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Mashup Score: 28Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion - The Ultrasound Journal - 27 day(s) ago
Venous congestion, often associated with elevated right atrial pressure presents a clinical challenge due to its varied manifestations and potential organ damage. Recognizing the manifestations of venous congestion through bedside physical examination or laboratory tests can be challenging. Point-of-care ultrasound (POCUS) is emerging as a valuable bedside tool for assessing venous congestion, with the Venous Excess Ultrasound (VExUS) technique gaining prominence. VExUS facilitates non-invasive quantification of venous congestion, relying on measurements of the inferior vena cava (IVC) size and Doppler assessments of the hepatic vein (HV), portal vein (PV), and intrarenal vein, thereby providing real-time insights into hemodynamic status and guiding therapeutic interventions. The grading system outlined in VExUS aids in stratifying the severity of congestion. However, achieving proficiency in VExUS requires a comprehensive understanding of Doppler techniques and their clinical applicat
Categories: General Medicine News, Hem/OncsTweet
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Mashup Score: 46VExUS: common misconceptions, clinical use and future directions - The Ultrasound Journal - 28 day(s) ago
There has been a significant interest in venous congestion in recent years, among which the VExUS score has been prominent, both in clinical practice and research efforts. We have noted some recurrent misconceptions among clinicians which are also reflected in certain research efforts. Notably, the misguided attempt to correlate VExUS to volume status, which is only one of the factors influencing it, as well as attempts to re-interpret VExUS in the context of certain pathologies, which reflects a fundamental misunderstanding of its circulatory perspective. In this article we review the physiological basis of the VExUS assessment as a measure and marker of venous congestion from the organs’ standpoint and its role as part of the emerging concept of fluid tolerance, in hopes to address these misconceptions for clinicians and for important further studies.
Categories: General Medicine News, Critical CareTweet-
Thanks to @khaycock2 @EMNerd_ @Ad12Andre and @WBeaubien for their invaluable help! Hopefully this can reframe some common issues we see and hear about :-) https://t.co/rCcvpQrqdZ
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Mashup Score: 26Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion - The Ultrasound Journal - 1 month(s) ago
Venous congestion, often associated with elevated right atrial pressure presents a clinical challenge due to its varied manifestations and potential organ damage. Recognizing the manifestations of venous congestion through bedside physical examination or laboratory tests can be challenging. Point-of-care ultrasound (POCUS) is emerging as a valuable bedside tool for assessing venous congestion, with the Venous Excess Ultrasound (VExUS) technique gaining prominence. VExUS facilitates non-invasive quantification of venous congestion, relying on measurements of the inferior vena cava (IVC) size and Doppler assessments of the hepatic vein (HV), portal vein (PV), and intrarenal vein, thereby providing real-time insights into hemodynamic status and guiding therapeutic interventions. The grading system outlined in VExUS aids in stratifying the severity of congestion. However, achieving proficiency in VExUS requires a comprehensive understanding of Doppler techniques and their clinical applicat
Categories: General Medicine News, Hem/OncsTweet-
RT @TaweevatA: 🙂Thrilled to share our latest review article, ‘How to Do VExUS’ in The Ultrasound Journal! https://t.co/0jxusSrkG4 Huge tha…
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Mashup Score: 26Decoding VExUS: a practical guide for excelling in point-of-care ultrasound assessment of venous congestion - The Ultrasound Journal - 1 month(s) ago
Venous congestion, often associated with elevated right atrial pressure presents a clinical challenge due to its varied manifestations and potential organ damage. Recognizing the manifestations of venous congestion through bedside physical examination or laboratory tests can be challenging. Point-of-care ultrasound (POCUS) is emerging as a valuable bedside tool for assessing venous congestion, with the Venous Excess Ultrasound (VExUS) technique gaining prominence. VExUS facilitates non-invasive quantification of venous congestion, relying on measurements of the inferior vena cava (IVC) size and Doppler assessments of the hepatic vein (HV), portal vein (PV), and intrarenal vein, thereby providing real-time insights into hemodynamic status and guiding therapeutic interventions. The grading system outlined in VExUS aids in stratifying the severity of congestion. However, achieving proficiency in VExUS requires a comprehensive understanding of Doppler techniques and their clinical applicat
Categories: General Medicine News, Hem/OncsTweet-
RT @TaweevatA: 🙂Thrilled to share our latest review article, ‘How to Do VExUS’ in The Ultrasound Journal! https://t.co/0jxusSrkG4 Huge tha…
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Mashup Score: 6Medico-legal risks of point-of-care ultrasound: a closed-case analysis of Canadian Medical Protective Association medico-legal cases - The Ultrasound Journal - 10 month(s) ago
Background Point-of-care ultrasound (POCUS) has become a core diagnostic tool for many physicians due to its portability, excellent safety profile, and diagnostic utility. Despite its growing use, the potential risks of POCUS use should be considered by providers. We analyzed the Canadian Medical Protective Association (CMPA) repository to identify medico-legal cases arising from the use of POCUS. Methods We retrospectively searched the CMPA closed-case repository for cases involving diagnostic POCUS between January 1st, 2012 and December 31st, 2021. Cases included civil-legal actions, medical regulatory authority (College) cases, and hospital complaints. Patient and physician demographics, outcomes, reason for complaint, and expert-identified contributing factors were analyzed. Results From 2012 to 2021, there were 58,626 closed medico-legal cases in the CMPA repository with POCUS determined to be a contributing factor for medico-legal action in 15 cases; in all cases the medico-legal
Categories: General Medicine News, General HCPsTweet-
Medico-legal risks of point-of-care ultrasound: a closed-case analysis of Canadian Medical Protective Association medico-legal cases https://t.co/QNp0g7zQDM via @ross_prager et al
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Mashup Score: 1
Purpose of the review Non-invasiveness and instantaneous diagnostic capability are prominent features of the use of echocardiography in critical care. Sepsis and septic shock represent complex situations where early hemodynamic assessment and support are among the keys to therapeutic success. In this review, we discuss the range of applications of echocardiography in the management of the septic patient, and propose an echocardiography-based goal-oriented hemodynamic approach to septic shock. Recent findings Echocardiography can play a key role in the critical septic patient management, by excluding cardiac causes for sepsis, and mostly by guiding hemodynamic management of those patients in whom sepsis reaches such a severity to jeopardize cardiovascular function. In recent years, there have been both increasing evidence and diffusion of the use of echocardiography as monitoring tool in the patients with hemodynamic compromise. Also thanks to echocardiography, the features of the well-
Categories: Hem/Oncs, Latest HeadlinesTweet-
Now Clare Colebourn discusses echocardiography in septic shock A reminder that sepsis is life threatening (often multi) organ dysfunction due to a dysregulated response to infection The heart can behave in lots of different ways - nice review here https://t.co/rqQXPzLrPR https://t.co/xFgyf8W28m
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RT @TaweevatA: 🙂Thrilled to share our latest review article, ‘How to Do VExUS’ in The Ultrasound Journal! https://t.co/0jxusSrkG4 Huge tha…