Hepatic Vein Doppler and EKG: Are There Any Workarounds?
Hepatic vein Doppler is a key component of both VExUS and eVExUS assessments. Getting the S and D waves right in the hepatic vein Doppler waveform can tell you a […]
VExUS in Tricuspid Regurgitation
People often claim that tricuspid regurgitation (TR) makes VExUS useless, assuming the regurgitation itself distorts the waveforms—especially causing hepatic S-reversal—rather than reflecting pressure changes. However, the portal vein remains a […]
VExUS: How I Do It and How Not to Do It
VExUS is a great tool for diagnosing congestion and monitoring decongestive therapy, but many physicians have never performed it or seen it in action. Even those with some POCUS training […]
A case of severe venous congestion: illustration of eVExUS
The aim of this case is to visually showcase severe right-sided congestion. As mentioned earlier, eVExUS, or ‘extended VExUS‘, involves examining more veins than the traditional trio of hepatic, portal, […]
VExUS grade 3 does not always mandate fluid removal.
Venous congestion often stems from fluid overload. However, it’s important to recognize that POCUS does not directly measure blood volume but instead assesses blood flows and pressure gradients. Whether to […]
Femoral vein Doppler before and after dialysis
Currently, there is growing interest in femoral vein Doppler, mainly due to its perceived ease of image acquisition. Elevated femoral vein pulsatility indicates venous congestion with reasonable specificity. However, this […]
VExUS in Nephrology: Case Examples
VExUS is an emerging field, and consequently, its practical application in day-to-day clinical practice is not widely acknowledged. Presented below are selected cases we have published (as of November 2023), […]
VExUS in Cirrhosis
Earlier, we discussed the utility of POCUS in evaluating hemodynamic acute kidney injury in cirrhosis. The following images were obtained from a patient with alcoholic liver cirrhosis, who had been […]
VExUS flash cards
In the previously posted videos and articles, we talked about the normal Doppler patterns of major abdominal veins used for VExUS grading and how they transition with increasing right atrial […]