Evaluation of Venous Congestion by Point-of-Care Ultrasound: State of the Art
DOI:
https://doi.org/10.24950/rspmi.1966Keywords:
Central Venous Pressure, Hyperemia, Point-of- -Care Systems, Ultrasonography, VeinsAbstract
The assessment of venous congestion is one of the greatest medical challenges of this century: from more invasive procedures to the arising of ultrasound evaluation, there has been a constant quest for reliable and non-invasive bedside tools to determine and monitor hemodynamic status.
Venous hypertension is an important pathophysiological
mechanism of organ congestion, leading to its injury in various clinical settings. A practical bedside assessment of venous congestion is often challenging due to the limitations of traditional methods.
Point-of-care ultrasonography (POCUS) provides a real
time picture of the patients' anatomy and physiology (including analysis of dynamic flows), allowing a diagnosis and monitoring of venous congestion with a higher sensitivity than standard physical examination.
In this brief summary, the authors summarize the physiology of venous congestion and the most recent tools for congestion assessment by POCUS.
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