---
title: "VExUS-guided Volume Management After Cardiopulmonary Bypass: Clinical Value and Outcomes"
id: "pubmed-42565947"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42565947"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42565947/"
doi: "10.1007/s40477-026-01200-5"
published_at: "2026-08-07T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# VExUS-guided Volume Management After Cardiopulmonary Bypass: Clinical Value and Outcomes
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42565947
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42565947/)
- **DOI:** [10.1007/s40477-026-01200-5](https://doi.org/10.1007%2Fs40477-026-01200-5)
- **Published At:** 2026-08-07T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Objective: Evaluate the clinical value of the **VExUS** (venous volume excess ultrasound score) to guide postoperative volume management in patients after cardiopulmonary bypass (**CPB**) surgery. - Design: Single-center, prospective, randomized controlled trial with consecutive adult CPB patients enrolled between January 2024 and October 2025, randomized 1:1 to VExUS-guided or conventional management. - Sample: 89 participants completed the study (46 in the VExUS group, 43 in the control group); baseline demographics and intraoperative variables were similar between groups (no significant differences). - Primary comparisons: Baseline demographics, intraoperative parameters, postoperative fluid and transfusion metrics (including albumin transfusion), serial net fluid balance, and clinical outcomes including ICU and total mechanical ventilation time and postoperative hospital length of stay. - Key findings on transfusion: At 12 and 24 hours postoperatively the median albumin transfusion volume was 0 g in both groups, but the **VExUS** cohort showed a wider distribution and a larger proportion receiving high-dose albumin; between-group differences were statistically significant (P = 0.007 at 12 h and P = 0.015 at 24 h). - Fluid balance and decongestion: Cumulative net fluid balance did not reach statistical significance between groups overall, but the VExUS-guided group demonstrated a more pronounced negative fluid balance trend at 48 hours, indicating greater systemic decongestion. - Length of stay: Median postoperative hospital stay was significantly shorter in the VExUS group (15 days) versus control (19 days), P = 0.027. - Other clinical endpoints: No significant differences were observed in ICU duration or total mechanical ventilation time between groups. - Statistical approach: Two-tailed tests with significance threshold P < 0.05. - Ethics and disclosures: Study approved by the Ethics Committee of Chenzhou First People’s Hospital (Approval No. 2025069); written informed consent obtained; authors report no conflicts of interest. - Conclusion: The authors report that **VExUS-directed volume management** may allow more personalized fluid therapy and is associated with shorter postoperative hospital stay and greater early decongestion after CPB surgery.
## Clinical Analysis & Structured Key Points
Clipboard, Search History, and several other advanced features are temporarily unavailable. [ Skip to main page content ](https://pubmed.ncbi.nlm.nih.gov/42565947/#article-details) ![U.S. flag](https://cdn.ncbi.nlm.nih.gov/coreutils/uswds/img/favicons/favicon-57.png) An official website of the United States government Here's how you know ![Dot gov](https://cdn.ncbi.nlm.nih.gov/coreutils/uswds/img/icon-dot-gov.svg) **The .gov means it’s official.** Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site. ![Https](https://cdn.ncbi.nlm.nih.gov/coreutils/uswds/img/icon-https.svg) **The site is secure.** The **https://** ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. [ ![NIH NLM Logo](https://cdn.ncbi.nlm.nih.gov/coreutils/nwds/img/logos/AgencyLogo.svg) ](https://www.ncbi.nlm.nih.gov/) [Log in](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F) Show account info Close #### Account Logged in as: **username** * [Dashboard](https://www.ncbi.nlm.nih.gov/myncbi/) * [Publications](https://www.ncbi.nlm.nih.gov/myncbi/collections/bibliography/) * [Account settings](https://www.ncbi.nlm.nih.gov/account/settings/) * [Log out](https://www.ncbi.nlm.nih.gov/account/signout/?back_url=https%3A//pubmed.ncbi.nlm.nih.gov/42565947/) [Access keys](https://www.ncbi.nlm.nih.gov/guide/browsers/#ncbi_accesskeys) [NCBI