Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children
Objectives The Venous Excess Ultrasound (VExUS) score has been described as a useful tool to estimate the degree of venous congestion in adult patients. The present study aimed to analyze the feasibility and usefulness of the VExUS score to detect and grade central venous pressure (CVP) elevation in...
Gespeichert in:
| Veröffentlicht in: | Journal of ultrasound in medicine 2023-01, Vol.42 (1), p.211-220 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 220 |
|---|---|
| container_issue | 1 |
| container_start_page | 211 |
| container_title | Journal of ultrasound in medicine |
| container_volume | 42 |
| creator | Menéndez‐Suso, Juan J. Rodríguez‐Álvarez, Diego Sánchez‐Martín, María |
| description | Objectives
The Venous Excess Ultrasound (VExUS) score has been described as a useful tool to estimate the degree of venous congestion in adult patients. The present study aimed to analyze the feasibility and usefulness of the VExUS score to detect and grade central venous pressure (CVP) elevation in critically ill children.
Methods
A cross‐sectional pilot study was conducted in a tertiary‐care pediatric intensive care unit between November 2020 and June 2021. All children in whom CVP was monitored, were enrolled. At the time of central venous catheter placement, CVP and VExUS score grade were determined, analyzing the inferior vena cava (IVC) diameter and the hepatic (HVD), portal (PVD), and intrarenal (IRVD) venous Doppler waveforms.
Results
A total of 33 children were studied (median age 12.2 [interquartile range (IQR) 4.1–100.6] months old; median weight 8.5 [IQR 5.6–35] kg; 20 [60.6%] males). The VExUS score was successfully obtained in 100% of the patients and its severity was strongly associated with the CVP levels (P |
| doi_str_mv | 10.1002/jum.16057 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2688086255</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2688086255</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2557-dbdc1fd26a9fa872489502490e9918231202d735a73ccb72884fa9e9e5da7e9d3</originalsourceid><addsrcrecordid>eNp10M1O5SAcBXBinOj1Y-ELGJa6qAItBZamXj8mTjTR67bhwr8Rw20VqM59iXnmYazOzhUsfudADkIHlJxQQtjp87g6oTXhYgPNKOekUDUtN9GMMCGLiimxjXZifM6UUFFtoe2SS0orwmfozwXo6JbOu7TGurd4kab70OH0BPgR-mGMeP7bQIx44VPQcRizuzdDAJwGfA4JTPrIXgZtATfQZ-W_onchJ8ds5x7edHJDj12Pm-CSM9r7Nb72HjdPztsA_R760WkfYf_z3EWLi_lDc1Xc3F5eN2c3hWGci8IuraGdZbVWnZaCVVJxwipFQCkqWUkZYVaUXIvSmKVgUladVqCAWy1A2XIXHU29L2F4HSGmduWiAe91D_nTLaulJLLOj2V6PFEThhgDdO1LcCsd1i0l7b_52zx_-zF_toefteNyBfa__No7g9MJvDsP6--b2p-LX1PlX0lLkFA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2688086255</pqid></control><display><type>article</type><title>Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Menéndez‐Suso, Juan J. ; Rodríguez‐Álvarez, Diego ; Sánchez‐Martín, María</creator><creatorcontrib>Menéndez‐Suso, Juan J. ; Rodríguez‐Álvarez, Diego ; Sánchez‐Martín, María</creatorcontrib><description>Objectives
The Venous Excess Ultrasound (VExUS) score has been described as a useful tool to estimate the degree of venous congestion in adult patients. The present study aimed to analyze the feasibility and usefulness of the VExUS score to detect and grade central venous pressure (CVP) elevation in critically ill children.
Methods
A cross‐sectional pilot study was conducted in a tertiary‐care pediatric intensive care unit between November 2020 and June 2021. All children in whom CVP was monitored, were enrolled. At the time of central venous catheter placement, CVP and VExUS score grade were determined, analyzing the inferior vena cava (IVC) diameter and the hepatic (HVD), portal (PVD), and intrarenal (IRVD) venous Doppler waveforms.
Results
A total of 33 children were studied (median age 12.2 [interquartile range (IQR) 4.1–100.6] months old; median weight 8.5 [IQR 5.6–35] kg; 20 [60.6%] males). The VExUS score was successfully obtained in 100% of the patients and its severity was strongly associated with the CVP levels (P < .001). Analyzing the VExUS score components separately, IVC dilation (P < .001) and severe HVD (P = .026), mild IRVD (P = .005), and severe IRVD (P = .025) patterns were associated with elevated CVP. After adjustment for confounding factors, IRVD pattern remained the only independent variable associated with elevated CVP.
