The Use of Lung Ultrasound for Detection of Fluid Overload in Patients on Dialysis and Its Applicability to Routine Nursing Practice: A Literature Review.

ABSTRACT

This literature review analyzes current literature on the use of lung ultrasound in determining fluid overload in patients on dialysis, including its applicability to routine nursing practice. An electronic database search was undertaken of peer-reviewed, English language articles published between 2015 and 2020. The literature demonstrated a strong association between the number of B lines detected through lung ultrasound and fluid overload. Utilizing lung ultrasound was superior in detecting lung congestion and fluid overload in comparison to standardized assessment and bioimpedance spectroscopy. Further research is required to determine a thorough and time-efficient ultrasound protocol, and to assess the ability of nephrology nurses to accurately utilize this technology.