Homepage](https://www.ncbi.nlm.nih.gov) [MyNCBI Homepage](https://pubmed.ncbi.nlm.nih.gov/myncbi/) [Main Content](https://pubmed.ncbi.nlm.nih.gov/42565947/#maincontent) [Main Navigation](https://pubmed.ncbi.nlm.nih.gov/42565947/) [ ![pubmed logo](https://cdn.ncbi.nlm.nih.gov/pubmed/af7de7da-df5d-41c6-8de4-8c266af8ccfb/core/images/pubmed-logo-blue.svg) ](https://pubmed.ncbi.nlm.nih.gov/) [ ](https://pubmed.ncbi.nlm.nih.gov/42565947/ "Show search bar") Search: [](https://pubmed.ncbi.nlm.nih.gov/42565947/ "Clear search input")Search [Advanced](https://pubmed.ncbi.nlm.nih.gov/advanced/) [ Clipboard ](https://pubmed.ncbi.nlm.nih.gov/clipboard/) [ User Guide ](https://pubmed.ncbi.nlm.nih.gov/help/) Save Email Send to * [ Clipboard ](https://pubmed.ncbi.nlm.nih.gov/42565947/) * [My Bibliography](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F%23open-bibliography-panel) * [Collections](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F%23open-collections-panel) * [Citation manager](https://pubmed.ncbi.nlm.nih.gov/42565947/) Display options Display options Format Abstract PubMed PMID ## Save citation to file Format: Summary (text) PubMed PMID Abstract (text) CSV Create file Cancel ## Email citation Email address has not been verified. Go to [ My NCBI account settings ](https://account.ncbi.nlm.nih.gov/settings/) to confirm your email and then refresh this page. To: Subject: Body: Format: Summary Summary (text) Abstract Abstract (text) MeSH and other data Send email Cancel ### Add to Collections * Create a new collection * Add to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error [Please try again](https://pubmed.ncbi.nlm.nih.gov/42565947/) Add Cancel ### Add to My Bibliography * My Bibliography Unable to load your delegates due to an error [Please try again](https://pubmed.ncbi.nlm.nih.gov/42565947/) Add Cancel ## Your saved search Name of saved search: Search terms: [Test search terms](https://pubmed.ncbi.nlm.nih.gov/42565947/) Would you like email updates of new search results? Saved Search Alert Radio Buttons * Yes * No Email: ([change](https://www.ncbi.nlm.nih.gov/account/settings/)) Frequency: Monthly Weekly Daily Which day? The first Sunday The first Monday The first Tuesday The first Wednesday The first Thursday The first Friday The first Saturday The first day The first weekday Which day? Sunday Monday Tuesday Wednesday Thursday Friday Saturday Report format: Summary Summary (text) Abstract Abstract (text) PubMed Send at most: 1 item 5 items 10 items 20 items 50 items 100 items 200 items Send even when there aren't any new results Optional text in email: Save Cancel ## Create a file for external citation management software Create file Cancel ## Your RSS Feed Name of RSS Feed: Number of items displayed: 5 10 15 20 50 100 Create RSS Cancel RSS Link Copy ### Actions Cite Collections Add to Collections * Create a new collection * Add to an existing collection Name your collection: Name must be less than 100 characters Choose a collection: Unable to load your collection due to an error [Please try again](https://pubmed.ncbi.nlm.nih.gov/42565947/) Add Cancel Permalink Permalink Copy Display options Display options Format Abstract PubMed PMID ### Page navigation * [ Title & authors ](https://pubmed.ncbi.nlm.nih.gov/42565947/#heading) * [ Abstract ](https://pubmed.ncbi.nlm.nih.gov/42565947/#abstract) * [ Conflict of interest statement ](https://pubmed.ncbi.nlm.nih.gov/42565947/#conflict-of-interest) * [ References ](https://pubmed.ncbi.nlm.nih.gov/42565947/#references) * [ Grants and funding ](https://pubmed.ncbi.nlm.nih.gov/42565947/#grants) Title & authors Abstract Conflict of interest statement References Grants and funding J Ultrasound Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22J+Ultrasound%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J+Ultrasound%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42565947/) . 