Conclusions
The VExUS score appears to be a feasible and potentially useful bedside noninvasive monitoring tool for the detection and grading of CVP elevation in critically ill children. Among all its components, IRVD assessment seems most associated with high CVP in this population.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.16057</identifier><identifier>PMID: 35811405</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Central Venous Pressure ; Child ; Child, Preschool ; Critical Illness ; critically ill children ; Cross-Sectional Studies ; Feasibility Studies ; Female ; Humans ; Infant ; Male ; pediatric intensive care ; Pilot Projects ; point‐of‐care ultrasound ; Vena Cava, Inferior ; venous congestion ; Venous Excess Ultrasound score</subject><ispartof>Journal of ultrasound in medicine, 2023-01, Vol.42 (1), p.211-220</ispartof><rights>2022 American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2557-dbdc1fd26a9fa872489502490e9918231202d735a73ccb72884fa9e9e5da7e9d3</citedby><cites>FETCH-LOGICAL-c2557-dbdc1fd26a9fa872489502490e9918231202d735a73ccb72884fa9e9e5da7e9d3</cites><orcidid>0000-0003-0502-2308 ; 0000-0003-2582-7832 ; 0000-0002-0425-9883</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.16057$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.16057$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35811405$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Menéndez‐Suso, Juan J.</creatorcontrib><creatorcontrib>Rodríguez‐Álvarez, Diego</creatorcontrib><creatorcontrib>Sánchez‐Martín, María</creatorcontrib><title>Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
The Venous Excess Ultrasound (VExUS) score has been described as a useful tool to estimate the degree of venous congestion in adult patients. The present study aimed to analyze the feasibility and usefulness of the VExUS score to detect and grade central venous pressure (CVP) elevation in critically ill children.
Methods
A cross‐sectional pilot study was conducted in a tertiary‐care pediatric intensive care unit between November 2020 and June 2021. All children in whom CVP was monitored, were enrolled. At the time of central venous catheter placement, CVP and VExUS score grade were determined, analyzing the inferior vena cava (IVC) diameter and the hepatic (HVD), portal (PVD), and intrarenal (IRVD) venous Doppler waveforms.
Results
A total of 33 children were studied (median age 12.2 [interquartile range (IQR) 4.1–100.6] months old; median weight 8.5 [IQR 5.6–35] kg; 20 [60.6%] males). The VExUS score was successfully obtained in 100% of the patients and its severity was strongly associated with the CVP levels (P < .001). Analyzing the VExUS score components separately, IVC dilation (P < .001) and severe HVD (P = .026), mild IRVD (P = .005), and severe IRVD (P = .025) patterns were associated with elevated CVP. After adjustment for confounding factors, IRVD pattern remained the only independent variable associated with elevated CVP.
Conclusions
The VExUS score appears to be a feasible and potentially useful bedside noninvasive monitoring tool for the detection and grading of CVP elevation in critically ill children. Among all its components, IRVD assessment seems most associated with high CVP in this population.</description><subject>Adult</subject><subject>Central Venous Pressure</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Critical Illness</subject><subject>critically ill children</subject><subject>Cross-Sectional Studies</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>pediatric intensive care</subject><subject>Pilot Projects</subject><subject>point‐of‐care ultrasound</subject><subject>Vena Cava, Inferior</subject><subject>venous congestion</subject><subject>Venous Excess Ultrasound score</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10M1O5SAcBXBinOj1Y-ELGJa6qAItBZamXj8mTjTR67bhwr8Rw20VqM59iXnmYazOzhUsfudADkIHlJxQQtjp87g6oTXhYgPNKOekUDUtN9GMMCGLiimxjXZifM6UUFFtoe2SS0orwmfozwXo6JbOu7TGurd4kab70OH0BPgR-mGMeP7bQIx44VPQcRizuzdDAJwGfA4JTPrIXgZtATfQZ-W_onchJ8ds5x7edHJDj12Pm-CSM9r7Nb72HjdPztsA_R760WkfYf_z3EWLi_lDc1Xc3F5eN2c3hWGci8IuraGdZbVWnZaCVVJxwipFQCkqWUkZYVaUXIvSmKVgUladVqCAWy1A2XIXHU29L2F4HSGmduWiAe91D_nTLaulJLLOj2V6PFEThhgDdO1LcCsd1i0l7b_52zx_-zF_toefteNyBfa__No7g9MJvDsP6--b2p-LX1PlX0lLkFA</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Menéndez‐Suso, Juan J.