Renal and Genitourinary Ultrasound Evaluation in Emergency and Critical Care: An Overview

Author:

Orso Daniele1ORCID,Peric Daniele2,Di Gioia Carmine Cristiano3,Comisso Irene1ORCID,Bove Tiziana14ORCID,Ban Alessio5,Fonda Federico1ORCID,Federici Nicola1

Affiliation:

1. Department of Emergency “Santa Maria della Misericordia”, University Hospital of Udine, Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy

2. Department of Emergency, University Hospital of Trieste, Azienda Sanitaria Universitaria Giuliano-Isontina, 34128 Trieste, Italy

3. Department of Emergency Medicine, Community Hospital of Baggiovara (MO), Azienda Ospedaliero-Universitaria di Modena, 41125 Modena, Italy

4. Department of Medicine (DME), University of Udine, 33100 Udine, Italy

5. Department of Pediatrics, Community Hospital of Latisana (UD), Azienda Sanitaria Universitaria Friuli Centrale, 33100 Udine, Italy

Abstract

Renal and genitourinary ultrasound are fundamental resources employed by emergency and critical care healthcare providers to make prompt diagnoses and perform ultrasound-guided procedures. At the bedside, ultrasound can aid in the diagnosis of relevant pathologies, such as post-renal obstruction or kidney stones, and life-threatening conditions such as aortic dissection or hemoperitoneum. A narrative overview was performed, providing an updated review of renal and genitourinary ultrasound for emergency and critical care healthcare providers, emphasizing its advantages and the latest advances in the field. A thorough summary that can be utilized as a guide for emergency and critical care healthcare providers is presented. The daily hemodynamic management of critically ill patients involves the implementation of new protocols, such as VexUS or the evaluation of the renal resistance index. The role of ultrasound in managing acute nephropathy and genitourinary issues is increasingly crucial given its bedside availability, thus this imaging modality not only facilitates the initiation of therapeutic interventions but also provides swift prognostic insights that are vital to provide tailored patient care. As further advances in ultrasound will arise, it is important for healthcare providers to foster the use of these technologies capable of improving patient outcomes.

Publisher

MDPI AG

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