VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound
Venous Excess Ultrasound (VExUS) is a valuable bedside tool for nephrologists within a multi-organ point of care ultrasound (POCUS) framework. VExUS can address limitations of conventional physical examination in identifying hemodynamic congestion and monitoring treatment efficacy. A 53-year-old...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2024-04-01
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| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/16985 |
| _version_ | 1797197148253585408 |
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| author | Abhilash Koratala Mohamed Ibrahim Sirisha Gudlawar |
| author_facet | Abhilash Koratala Mohamed Ibrahim Sirisha Gudlawar |
| author_sort | Abhilash Koratala |
| collection | DOAJ |
| description |
Venous Excess Ultrasound (VExUS) is a valuable bedside tool for nephrologists within a multi-organ point of care ultrasound (POCUS) framework. VExUS can address limitations of conventional physical examination in identifying hemodynamic congestion and monitoring treatment efficacy. A 53-year-old man with heart failure and end-stage kidney disease on hemodialysis presented with elevated liver function tests. Despite an unremarkable right upper quadrant ultrasound done by radiology, the review of images by the nephrology team uncovered severe venous congestion, evidenced by a dilated inferior vena cava (IVC) and abnormal hepatic and portal vein flow. Follow-up assessments included VExUS scans and daily ultrafiltration that resulted in a notable 8-liter fluid removal. The dynamic changes in IVC shape and improvement in Doppler waveforms underscored successful decongestion. This case demonstrates the clinical utility of VExUS in guiding therapy for fluid overload in complex patients.
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| first_indexed | 2024-04-24T06:39:21Z |
| format | Article |
| id | doaj.art-e38e8ec8fdfe47829f2afe6cabacdd3a |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-24T06:39:21Z |
| publishDate | 2024-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-e38e8ec8fdfe47829f2afe6cabacdd3a2024-04-23T04:00:02ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432024-04-019110.24908/pocus.v9i1.16985VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care UltrasoundAbhilash Koratala0https://orcid.org/0000-0001-5801-3574Mohamed Ibrahim1https://orcid.org/0009-0003-1712-5176Sirisha Gudlawar2Medical College of WisconsinMedical College of Wisconsin, Milwaukee, USAMedical College of Wisconsin, Milwaukee, USA Venous Excess Ultrasound (VExUS) is a valuable bedside tool for nephrologists within a multi-organ point of care ultrasound (POCUS) framework. VExUS can address limitations of conventional physical examination in identifying hemodynamic congestion and monitoring treatment efficacy. A 53-year-old man with heart failure and end-stage kidney disease on hemodialysis presented with elevated liver function tests. Despite an unremarkable right upper quadrant ultrasound done by radiology, the review of images by the nephrology team uncovered severe venous congestion, evidenced by a dilated inferior vena cava (IVC) and abnormal hepatic and portal vein flow. Follow-up assessments included VExUS scans and daily ultrafiltration that resulted in a notable 8-liter fluid removal. The dynamic changes in IVC shape and improvement in Doppler waveforms underscored successful decongestion. This case demonstrates the clinical utility of VExUS in guiding therapy for fluid overload in complex patients. https://ojs.library.queensu.ca/index.php/pocus/article/view/16985VExUSPOCUSdialysiscongestion |
| spellingShingle | Abhilash Koratala Mohamed Ibrahim Sirisha Gudlawar VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound POCUS Journal VExUS POCUS dialysis congestion |
| title | VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound |
| title_full | VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound |
| title_fullStr | VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound |
| title_full_unstemmed | VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound |
| title_short | VExUS to Guide Ultrafiltration in Hemodialysis: Exploring a Novel Dimension of Point of Care Ultrasound |
| title_sort | vexus to guide ultrafiltration in hemodialysis exploring a novel dimension of point of care ultrasound |
| topic | VExUS POCUS dialysis congestion |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/16985 |
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