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العنوان
Bio impedance versus integrated lung and inferior vena cava ultrasonography for dry weight estimation in pediatric patients on maintenance hemodialysis /
المؤلف
Ahmed, Essam Abd El Aziz.
هيئة الاعداد
باحث / عصام عبد العزيز أحمد
مشرف / عبد العظيم محمد المزاري
مشرف / أسماء نتاج رياض
مشرف / مصطفى عبد القادر عبد الوهاب
مشرف / هند محمد مؤنس علي
الموضوع
Pediatrics.
تاريخ النشر
2023.
عدد الصفحات
100 p. ;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
طب الأطفال ، الفترة المحيطة بالولادة وصحة الطفل
تاريخ الإجازة
20/3/2022
مكان الإجازة
جامعة المنيا - كلية الطب - طب الأطفال
الفهرس
Only 14 pages are availabe for public view

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Abstract

In this context, ”average weight” refers to the minimum safe weight following dialysis, defined as the point at which neither hypotension nor hypervolemia symptoms or signs appear. Non-invasive blood pressure spectra, C d amino levels, IVC dimensions, and lung ultrasonography have all been used to create a much more conventional technique of assessing dry weight in hd patients, since estimating bulk density in HD patients is a challenging issue.
The work’s ultimate goal: Using bio-impedance and integrating lung and middle vesical ultrasonography in tandem with the patients’ clinical status, we assessed dry weight in paediatric hemodialysis patients.
Be methodical and patient. from September 1, 2021, to October 30, 2022, participants at a single Minia University of Medicine treatment centre participated in an open-label, randomised, controlled study of HD maintenance for CKD. Consent forms were signed by patients in every instance, demonstrating that they had been informed of and understood their options. Patients between the ages of 6 and 20. The enrolled patients’ dry weight was estimated visually before being compared with estimates made by unified lung-IVC USG.
Wet weights adjusted through integrating lung-IVC USG had a greater influence on clinical scores (hypovolemia joy and excitement and dyspnea assessments), blood pressure readings, and BNP serum than when adjusted by clinical judgement. Metabolomic results were also superior to those obtained by combined lung-IVC USG.
Weighing dry weight in children on dialysis could be easier with the use of coupled lung-IVCCI USG. BIS provides a neutral assessment of hydration level and an outstanding method for estimating dry weight.