Venous excess and lung ultrasound during continuous renal replacement therapy in critically ill patients (VExLUS-RRT): a prospective observational study
Thanphisit Trakarnvanich, Anyarin Wannakittirat, Sadudee Peerapornratana, Yingyos Avihingsanon, Marlies Ostermann, Nattachai Srisawat, Nuttha Lumlertgul · 2026
Read Venous excess and lung ultrasound during continuous renal replacement therapy in critically ill patients (VExLUS-RRT): a prospective observational study by Thanphisit Trakarnvanich, Anyarin Wannakittirat, Sadudee Peerapornratana, Yingyos Avihingsanon, Marlies Ostermann, Nattachai Srisawat, Nuttha Lumlertgul (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13475691.txt.
Description
Trakarnvanich and colleagues test ultrasound methods for tracking fluid overload in very ill patients on continuous kidney support, in 2026 ICU research at a Bangkok hospital. Too much fluid and too little both raise the risk of death, yet standard checks such as weight and fluid balance are unreliable in the ICU. The study pairs lung ultrasound with VExUS, an ultrasound grading system for congestion in the veins, during continuous renal replacement therapy.
The prospective study enrolled 100 eligible patients between March 2024 and August 2025 at King Chulalongkorn Memorial Hospital. Participants had a median age of 66 years, 97 percent needed mechanical ventilation, and 48 percent already had chronic kidney disease when enrolled. Oliguria, meaning very low urine output, triggered therapy in 56 percent of cases. The team compared a modified congestion score against standard scoring to predict recovery and dialysis need.
Catalog record
| CREATOR | Thanphisit Trakarnvanich, Anyarin Wannakittirat, Sadudee Peerapornratana, Yingyos Avihingsanon, Marlies Ostermann, Nattachai Srisawat, Nuttha Lumlertgul |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 49 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |