Learn how to Properly access Fluid Overload and Venous Congestion in your Patients with using the Venous Excess Ultrasound (VExUS) Score. Step by Step Guide!

Apr 26, 2021 · The Venous Excess Ultrasonography Score (VExUS) is a 4-step protocol that not only evaluates the presence of congestion in the IVC, but also assesses the severity of congestion in three target organs: the liver, the gut and the kidneys.

Jun 19, 2021 · Recently, our group developed the venous excess ultrasound (VExUS) score, which incorporates hepatic venous, intrarenal venous Doppler and inferior vena cava (IVC) assessment to portal vein Doppler, and found the presence of a severe score to be very specific for the prediction of acute kidney injury following cardiac surgery, even more so than ...

VExUS grading system is a standardized point of care ultrasound (POCUS)-based, comprehensive method to assess volume status. VExUS could serve as a tool to guide fluid management, if validated perioperatively.

Venous excess ultrasound score (VExUS) is an approach in which Doppler analysis of inferior vena cava (IVC), hepatic, portal, and renal veins is done to access the severity of venous congestion.

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.

Nov 4, 2024 · Explore a real-life case of Grade 3 congestion and understand how VExUS scoring is used to assess and manage severe venous congestion in critical care settings.

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.

Nov 19, 2024 · This review article provides practical guidance on performing VExUS, encompassing equipment requirements, preparation, machine settings, and examination techniques for assessing the inferior vena cava (IVC), …

Sep 25, 2021 · With the use of VExUS, venous congestion can be assessed. By investigating different vessels with Doppler, we can assess the effects of venous return on the right atrium and ventricle, and also view venous congestion’s effect on more peripheral organs.