Venous Excess Ultrasound (VExUS)
Textbaustein VExUS
POCUS VExUS Volumenstatus: IVC [>2, sonst Grad 0] cm. Lebervenen [S>D=normal, S<D=mild, S-Reversal=schwer]. Portalvenen-Pulsatilität [<30%=normal, 30-50%=mild, <50%=schwer]. Nierenvenen [kontinuierlich=normal, diskont. S+D=mild, diskont. nur D=schwer]. Interpretation: Kongestion Grad [1 / 2 ab 1x schwer / 3 ab 2x schwer].Link zum Original
- Passive Leg Raise
- Fluid Responsiveness (Benefit?) → LVOT VTI
- Fluid Tolerance (Harm?) → VExUS
Footnotes
-
Kenny, Jon-Émile S. MD, MSc1,2; Prager, Ross MD3; Rola, Philippe MD4; Haycock, Korbin MD5; Basmaji, John MD3; Hernández, Glenn MD, PhD6. Unifying Fluid Responsiveness and Tolerance With Physiology: A Dynamic Interpretation of the Diamond–Forrester Classification. Critical Care Explorations 5(12):p e1022, December 2023. | DOI: 10.1097/CCE.0000000000001022 ↩