TY - JOUR AU - Beaubien-Souligny, William AU - Rola, Philippe AU - Haycock, Korbin AU - Bouchard, Josée AU - Lamarche, Yoan AU - Spiegel, Rory AU - Denault, André Y. PY - 2020 DA - 2020/04/09 TI - Quantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system JO - The Ultrasound Journal SP - 16 VL - 12 IS - 1 AB - Organ congestion is a mediator of adverse outcomes in critically ill patients. Point-Of-Care ultrasound (POCUS) is widely available and could enable clinicians to detect signs of venous congestion at the bedside. The aim of this study was to develop several grading system prototypes using POCUS and to determine their respective ability to predict acute kidney injury (AKI) after cardiac surgery. This is a post-hoc analysis of a single-center prospective study in 145 patients undergoing cardiac surgery for which repeated daily measurements of hepatic, portal, intra-renal vein Doppler and inferior vena cava (IVC) ultrasound were performed during the first 72 h after surgery. Five prototypes of venous excess ultrasound (VExUS) grading system combining multiple ultrasound markers were developed. SN - 2524-8987 UR - https://doi.org/10.1186/s13089-020-00163-w DO - 10.1186/s13089-020-00163-w ID - Beaubien-Souligny2020 ER -