Comparing the efficacy of both lung ultrasound and electrical cardiometry to detect the extravascular lung water and volume status in pediatric patients on regular hemodialysis and use them as non-invasive methods for early detection of hypervolemia or euvolemia even before appearance of clinical symptoms to decrease morbidity and mortality

This cross sectional study will be conducted to compare between the efficacy of both lung ultrasound and electrical cardiometry to detect the extravascular lung water and volume status in pediatric patients on regular hemodialysis and use them as a non-invasive method for early detection of hypervolemia or euvolemia even before appearance of clinical symptoms of both conditions.

Inclusion Criteria:

• Pediatric patients with end stage renal disease aged from 5 to 18 years on regular hemodialysis

Exclusion Criteria:

• Patients with coexisting lung fibrosis, atelectasis, and interstitial lung disease.
• Patients with heart failure.
• Patients with implantable cardiac pacemaker or defibrillator

50 children and adolescents with end stage renal disease on regular hemodialysis for three times weekly at TUH during the period of the study.

Inclusion criteria: Pediatric patients with end stage renal disease aged from 5 to 18 years on regular hemodialysis.

Exclusion criteria:

• Patients with coexisting lung fibrosis, atelectasis, and interstitial lung disease.
• Patients with heart failure.
• Patients with implantable cardiac pacemaker or defibrillator.