Background: Before hemodialysis [HD], about 60% of ESRD patients displayed moderate-severe
lung congestion and this alteration is frequently asymptomatic. Lung congestion is reduced but not
abolished by ultrafiltration dialysis, and about one third to one fourth of patients still have excessive
lung water after dialysis. The aim of our study was to assess the role of lung ultrasound in detecting
pulmonary congestion in hemodialysis patients. Methods: This was a prospective clinical study, was
conducted at the Critical care department, Benha university hospital, on 100 hemodialysis patients over
a period of one year from August 2020 to August 2021. Results: Based on our results, there is
Significant change of B-lines and IVC diameter in the study patients pre dialysis and post dialysis.
Conclusion: The results of this study revealed that Chest US is a well validated simple and low-cost
technique and can be easily applied at the bedside to assess of volume status before and after a dialysis
session and detect pulmonary congestion at a pre-clinical stage that is associated with a high death risk.
Also, measuring IVC diameter before and after dialysis can be used as adjuvant tool with chest
ultrasound in assessment of volume status in ESRD patients