nephrology Services portfolio with the final objective of offering diligent, efficient and comprehensive management to the nephrological patient. Resumen: La ecografía es una herramienta esencial en el manejo del paciente nefrológico permitiendo el diagnóstico, seguimiento y realización de intervencionismo sobre el riñón. La utilidad de los ultrasonidos en Nefrología no se circunscribe exclusivamente al estudio ecográfico del riñón. Mediante ecografía el nefrólogo puede, además, optimizar el manejo de la fístula arteriovenosa para hemodiálisis, medir el riesgo cardiovascular (grosor íntima media), implantar catéteres centrales para hemodiálisis ecoguiados y ayudar en la colocación de los peritoneales, así como calcular la volemia del paciente medianteecografía cardiaca básica, ecografía de la vena cava inferior y pulmonar.Desde el G.N.D.I. de la S.E.N hemos elaborado este documento de consenso en el que se resumen las principales aplicaciones de la ecografía en Nefrología, incluyendo los requisitos técnicos básicos necesarios, el marco normativo y el nivel de capacitación de los nefrólogos en esta materia. El objetivo de este trabajo es promover la inclusión de la ecografía, tanto diagnóstica como intervencionista, en la práctica clínica habitual del nefrólogo y en la cartera de servicios de Nefrología con el objetivo final de ofrecer un manejo diligente, eficiente e integral al paciente nefrológico. Ultrasound is an essential tool in the management of the nephrological patient allowing the diagnosis, monitoring and performance of kidney intervention. However, the usefulness of ultrasound in the hands of the nephrologist is not limited exclusively to the ultrasound study of the kidney. By ultrasound, the nephrologist can also optimize the management of arteriovenous fistula for hemodialysis, measure cardiovascular risk (mean intimate thickness), implant central catheters for ultrasound-guided HD, as well as the patient's volemia using basic cardiac ultrasound, ultrasound of the Cava Inferior vein and lungs. From the Working Group on Interventional Nephrology of the Spanish Society of Nephrology (G.N.D.I. of the S.E.N.) we have prepared this Consensus Document that summarizes the main applications of ultrasound to Nephrology, including the necessary basic technical requirements, the framework normative and the level of training of nephrologists in this area. The objective of this work is to promote the inclusion of ultrasound, both diagnostic and interventional, in the usual clinical practice of the nephrologist and in the Nephrology Services portfolio with the final objective of offering diligent, efficient and comprehensive management to the nephrological patient. La ecografía es una herramienta esencial en el manejo del paciente nefrológico permitiendo el diagnóstico, seguimiento y realización de intervencionismo sobre el riñón. La utilidad de los ultrasonidos en Nefrología no se circunscribe exclusivamente al estudio ecográfico del riñón. Mediante ecografía el nefrólogo puede, además, optimizar el manejo de la fístula arteriovenosa para hemodiálisis, medir el riesgo cardiovascular (grosor íntima media), implantar catéteres centrales para hemodiálisis ecoguiados y ayudar en la colocación de los peritoneales, así como calcular la volemia del paciente medianteecografía cardiaca básica, ecografía de la vena cava inferior y pulmonar. Desde el G.N.D.I. de la S.E.N hemos elaborado este documento de consenso en el que se resumen las principales aplicaciones de la ecografía en Nefrología, incluyendo los requisitos técnicos básicos necesarios, el marco normativo y el nivel de capacitación de los nefrólogos en esta materia. El objetivo de este trabajo es promover la inclusión de la ecografía, tanto diagnóstica como intervencionista, en la práctica clínica habitual del nefrólogo y en la cartera de servicios de Nefrología con el objetivo final de ofrecer un manejo diligente, eficiente e integral al paciente nefrológico. |
Author | Robayna, Silvia Marrero Martínez, Jordi Calabia Barrios, R. Haridian Sosa Lazo, Mercedes Salgueira Herrera, Antonio Luis García Franco, María Jesús Moyano López, José Ibeas Rivas, José Luis Merino López, Carlos Ruiz-Zorrilla Abu-Sharkh, Iyad Abuward Fernández, Juan Manuel Cuevas, Vicente Paraíso Guerrero, Manuel Ceballos Mejía, Carlos Narváez Tey, Ramón Roca Gorrín, Maite Rivera Bars, Angels Betriu |
Author_xml | – sequence: 1 givenname: Maite Rivera surname: Gorrín fullname: Gorrín, Maite Rivera organization: Hospital Ramón y Cajal, Madrid, Spain – sequence: 2 givenname: R. Haridian Sosa surname: Barrios fullname: Barrios, R. Haridian Sosa organization: Hospital Ramón y Cajal, Madrid, Spain – sequence: 3 givenname: Carlos Ruiz-Zorrilla surname: López fullname: López, Carlos Ruiz-Zorrilla organization: Hospital Río Carrión, Palencia, Spain – sequence: 4 givenname: Juan Manuel surname: Fernández fullname: Fernández, Juan Manuel organization: Hospital Dr. Negrín, Las Palmas de Gran Canaria, Spain – sequence: 5 givenname: Silvia Marrero surname: Robayna fullname: Robayna, Silvia Marrero organization: Hospital Dr. Negrín, Las Palmas de Gran Canaria, Spain – sequence: 6 givenname: José Ibeas surname: López fullname: López, José Ibeas organization: Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Barcelona, Spain – sequence: 7 givenname: Mercedes Salgueira surname: Lazo fullname: Lazo, Mercedes Salgueira organization: Hospital Macarena, Sevilla, Spain – sequence: 8 givenname: María Jesús Moyano surname: Franco fullname: Franco, María Jesús Moyano organization: Hospital Macarena, Sevilla, Spain – sequence: 9 givenname: Carlos Narváez surname: Mejía fullname: Mejía, Carlos Narváez organization: Hospital Puerta del Mar, Cádiz, Spain – sequence: 10 givenname: Manuel Ceballos surname: Guerrero fullname: Guerrero, Manuel Ceballos organization: Hospital Puerta del Mar, Cádiz, Spain – sequence: 11 givenname: Jordi Calabia surname: Martínez fullname: Martínez, Jordi Calabia organization: Hospital Josep Trueta, Girona, Spain – sequence: 12 givenname: Antonio Luis García surname: Herrera fullname: Herrera, Antonio Luis García organization: Hospital Puerto Real, Cádiz, Spain – sequence: 13 givenname: Ramón Roca surname: Tey fullname: Tey, Ramón Roca organization: Hospital de Mollet, Mollet del Vallés, Barcelona, Spain – sequence: 14 givenname: Vicente Paraíso surname: Cuevas fullname: Cuevas, Vicente Paraíso organization: Hospital del Henares, Coslada, Madrid, Spain – sequence: 15 givenname: José Luis Merino surname: Rivas fullname: Rivas, José Luis Merino organization: Hospital del Henares, Coslada, Madrid, Spain – sequence: 16 givenname: Iyad Abuward surname: Abu-Sharkh fullname: Abu-Sharkh, Iyad Abuward organization: Hospital Clínico Universitario, Santiago de Compostela, La Coruña, Spain – sequence: 17 givenname: Angels Betriu surname: Bars fullname: Bars, Angels Betriu organization: Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain |
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Keywords | Vascular access Renal biopsy Diagnostic and interventional nephrology Ecografía Inserción de vías centrales Nefrología diagnóstica e intervencionista Renal replacement therapy Ultrasound Central line insertion Terapia renal sustitutiva Acceso vascular Biopsia renal |
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