Point-of-care ultrasonography spotlight: Could venous excess ultrasound serve as a shared language for internists and intensivists?

Autor:	Khan AA; Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, United States., Saeed H; Department of Internal Medicine, Trinitas Regional Medical Center, Elizabeth, NJ 07202, United States., Haque IU; Department of Anesthesiology, Dr. Ruth K M Pfau Civil Hospital, Karachi 74400, Pakistan., Iqbal A; Department of Internal Medicine, Dow Medical College, Karachi 74200, Pakistan., Du D; Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ 07740, United States., Koratala A; Division of Nephrology, Medical College of Wisconsin, Milwaukee, WI 53226, United States. akoratala@mcw.edu.
Jazyk:	angličtina
Zdroj:	World journal of critical care medicine [World J Crit Care Med] 2024 Jun 09; Vol. 13 (2), pp. 93206. Date of Electronic Publication: 2024 Jun 09 (Print Publication: 2024).
DOI:	10.5492/wjccm.v13.i2.93206
Abstrakt:	Point-of-care ultrasonography (POCUS), particularly venous excess ultrasound (VExUS) is emerging as a valuable bedside tool to gain real-time hemodynamic insights. This modality, derived from hepatic vein, portal vein, and intrarenal vessel Doppler patterns, offers a scoring system for dynamic venous congestion assessment. Such an assessment can be crucial in effective management of patients with heart failure exacerbation. It facilitates diagnosis, quantification of congestion, prognostication, and monitoring the efficacy of decongestive therapy. As such, it can effectively help to manage cardiorenal syndromes in various clinical settings. Extended or eVExUS explores additional veins, potentially broadening its applications. While VExUS demonstrates promising outcomes, challenges persist, particularly in cases involving renal and liver parenchymal disease, arrhythmias, and situations of pressure and volume overload overlap. Proficiency in utilizing spectral Doppler is pivotal for clinicians to effectively employ this tool. Hence, the integration of POCUS, especially advanced applications like VExUS, into routine clinical practice necessitates enhanced training across medical specialties. Competing Interests: Conflict-of-interest statement: The authors declare no conflicts of interest. (©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu