[The assessment of volume status]

Ned Tijdschr Geneeskd. 2023 Nov 15:167:D7803.
[Article in Dutch]

Abstract

Accurately assessing volume status is crucial, as an incorrect evaluation can lead to inappropriate therapy. Evaluating volume status using medical history and physical examination can be challenging. Medical history and physical examination are readily available, cost-effective, and non-invasive, remaining the initial steps in assessing fluid status. Point-of-care ultrasound (POCUS) is a valuable adjunct to physical examination. The collapse point of the internal jugular vein, the diameter of the inferior vena cava, and the presence of pulmonary B-lines can be easily and rapidly assessed using POCUS. Combining medical history, physical examination, and POCUS enhances diagnostic certainty in evaluating volume status.

Publication types

  • English Abstract

MeSH terms

  • Humans
  • Jugular Veins / diagnostic imaging
  • Physical Examination
  • Point-of-Care Systems
  • Point-of-Care Testing*
  • Ultrasonography
  • Vena Cava, Inferior* / diagnostic imaging