2026 Aug 7. doi: 10.1007/s40477-026-01200-5. Online ahead of print. # Clinical value of the venous volume excess ultrasound score (VExUS) for volume management following cardiopulmonary bypass (CPB) [Lijun Guo](https://pubmed.ncbi.nlm.nih.gov/?term=Guo+L&cauthor_id=42565947)[#](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-affiliation-1 "Department of Neurology, Affiliated Hospital of Xiangnan University, Chenzhou, 423000, Hunan, China."), [Wei Gong](https://pubmed.ncbi.nlm.nih.gov/?term=Gong+W&cauthor_id=42565947)[#](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-equal-contrib-explanation "Contributed equally")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-affiliation-2 "Emergency Department, The First People's Hospital of Chenzhou, Chenzhou, 423000, China."), [Huiyan Zhang](https://pubmed.ncbi.nlm.nih.gov/?term=Zhang+H&cauthor_id=42565947)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-affiliation-3 "Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China."), [Hongli Gu](https://pubmed.ncbi.nlm.nih.gov/?term=Gu+H&cauthor_id=42565947)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-affiliation-4 "Department of Ultrasound, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. guhongli0605@163.com."), [Qiong Li](https://pubmed.ncbi.nlm.nih.gov/?term=Li+Q&cauthor_id=42565947)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#full-view-affiliation-5 "Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. liqiong8008@sina.com.") Affiliations Expand ### Affiliations * 1 Department of Neurology, Affiliated Hospital of Xiangnan University, Chenzhou, 423000, Hunan, China. * 2 Emergency Department, The First People's Hospital of Chenzhou, Chenzhou, 423000, China. * 3 Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. * 4 Department of Ultrasound, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. guhongli0605@163.com. * 5 Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. liqiong8008@sina.com. # Contributed equally. * PMID: **42565947** * DOI: [ 10.1007/s40477-026-01200-5 ](https://doi.org/10.1007/s40477-026-01200-5) Item in Clipboard # Clinical value of the venous volume excess ultrasound score (VExUS) for volume management following cardiopulmonary bypass (CPB) Lijun Guo et al. J Ultrasound. 2026. Show details Display options Display options Format Abstract PubMed PMID J Ultrasound Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22J+Ultrasound%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22J+Ultrasound%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42565947/) . 2026 Aug 7. doi: 10.1007/s40477-026-01200-5. Online ahead of print. ### Authors [Lijun Guo](https://pubmed.ncbi.nlm.nih.gov/?term=Guo+L&cauthor_id=42565947)[#](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-equal-contrib-explanation "Contributed equally")[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-affiliation-1 "Department of Neurology, Affiliated Hospital of Xiangnan University, Chenzhou, 423000, Hunan, China."), [Wei Gong](https://pubmed.ncbi.nlm.nih.gov/?term=Gong+W&cauthor_id=42565947)[#](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-equal-contrib-explanation "Contributed equally")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-affiliation-2 "Emergency Department, The First People's Hospital of Chenzhou, Chenzhou, 423000, China."), [Huiyan Zhang](https://pubmed.ncbi.nlm.nih.gov/?term=Zhang+H&cauthor_id=42565947)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-affiliation-3 "Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China."), [Hongli Gu](https://pubmed.ncbi.nlm.nih.gov/?term=Gu+H&cauthor_id=42565947)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-affiliation-4 "Department of Ultrasound, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. guhongli0605@163.com."), [Qiong Li](https://pubmed.ncbi.nlm.nih.gov/?term=Li+Q&cauthor_id=42565947)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42565947/#short-view-affiliation-5 "Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. liqiong8008@sina.com.") ### Affiliations * 1 Department of Neurology, Affiliated Hospital of Xiangnan University, Chenzhou, 423000, Hunan, China. * 2 Emergency Department, The First People's Hospital of Chenzhou, Chenzhou, 423000, China. * 3 Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. * 4 Department of Ultrasound, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. guhongli0605@163.com. * 5 Department of Critical Care Medicine, The First People's Hospital of Chenzhou, 102 Luo Jia Jin Street, Chenzhou, 423000, China. liqiong8008@sina.com. # Contributed equally. * PMID: **42565947** * DOI: [ 10.1007/s40477-026-01200-5 ](https://doi.org/10.1007/s40477-026-01200-5) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract **Objective:** To assess the clinical value of VExUS-guided volume management in patients following CPB surgery. **Methods:** A single-center, prospective, randomized controlled trial was performed. All