Point of care venous Doppler ultrasound: Exploring the missing piece of bedside hemodynamic assessment
作者机构：Department of NephrologyCentro Médico ISSEMYMEcatepec 55000Mexico Department of Critical CareHospital Juárez de MéxicoMexico City 07760Mexico Department of Nephrology and Mineral MetabolismInstituto Nacional de Ciencias Médicas y Nutrición Salvador ZubiránMexico City 14080Mexico Division of NephrologyMedical College of WisconsinWauwatosaWI 53226United States
出 版 物：《World Journal of Critical Care Medicine》 (世界重症医学杂志)
年 卷 期：2021年第10卷第6期
页 面：310-322页
学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学]
主 题：Ultrasound Point of care ultrasonography Doppler VExUS Congestion Hemodynamics Heart failure Nephrology Critical care
摘 要：Accurate assessment of the hemodynamic status is vital for appropriate management of patients with critical *** such,there has been a constant quest for reliable and non-invasive bedside tools to assess and monitor circulatory status in order to ensure end-organ *** the recent past,point of care ultrasonography(POCUS)has emerged as a valuable adjunct to physical examination in various specialties,which basically is a clinician-performed bedside ultrasound to answer focused *** allows visualization of the internal anatomy and flow dynamics in real time,guiding apt *** both arterial(forward flow)and venous(organ outflow or afterload)limbs of hemodynamic circuit are important for tissue perfusion,the venous side remains relatively *** recent data underscoring the deleterious consequences of iatrogenic volume overload,objective evaluation of venous congestion is gaining *** Doppler ultrasound serves this purpose and aids in diagnosing and monitoring the congestion/venous blood flow *** this article,we summarize the rationale for integrating this technology into routine care of patients with volume-related disorders,discuss the normal and abnormal waveforms,limitations,and future directions.
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