ArticleBMC pediatrics2025
Correlation between positive fluid balances with venous excess ultrasound scores and lung ultrasound in critically ill children with fluid overload.
Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCritically ill children are vulnerable to fluid overload due to complex fluid management. Early positive fluid balance may lead to systemic venous and pulmonary congestion, which can be challenging to detect clinically. Venous excess ultrasound (VExUS) and lung ultrasound (LUS) are emerging point-of-care tools to assess these complications. In adults, VExUS is classified into five grades (A-E) based on Doppler flow patterns. However, evidence on the use of VExUS, particularly in combination with LUS, in critically ill children with fluid overload is scarce, and their clinical utility in this setting is yet to be established.
objectivesTo evaluate the correlation between positive fluid balance and VExUS and LUS scores in critically ill children.
methodsA cross-sectional study was conducted in the pediatric intensive care unit (PICU) of Dr. Cipto Mangunkusumo Hospital, from November to December 2024. The study included critically ill children aged 1 month to 18 years with a positive fluid balance within the first 24 h of admission. Correlations between VExUS and LUS scores, fluid balance, and clinical signs were analyzed.
resultsIn 40 critically ill children, there was no correlation between VExUS or LUS scores with positive fluid balance > 5%. Additional results revealed a correlation between VExUS A and rhonchi (r = 0.367, p = 0.020), VExUS B and rhonchi (r = 0.367, p = 0.020), and VExUS D and edema (r = 0.328, p = 0.039).
conclusionVExUS and LUS scores were not significantly correlated with positive fluid balance. VExUS A, B, and D correlated with rhonchi and edema in critically ill children with fluid overload.
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