adult patients undergoing CPB surgery between January 2024 and October 2025 were consecutively enrolled and randomly allocated in a 1:1 ratio to either a VExUS-guided intervention group or a conventional control group. Baseline demographics, intraoperative surgical parameters, serial postoperative fluid and transfusion metrics, and clinical outcomes were compared between the two cohorts. Intergroup comparisons were conducted using two-tailed statistical tests, with a significance level of P 0.05). At 12 h and 24 h postoperatively, the median albumin transfusion volume was 0 g in both groups; however, the VExUS-guided cohort exhibited broader data distribution and a larger proportion of patients receiving high-dose albumin administration, with significant between-group differences (P = 0.007 and P = 0.015, respectively). The median postoperative hospital stay was markedly shorter in the VExUS group (15 days vs. 19 days, P = 0.027). No significant differences were observed in intensive care unit (ICU) or total mechanical ventilation time. Although the cumulative net fluid balance did not reach statistical significance between groups, the VExUS-guided group demonstrated a more prominent negative fluid balance trend at 48 h postoperatively, reflecting greater systemic decongestion. **Conclusion:** VExUS-directed volume management optimizes personalized fluid therapy and shortens postoperative hospital stay in patients undergoing CPB surgery. **Keywords:** CPB; Postoperative; VExUS; Volume management. © 2026. The Author(s). [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Conflict of interest statement Declarations. Conflict of interest: The authors declare that they have no conflict of interest. Ethics and Informed Consent: This study has been approved by the Ethics Committee of Chenzhou First People’s Hospital (Approval No. 2025069), and all procedures were performed in accordance with the ethical standards of the 1964 Helsinki Declaration and its later amendments. This study adopted a prospective observational design, and written informed consent was obtained from all participants or their legal surrogates before enrollment. ## References 1. 1. Arabi YM, Belley-Cote E, Carsetti A et al (2024) European Society of Intensive Care Medicine clinical practice guideline on fluid therapy in adult critically ill patients. Part 1: the choice of resuscitation fluids. Intensive Care Med 50(6):813–831 - [DOI](https://doi.org/10.1007/s00134-024-07369-9) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/38771364/) 2. 1. Aya HD, Cecconi M, Hamilton M et al (2013) Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis. Br J Anaesth 110(4):510–517 - [DOI](https://doi.org/10.1093/bja/aet020) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/23447502/) 3. 1. Gao P, Liu J, Zhang P et al (2023) Goal-directed perfusion for reducing acute kidney injury in cardiac surgery: a systematic review and meta-analysis. Perfusion 38(3):591–599 - [DOI](https://doi.org/10.1177/02676591211073783) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/35125028/) 4. 1. Boorsma EM, Ter Maaten JM, Damman K et al (2020) Congestion in heart failure: a contemporary look at physiology, diagnosis and treatment. Nat Rev Cardiol 17(10):641–655 - [DOI](https://doi.org/10.1038/s41569-020-0379-7) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/32415147/) 5. 1. Vellinga NA, Ince C, Boerma EC (2013) Elevated central venous pressure is associated with impairment of microcirculatory blood flow in sepsis: a hypothesis generating post hoc analysis. BMC Anesthesiol 13:17 - [DOI](https://doi.org/10.1186/1471-2253-13-17) - [PubMed](https://pubmed.ncbi.nlm.nih.gov/23919272/) - [PMC](https://pmc.ncbi.nlm.nih.gov/articles/3750825/) Show all 22 references ## Grants and funding * [ (D202317018022)/Health and Family Planning Commission of Hunan Province ](https://pubmed.ncbi.nlm.nih.gov/?term=%28D202317018022%29%2FHealth+and+Family+Planning+Commission+of+Hunan+Province%5BGrants+and+Funding%5D&sort=date&sort_order=desc "All articles for grant \(D202317018022\)/Health and Family Planning Commission of Hunan Province") * [ (2021XJ111)/Xiangnan University ](https://pubmed.ncbi.nlm.nih.gov/?term=%282021XJ111%29%2FXiangnan+University%5BGrants+and+Funding%5D&sort=date&sort_order=desc "All articles for grant \(2021XJ111\)/Xiangnan University") * [ （2026JJ80586）/Science Fund for Distinguished Young Scholars of Hunan