Albumin infusion in patients with cirrhosis: Time for POCUS-Enhanced physical examination

13Citations
Citations of this article
42Readers
Mendeley users who have this article in their library.

Abstract

Objective assessment of fluid status is of utmost significance in the management of patients with complex disorders involving hemodynamics and multi-organ crosstalk such as cardiorenal or hepatorenal syndrome. The role of volume expansion using intravenous albumin in the setting of hepatorenal syndrome has been an everlasting debate among clinicians. With the accumulating evidence on the deleterious consequences of iatrogenic fluid overload, empiric albumin administration in these patients has been the focus of much attention, and the findings of recent studies suggest a higher incidence of pulmonary complications with albumin. Poor sensitivity of conventional physical examination has led to an interest in the utility of novel noninvasive bedside tools such as point-of-care ultrasonography (POCUS) to evaluate hemodynamics more precisely. Once confined to specialties such as obstetrics and emergency medicine, the scope of diagnostic POCUS is rapidly expanding in other fields including internal medicine and nephrology. Herein, we offer our perspective on the emerging role of POCUS for objective evaluation of patients with suspected hepatorenal physiology based on our experience. We propose that future clinical trials consider incorporating this strategy and explore the impact of POCUS-guided therapy on the outcomes.

References Powered by Scopus

293Citations
326Readers

This article is free to access.

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Koratala, A., Ronco, C., & Kazory, A. (2021, August 1). Albumin infusion in patients with cirrhosis: Time for POCUS-Enhanced physical examination. CardioRenal Medicine. S. Karger AG. https://doi.org/10.1159/000517363

Readers over time

‘21‘22‘23‘24‘250481216

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 9

53%

Professor / Associate Prof. 3

18%

Researcher 3

18%

Lecturer / Post doc 2

12%

Readers' Discipline

Tooltip

Medicine and Dentistry 18

86%

Materials Science 1

5%

Pharmacology, Toxicology and Pharmaceut... 1

5%

Social Sciences 1

5%

Save time finding and organizing research with Mendeley

Sign up for free
0