VExUS: new evaluation system for venous congestion with POCUS. Closing the circle of Shock management.

Authors

  • Fernando García-Montoto Pérez MD. PhD. EDAIC. ICU Anesthesia Coordinator, MIR Tutor. Cáceres University Hospital Complex. Specialist in Anesthesiology and Resuscitation. https://orcid.org/0000-0002-8144-3510

DOI:

https://doi.org/10.30445/rear.v13i3.899

Keywords:

Acute kidney injury, Point-Of-Care ultrasound, Venous congestion, Fluid balance

Abstract

Point-of-Care ultrasound (POCUS) is currently a key tool in evaluating the hemodynamic situation of the critically ill patient. One of the challenges it poses is the evaluation of venous congestion, which presents a very important role in the production of adverse effects in the critically ill patient.

The main objective of the study is the development of a venous congestion classification system (VExUS) that uses POCUS to predict acute kidney injury (AKI) after cardiac surgery. This is a prospective, observational, post-hoc, single-center study that includes145 patients. Four measurements are performed: Doppler ultrasound of the hepatic, portal, and intra-renal veins and measurement of the inferior vena cava (IVC) during the first 72 hours after surgery. 

As a result of this research we can conclude that the use of POCUS associating different measures allows us to identify venous congestion.

Author Biography

Fernando García-Montoto Pérez, MD. PhD. EDAIC. ICU Anesthesia Coordinator, MIR Tutor. Cáceres University Hospital Complex. Specialist in Anesthesiology and Resuscitation.

 

 

References

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Published

2021-04-12

How to Cite

García-Montoto Pérez, F. (2021). VExUS: new evaluation system for venous congestion with POCUS. Closing the circle of Shock management. Revista Electrónica AnestesiaR, 13(3). https://doi.org/10.30445/rear.v13i3.899

Issue

Vol. 13 No. 3 (2021): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

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