Renal hemodynamic evaluation protocol based on the pathophysiological mechanism of acute kidney injury: Critical Care UltraSound Guided-A(KI)BCDE

Lixia Liu; Dawei Liu; Zhenjie Hu; Xiaoting Wang; Yangong Chao; Jun Wu; Wanhong Yin; Hongmin Zhang; Lina Zhang; Wei He; Ran Zhu; Qianghong Xu; Rongli Yang; Yan Huo; Qian Zhang; Haitao Liu; Weihua Zhu; Qian Zhang; Rong Li; Chinese Critical UltraSound Study Group(CCUSG)

doi:10.1080/0886022X.2023.2284842

Renal hemodynamic evaluation protocol based on the pathophysiological mechanism of acute kidney injury: Critical Care UltraSound Guided-A_(KI)BCDE

Ren Fail. 2023;45(2):2284842. doi: 10.1080/0886022X.2023.2284842. Epub 2023 Nov 23.

Authors

Lixia Liu¹, Dawei Liu², Zhenjie Hu¹, Xiaoting Wang², Yangong Chao³, Jun Wu⁴, Wanhong Yin⁵, Hongmin Zhang², Lina Zhang⁶, Wei He⁷, Ran Zhu⁸, Qianghong Xu⁹, Rongli Yang¹⁰, Yan Huo¹, Qian Zhang¹¹, Haitao Liu¹², Weihua Zhu¹³, Qian Zhang¹, Rong Li¹; Chinese Critical UltraSound Study Group(CCUSG)

Affiliations

¹ Department of Critical Care Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China.
² Department of Intensive Care Department, Peking Union Medical College Hospital, Beijing, China.
³ Department of Critical Care Medicine, The First Affiliated Hospital of Tsinghua University, Beijing, China.
⁴ Department of Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
⁵ Department of Intensive Care, West China Hospital, Sichuan University, Chengdu, China.
⁶ Department of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, China.
⁷ Department of Intensive Care Medicine, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
⁸ Department of Intensive Care Medicine, The First Affiliated Hospital of China Medical University, Shenyang, China.
⁹ Department of Critical Care Medicine, Zhejiang Hospital, Hangzhou, China.
¹⁰ Department of Critical Care Medicine, The Central Hospital of Dalian, Dalian, China.
¹¹ Department of Intensive Care Medicine, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
¹² Department of Critical Care Medicine, The Fourth Hospital of Harbin Medical University, Harbin, China.
¹³ Department of Intensive Care Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, China.

Abstract

The multiple etiological characteristics of acute kidney injury (AKI) have brought great challenges to its clinical diagnosis and treatment. Renal injury in critically ill patients always indicates hemodynamic injury. The Critical Care UltraSound Guided (CCUSG)-A_(KI)BCDE protocol developed by the Chinese Critical Ultrasound Study Group (CCUSG), respectively, includes A_(KI) diagnosis and risk assessment and uses B-mode ultrasound, Color doppler ultrasound, spectral Doppler ultrasound, and contrast Enhanced ultrasound to obtain the hemodynamic characteristics of the kidney so that the pathophysiological mechanism of the occurrence and progression of AKI can be captured and the prognosis of AKI can be predicted combined with other clinical information; therefore, the corresponding intervention and treatment strategies can be formulated to achieve targeted, protocolized, and individualized therapy.

Keywords: AKI; Kidney; circulation; critical care; hemodynamics; pathophysiology; ultrasound.

Publication types

Review

MeSH terms

Acute Kidney Injury* / diagnostic imaging
Acute Kidney Injury* / etiology
Critical Care
Critical Illness
Hemodynamics
Humans
Kidney* / diagnostic imaging
Ultrasonography, Interventional / adverse effects

Grants and funding

Not applicable.