Journal Article Epublish 3 citations
PubMed: 42592431 DOI: 10.1016/j.aicoj.2026.100127
Venous congestion in critical care: combining VExUS, lung ultrasound, and echocardiography.
Ann Intensive Care 16:100127
Authors: Karel Huard, Jean Deschamps, Etienne J Couture, Marc-Antoine Lepage, William Beaubien-Souligny, Yoan Lamarche, André Y Denault
Affiliations
- Université de Montréal, Montreal, Canada.
- Division of Surgical Critical Care, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, United States of America.
- Department of Anesthesiology and Intensive Care Medicine Division, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, Canada.
- Division of Intensive Care Medicine, Centre Hospitalier Universitaire de Québec-Université Laval, Quebec City, Canada.
- Division of Nephrology, Centre Hospitalier de l'Université de Montréal, Montreal, Canada.
- Department of Surgery and Critical Care, Montreal Heart Institute, Montreal, Canada.
- Department of Anesthesiology, Montreal Heart Institute, Montreal, Canada.
Abstract
Venous congestion is an important pathophysiological mechanism impacting organ function in critically ill patients. However, congestion physiology is complex, can affect multiple organ systems, and is subject to change rapidly over time. Contemporary multimodal assessment integrates both traditional approaches and emerging technologies to refine our understanding and improve clinical evaluation of this dynamic process. In this review, we explore how combining various ultrasound assessments can enhance the evaluation of congestion in critically ill patients. Topics include diastolic function evaluation with echocardiography, the Venous Excess Ultrasound (VExUS) assessment, and lung ultrasound.
MeSH
Lung, Critical Care, Critical Illness, Echocardiography