The objective of this study is to assess how fluid resuscitation, in the context of fluid responsiveness, affects the incidence and progression of systemic venous congestion in critically ill cardiac patients. Additionally, the study aims to evaluate the impact on clinical outcomes, with a particular focus on acute kidney dysfunction. This assessment will utilize the VExUS score in conjunction with comprehensive bedside echocardiographic evaluations.
Study Type
OBSERVATIONAL
Enrollment
250
The VExUS system provides a semi-quantitative assessment of systemic venous congestion by integrating ultrasound evaluations of the inferior vena cava diameter, hepatic vein flow, portal pulsatility, and renal venous flow, offering a practical and comprehensive bedside tool
Venous congestion
Venous congestion as assessed by the VExUS score at ICU admission, and on each of the first seven postoperative days.
Time frame: 7 days
Acute kidney injury
Acute kidney injury (AKI), defined through the KDIGO criteria, within seven and twenty-eight days of ICU admission.
Time frame: Twenty-eight days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.