Results 11 to 20 of about 1,530,046 (142)

Rethinking Congestion in Heart Failure from Volume Overload to Venous Pressure and Organ Disfunction with VExUS [PDF]

Medicina
Congestion is a major driver of symptoms, hospitalization, and adverse outcomes in heart failure (HF), yet its clinical assessment remains challenging.
Marcello Marchetta, Lucio Giuseppe Granata, Anna Rosa Napoli, Fabiana Cipolla, Giuseppe Massimo Sangiorgi, Giuseppina Maura Francese, Simona Giubilato   +6 more
doaj   +3 more sources

VExUS Point-of-Care Ultrasound Tool to Detect Changes in Volume Status

JACC: Advances
Background: Venous excess ultrasound score (VExUS) is an emerging point-of-care ultrasound tool to evaluate venous congestion using inferior vena cava (IVC) diameter and hepatic vein pulse-wave Doppler.
Katarina Leyba, MBA, MD, August Longino, MD, Ryen Ormesher, MD, Mary Krienke, MD, Natalie Van Ochten, MD, Katherine Zimmerman, MD, Luke McCormack, MD, MPH, Katharine Martin, MD, Theresa Thai, MD, Seth Furgeson, MD, Isaac Teitelbaum, MD, Joseph Burke, MD, Ivor Douglas, MD, Edward Gill, MD   +13 more
doaj   +2 more sources

Prevalence of systemic venous congestion assessed by Venous Excess Ultrasound Grading System (VExUS) and association with acute kidney injury in a general ICU cohort: a prospective multicentric study

Critical Care, 2023
Background The importance of assessing venous congestion in ICU patients is widely acknowledged, but its study is hampered by the lack of a practical evaluation tool.
Stefan Andrei, Pierre-Alain Bahr, Maxime Nguyen, Belaid Bouhemad, Pierre-Grégoire Guinot   +4 more
doaj   +2 more sources

Association between venous excess ultrasound score and major adverse kidney events at 30 days in critically ill elderly patients: a multicenter prospective cohort study [PDF]

Frontiers in Medicine
BackgroundVenous congestion is common in critically ill patients and is associated with adverse outcomes, including acute kidney injury (AKI). Elderly patients may be especially susceptible to congestion-related organ dysfunction due to reduced ...
Lu Shen, Jiayi Li, Shaohui Fan, Qiancheng Luo, Li Zhong, Weihang Hu, Shijin Gong, Jia Song   +7 more
doaj   +2 more sources

Deresuscitation Informed by Ultrasound in Patients With Septic Shock Trial: A Pilot Randomized Controlled Study. [PDF]

J Ultrasound Med
Objectives The venous excess ultrasound (VExUS) can be used at the point‐of‐care to identify venous overload and end‐organ congestion in an effort to individually tailor resuscitation and deresuscitation in patients with septic shock. Methods We conducted a pilot randomized controlled feasibility trial of VExUS‐guided fluid management in adult patients
Innes B, Allison C, Seidler N, Shen B, Fried A, Phillips G, Levinson A, Abbasi A.   +7 more
europepmc   +2 more sources

The role of intra‐abdominal pressure and point of care ultrasound to guide decongestive therapies in acute heart failure

ESC Heart Failure
Aims Effective decongestion is crucial in managing acute decompensated heart failure (ADHF). Persistent congestion post‐diuretic therapy correlates with adverse outcomes.
C. Josa‐Laorden, A. Campos‐Saenz de Santamaría, S. Crespo‐Aznarez, J. Pérez‐Silvestre, E. Montero‐Hernandez, P. Llacer‐Iborra, J. Torres‐Macho, M. Méndez‐Bailon, J.L. Morales‐Rull, P. Salamanca‐Bautista, N. Fernández‐Villa, I. Torres‐Courchoud, M.A. Vázquez‐Ronda, R. Martínez‐Gutiérrez, P. Serrano‐Irigoyen, N. García‐Lorente, J.C. Trullas, M. Cobo‐Marcos, M.J. Pinilla, M. Sánchez‐Marteles, J. Rubio‐Gracia   +20 more
doaj   +2 more sources

Assessment of Congestion in Heart Failure Using VExUS: Current Evidence, Limitations and Clinical Perspectives [PDF]

Life
Background: Systemic venous congestion is a key driver of organ dysfunction in heart failure (HF), yet accurate non-invasive quantification remains challenging. Recognizing residual congestion is critical, since it predicts HF readmissions and mortality.
Cosmina-Georgiana Ponor, Maria-Ruxandra Cepoi, Marilena Renata Spiridon, Ionuț Tudorancea, Amelian Mădălin Bobu, Minerva Codruta Badescu, Alexandru Dan Costache, Sandu Cucută, Irina-Iuliana Costache-Enache   +8 more
doaj   +2 more sources

Evaluation of a modified venous excess ultrasound (VExUS) protocol for estimation of venous congestion: a cohort study

The Ultrasound Journal
Background Understanding venous congestion is critical to the management of many illnesses, but assessing volume status can be challenging. The current gold standard for volume status assessment of right heart catheterization (RHC) is invasive, costly ...
Katharine C. Martin, Edward A. Gill, Ivor J. Douglas, August A. Longino   +3 more
doaj   +2 more sources

Composite Ultrasound Score Integrating VExUS Grading and Right Ventricular Function for Predicting 90-Day Heart Failure Rehospitalization: A Single-Center Retrospective Cohort Study [PDF]

International Journal of General Medicine
Hui Tang,1,* Lihua Teng,2,* Xiurong Xing,1 Qiuli Niu,1 Yawei Guo,1 Xiaohui Zhu,1 Zhi Liu1 1Department of Emergency, Xuanwu Hospital of Capital Medical University, Beijing, People’s Republic of China; 2Department of Emergency, Beijing ...
Tang H, Teng L, Xing X, Niu Q, Guo Y, Zhu X, Liu Z   +6 more
doaj   +2 more sources

Use of Venous Excess UltraSound (VExUS) score in hyponatraemia management in critically ill patient [PDF]

BMJ Case Reports, 2022
Inés Pimenta, Filipe Gonzalez
exaly   +2 more sources