Point-of-care ultrasonography spotlight:Could venous excess ultrasound serve as a shared language for internists and intensivists?
作者机构：Department of Internal MedicineMonmouth Medical CenterLong BranchNJ 07740United States Department of Internal MedicineTrinitas Regional Medical CenterElizabethNJ 07202United States Department of AnesthesiologyDr.Ruth K M Pfau Civil HospitalKarachi 74400Pakistan Department of Internal MedicineDow Medical CollegeKarachi 74200Pakistan Division of NephrologyMedical College of WisconsinMilwaukeeWI 53226United States
出 版 物：《World Journal of Critical Care Medicine》 (世界重症医学杂志)
年 卷 期：2024年第13卷第2期
页 面：126-136页
学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
主 题：Point-of-care ultrasonography Ultrasound Venous excess ultrasound Doppler Congestion Heart failure
摘 要：Point-of-care ultrasonography(POCUS),particularly venous excess ultrasound(VExUS)is emerging as a valuable bedside tool to gain real-time hemodynamic *** modality,derived from hepatic vein,portal vein,and intrarenal vessel Doppler patterns,offers a scoring system for dynamic venous congestion *** an assessment can be crucial in effective management of patients with heart failure *** facilitates diagnosis,quantification of congestion,prognostication,and monitoring the efficacy of decongestive *** such,it can effectively help to manage cardiorenal syndromes in various clinical *** or eVExUS explores additional veins,potentially broadening its *** VExUS demonstrates promising outcomes,challenges persist,particularly in cases involving renal and liver parenchymal disease,arrhythmias,and situations of pressure and volume overload *** in utilizing spectral Doppler is pivotal for clinicians to effectively employ this ***,the integration of POCUS,especially advanced applications like VExUS,into routine clinical practice necessitates enhanced training across medical specialties.
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