Venous excess ultrasound:A mini-review and practical guide for its application in critically ill patients  

作　　者：Wei Ven Chin Melissa Mei Ing Ngai Kay Choong See 

机构地区：[1]Acute Internal Medicine,Department of Medical,Sarawak General Hospital,Kuching 93586,Sarawak,Malaysia [2]Department of Pharmacy,National University Hospital,Singapore 119074,Singapore [3]Department of Medicine,National University Hospital,Singapore 119228,Singapore

出　　处：《World Journal of Critical Care Medicine》2025年第2期50-64,共15页世界重症医学杂志(英文)

摘　　要：Advancements in healthcare technology have improved mortality rates and extended lifespans,resulting in a population with multiple comorbidities that complicate patient care.Traditional assessments often fall short,underscoring the need for integrated care strategies.Among these,fluid management is particularly challenging due to the difficulty in directly assessing volume status especially in critically ill patients who frequently have peripheral oedema.Effective fluid ma-nagement is essential for optimal tissue oxygen delivery,which is crucial for cellular metabolism.Oxygen transport is dependent on arterial oxygen levels,haemoglobin concentration,and cardiac output,with the latter influenced by preload,afterload,and cardiac contractility.A delicate balance of these factors ensures that the cardiovascular system can respond adequately to varying ph-ysiological demands,thereby safeguarding tissue oxygenation and overall organ function during states of stress or illness.The Venous Excess Ultrasound(VExUS)Grading System is instrumental in evaluating fluid intolerance,providing detailed insights into venous congestion and fluid status.It was originally developed to assess the risk of acute kidney injury in postoperative cardiac patients,but its versatility has enabled broader applications in nephrology and critical care settings.This mini review explores VE×US’s application and its impact on fluid management and patient outcomes in critically ill patients.

关 键 词：DIURETIC Point-of-care ultrasound ULTRASOUND Venous congestion Venous excess ultrasound 

分 类 号：R459.7[医药卫生—急诊医学]