2019
DOI: 10.20452/pamw.14962
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Use of bedside ultrasound to assess fluid status: a literature review

Abstract: Moreover, the method is easy to learn even for inexperienced clinicians. 3 Ultrasound assessment of the inferior vena cava Method (equipment, technique) An ultrasound device to assess fluid status should be equipped with a convex or phased array probe. The selection of an adequate probe depends on the patient's physique. Convex and phased array probes are effective for in-depth examination of tissues (about 25-30 cm). This enables an assessment of the inferior vena cava (IVC) and aorta (Ao) when the probe is p… Show more

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Cited by 9 publications
(14 citation statements)
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“…Promisingly, Doppler can also be used to determine overload or congestion. Ultrasound data from numerous organs such as the lungs, heart, inferior vena cava (IVC), internal jugular vein, and hepatic vein can be obtained very quickly to assist doctors in assessing the fluid status and making fluid management decisions ( Piotrkowski et al, 2019 ; Elhassan et al, 2021 ; Koratala, 2021 ). Apart from the RRI obtained from intrarenal artery Doppler, intrarenal vein Doppler (IRVD) incorporates novel clinical markers, such as the venous impedance index (VII), intrarenal venous flow (IRVF), or renal venous stasis index (RVSI), which provide new insight into evaluating renal congestion or overload, diagnosing renal disease, and guiding volume management in patients with heart failure.…”
Section: Intrarenal Doppler In Assessing Renal Veinsmentioning
confidence: 99%
“…Promisingly, Doppler can also be used to determine overload or congestion. Ultrasound data from numerous organs such as the lungs, heart, inferior vena cava (IVC), internal jugular vein, and hepatic vein can be obtained very quickly to assist doctors in assessing the fluid status and making fluid management decisions ( Piotrkowski et al, 2019 ; Elhassan et al, 2021 ; Koratala, 2021 ). Apart from the RRI obtained from intrarenal artery Doppler, intrarenal vein Doppler (IRVD) incorporates novel clinical markers, such as the venous impedance index (VII), intrarenal venous flow (IRVF), or renal venous stasis index (RVSI), which provide new insight into evaluating renal congestion or overload, diagnosing renal disease, and guiding volume management in patients with heart failure.…”
Section: Intrarenal Doppler In Assessing Renal Veinsmentioning
confidence: 99%
“…IVC/Ao index ≤ 0.8 indicates fluid responsiveness [15]. Lung ≥ 3 B-lines bilaterally indicates pulmonary edema [24]. Heart LVEDA <10 cm 2 indicates hypovolemia and ≥ 20 cm 2 suggests hypervolemia [24,26].…”
Section: Assessments Sonographic Indicatorsmentioning
confidence: 99%
“…Lung ≥ 3 B-lines bilaterally indicates pulmonary edema [24]. Heart LVEDA <10 cm 2 indicates hypovolemia and ≥ 20 cm 2 suggests hypervolemia [24,26]. LVOT VTI > 12-15% increase after passive leg raising to predict fluid responsiveness [31].…”
Section: Assessments Sonographic Indicatorsmentioning
confidence: 99%
“…As the access to US technology and training becomes better, the evidence is growing on the use of POCUS in hydration status assessment, IVF administration guidance and rehydration responsiveness 24 25. Clinical practice in childhood AGE is not homogeneous, so a tool to accurately estimate the amount of fluids needed to rehydrate a patient is desired 26.…”
Section: Discussionmentioning
confidence: 99%