Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment Step 1: IVC Diameter: If >2cm, proceed to step 2 Step 2: Hepatic Vein Doppler Step 3: Portal Vein Doppler Step 4: Renal Vein Doppler Interpretation: Grade 0 (no congestion): IVC < 2cm Grade 1 (Mild congestion): IVC >2cm and any combo of Normal or Mildly Abnl Patterns Grade 2 (Moderate congestion): IVC >2cm and ONE Severely Abnl Pattern Grade 3 (Severe congestion): IVC >2cm and > 2 Severely Abnl Patterns #VenousExcess #Ultrasound #VExUS #diagnosis #pocus #congestion #grading #grades #instructions
