Ecografia di punto di cura (POCUS) guidata per la gestione del volume e l'effetto della cardiomiopatia cirrotica sull'insorgenza di insufficienza renale acuta nella cirrosi.

BACKGROUND AND AIMS: Point-of-care ultrasound (POCUS) helps in assessing volume status and cirrhotic cardiomyopathy (CCM). We evaluated POCUS-guided volume management and explored clinical predictors, including CCM, of acute kidney injury (AKI) reversal, need for renal replacement therapy (RRT), and survival in cirrhosis and AKI between January 2023 and November 2024. Exclusions were patients with structural cardiac disease, portopulmonary hypertension, acute variceal bleeding, and septic shock. APPROACH AND RESULTS: POCUS was performed at ICU (intensive care unit) admission (Time zero ), 24 hours, 48 hours, 72 hours, and as needed to guide volume management and determine IVC indices and ca