Province ](https://pubmed.ncbi.nlm.nih.gov/?term=%EF%BC%882026JJ80586%EF%BC%89%2FScience+Fund+for+Distinguished+Young+Scholars+of+Hunan+Province%5BGrants+and+Funding%5D&sort=date&sort_order=desc "All articles for grant （2026JJ80586）/Science Fund for Distinguished Young Scholars of Hunan Province") * [ (CZYY202217)/Chongqing Xinqiao Hospital, Second Affiliated Hospital of Army Medical University ](https://pubmed.ncbi.nlm.nih.gov/?term=%28CZYY202217%29%2FChongqing+Xinqiao+Hospital%2C+Second+Affiliated+Hospital+of+Army+Medical+University%5BGrants+and+Funding%5D&sort=date&sort_order=desc "All articles for grant \(CZYY202217\)/Chongqing Xinqiao Hospital, Second Affiliated Hospital of Army Medical University") [x] Cite Copy Download .nbib .nbib Format: AMA APA MLA NLM **Send To** * [Clipboard](https://pubmed.ncbi.nlm.nih.gov/42565947/) * [Email](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F%23open-email-panel) * [Save](https://pubmed.ncbi.nlm.nih.gov/42565947/) * [My Bibliography](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F%23open-bibliography-panel) * [Collections](https://account.ncbi.nlm.nih.gov/?back_url=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F42565947%2F%23open-collections-panel) * [Citation Manager](https://pubmed.ncbi.nlm.nih.gov/42565947/) [x] NCBI Literature Resources [MeSH](https://www.ncbi.nlm.nih.gov/mesh/) [PMC](https://www.ncbi.nlm.nih.gov/pmc/) [Bookshelf](https://www.ncbi.nlm.nih.gov/books) [Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unauthorized use of these marks is strictly prohibited. Follow NCBI [ Twitter ](https://twitter.com/ncbi) [ Facebook ](https://www.facebook.com/ncbi.nlm) [ LinkedIn ](https://www.linkedin.com/company/ncbinlm) [ GitHub ](https://github.com/ncbi) [ ](https://ncbiinsights.ncbi.nlm.nih.gov/) [Connect with NLM](https://www.nlm.nih.gov/socialmedia/index.html) * [ Twitter ](https://twitter.com/NLM_NIH) * [ SM-Facebook ](https://www.facebook.com/nationallibraryofmedicine) * [ SM-Youtube ](https://www.youtube.com/user/NLMNIH) National Library of Medicine [8600 Rockville Pike Bethesda, MD 20894](https://www.google.com/maps/place/8600+Rockville+Pike,+Bethesda,+MD+20894/@38.9959508,-77.101021,17z/data=!3m1!4b1!4m5!3m4!1s0x89b7c95e25765ddb:0x19156f88b27635b8!8m2!3d38.9959508!4d-77.0988323) [Web Policies](https://www.nlm.nih.gov/web_policies.html) [FOIA](https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/freedom-information-act-office) [HHS Vulnerability Disclosure](https://www.hhs.gov/vulnerability-disclosure-policy/index.html) [Help](https://support.nlm.nih.gov/?pagename=pubmed%3Apubmed%3Aabstract%3ANONE) [Accessibility](https://www.nlm.nih.gov/accessibility.html) [Careers](https://www.nlm.nih.gov/careers/careers.html) * [NLM](https://www.nlm.nih.gov/) * [NIH](https://www.nih.gov/) * [HHS](https://www.hhs.gov/) * [USA.gov](https://www.usa.gov/)
## Related Clinical Research

- [Albumin-Corrected Anion Gap Predicts In-Hospital Mortality in Traumatic Lung Injury: Multicenter R](https://medichelpline.com/clinical-feed/pubmed-42626900.md) (DOI: 10.1177/10815589261483651)
- [Postcardiotomy ECMO After the Norwood Procedure: US Utilization, Outcomes, and Predictors](https://medichelpline.com/clinical-feed/pubmed-42622839.md) (DOI: 10.1177/02184923261478983)
- [Prospective Study of Inflammatory Markers in Urine, Plasma and Sputum Associated With Acute Kidn](https://medichelpline.com/clinical-feed/clinicaltrials-nct03720860.md) (DOI: NCT03720860)
- [Acute Sigmoid Volvulus With Abdominal Compartment Syndrome: A CT Case](https://medichelpline.com/clinical-feed/litfl-7-ct-case-102.md)
- [Incidence, trends, and in-hospital mortality of thyroid storm in Thailand (2017–2024)](https://medichelpline.com/clinical-feed/plos-one-3-epidemiology-and-mortality-rate-of-thyroid-storm-in-thailand-analysis-using-a.md)

## Navigation
- [← Back to Critical Care Feed](https://medichelpline.com/clinical-feed/critical-care.md)
- [← All Clinical Specialties](https://medichelpline.com/clinical-feed.md)
## Medical & Regulatory Disclaimer

> [!CAUTION]
> MedicHelpline content is structured for research, educational, and professional discovery purposes. It does not constitute individual medical advice, clinical diagnosis, or treatment recommendations.
> Always verify dosing, contraindications, and regulatory alerts against official product labeling and primary regulatory sources before clinical decision-making.