</creator><creator>Rodríguez‐Álvarez, Diego</creator><creator>Sánchez‐Martín, María</creator><general>John Wiley & Sons, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0502-2308</orcidid><orcidid>https://orcid.org/0000-0003-2582-7832</orcidid><orcidid>https://orcid.org/0000-0002-0425-9883</orcidid></search><sort><creationdate>202301</creationdate><title>Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children</title><author>Menéndez‐Suso, Juan J. ; Rodríguez‐Álvarez, Diego ; Sánchez‐Martín, María</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2557-dbdc1fd26a9fa872489502490e9918231202d735a73ccb72884fa9e9e5da7e9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Central Venous Pressure</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Critical Illness</topic><topic>critically ill children</topic><topic>Cross-Sectional Studies</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>pediatric intensive care</topic><topic>Pilot Projects</topic><topic>point‐of‐care ultrasound</topic><topic>Vena Cava, Inferior</topic><topic>venous congestion</topic><topic>Venous Excess Ultrasound score</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Menéndez‐Suso, Juan J.</creatorcontrib><creatorcontrib>Rodríguez‐Álvarez, Diego</creatorcontrib><creatorcontrib>Sánchez‐Martín, María</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Menéndez‐Suso, Juan J.</au><au>Rodríguez‐Álvarez, Diego</au><au>Sánchez‐Martín, María</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2023-01</date><risdate>2023</risdate><volume>42</volume><issue>1</issue><spage>211</spage><epage>220</epage><pages>211-220</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
The Venous Excess Ultrasound (VExUS) score has been described as a useful tool to estimate the degree of venous congestion in adult patients. The present study aimed to analyze the feasibility and usefulness of the VExUS score to detect and grade central venous pressure (CVP) elevation in critically ill children.
Methods
A cross‐sectional pilot study was conducted in a tertiary‐care pediatric intensive care unit between November 2020 and June 2021. All children in whom CVP was monitored, were enrolled. At the time of central venous catheter placement, CVP and VExUS score grade were determined, analyzing the inferior vena cava (IVC) diameter and the hepatic (HVD), portal (PVD), and intrarenal (IRVD) venous Doppler waveforms.
Results
A total of 33 children were studied (median age 12.2 [interquartile range (IQR) 4.1–100.6] months old; median weight 8.5 [IQR 5.6–35] kg; 20 [60.6%] males). The VExUS score was successfully obtained in 100% of the patients and its severity was strongly associated with the CVP levels (P < .001). Analyzing the VExUS score components separately, IVC dilation (P < .001) and severe HVD (P = .026), mild IRVD (P = .005), and severe IRVD (P = .025) patterns were associated with elevated CVP. After adjustment for confounding factors, IRVD pattern remained the only independent variable associated with elevated CVP.
Conclusions
The VExUS score appears to be a feasible and potentially useful bedside noninvasive monitoring tool for the detection and grading of CVP elevation in critically ill children. Among all its components, IRVD assessment seems most associated with high CVP in this population.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>35811405</pmid><doi>10.1002/jum.16057</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0502-2308</orcidid><orcidid>https://orcid.org/0000-0003-2582-7832</orcidid><orcidid>https://orcid.org/0000-0002-0425-9883</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0278-4297 |
| ispartof | Journal of ultrasound in medicine, 2023-01, Vol.42 (1), p.211-220 |
| issn | 0278-4297 1550-9613 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2688086255 |
| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adult Central Venous Pressure Child Child, Preschool Critical Illness critically ill children Cross-Sectional Studies Feasibility Studies Female Humans Infant Male pediatric intensive care Pilot Projects point‐of‐care ultrasound Vena Cava, Inferior venous congestion Venous Excess Ultrasound score |
| title | Feasibility and Utility of the Venous Excess Ultrasound Score to Detect and Grade Central Venous Pressure Elevation in Critically Ill Children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T14%3A23%3A26IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Feasibility%20and%20Utility%20of%20the%20Venous%20Excess%20Ultrasound%20Score%20to%20Detect%20and%20Grade%20Central%20Venous%20Pressure%20Elevation%20in%20Critically%20Ill%20Children&rft.jtitle=Journal%20of%20ultrasound%20in%20medicine&rft.au=Men%C3%A9ndez%E2%80%90Suso,%20Juan%20J.&rft.date=2023-01&rft.volume=42&rft.issue=1&rft.spage=211&rft.epage=220&rft.pages=211-220&rft.issn=0278-4297&rft.eissn=1550-9613&rft_id=info:doi/10.1002/jum.16057&rft_dat=%3Cproquest_cross%3E2688086255%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2688086255&rft_id=info:pmid/35811405&rfr_iscdi=true |