Hemodynamics, fluids & transfusion
Ultrasound indicators of organ venous congestion: a narrative review
Authors' conclusion
In conclusion, multiple Doppler venous congestion assessment emerges as a promising, noninvasive tool for the instantaneous assessment of organ congestion in cardiorenal syndrome, helping in the management of fluid and diuretic administration.
Study context
- Population
- Patients with acute decompensated heart failure / cardiorenal syndrome
Main finding
As reported in the abstract
- Venous Excess Ultrasound (VExUS): emerging point-of-care protocol grading systemic congestion by Doppler of abdominal organ venous outflow and tailoring diuretic management
- Doppler venous flow abnormalities repeatedly linked to congestive organ dysfunction and poorer clinical outcomes
- Accuracy depends on the sonographer's proficiency
Original publication
Ultrasound indicators of organ venous congestion: a narrative review. Ann Intensive Care. Published 18 November 2025. doi:10.
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