A Simplified Lung Ultrasound Guided Management Protocol Of Pulmonary Congestion in Hemodialysis

Assess the effectiveness of adding B-line score evaluation through lung ultrasound to the standard of care to improve pulmonary congestion (measured by B lines score) in hemodialysis patients

Pulmonary congestion secondary to volume overload or interstitial tissue inflammation is
 common in chronic hemodialysis patients. This pulmonary congestion occurs mainly during the
 period between dialysis sessions and is an independent risk factor for cardiovascular event
 morbidity and mortality in this population. The evaluation of this pulmonary congestion and
 the estimation of the dry weight of hemodialysis patients according to conventional methods
 represent a real challenge for clinical nephrologists. Lung ultrasound is a new diagnostic
 approach validated in the assessment of pulmonary congestion. It would allow a better
 assessment of dry weight in chronic hemodialysis patients based on the results of preliminary
 studies, including our latest pilot study. However, there is little evidence comparing this
 novel approach to traditional approaches.