Role of ultrasound in diagnosing volume status in critically ill patients


D.O. Starostin1, A.N. Kuzovlev2

1 Branch No. 8 (pgt. Selyatino) «1586 VKG» of the Ministry of Defense of Russia Moscow region

2 V.A. Negovsky research institute of general reanimatology of the Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow

Correspondence to: Artem N. Kuzovlev, MD, PhD, DrSci, head of the laboratory of clinical pathophysiology of critical states of the V.A. Negovsky research institute of general reanimatology Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow; e-mail:

For citation: Starostin D.O., Kuzovlev A.N. Role of ultrasound in diagnosing volume status in critically ill patients. Alexander Saltanov Intensive Care Herald. 2018;4:42–50.

DOI: 10.21320/1818-474X-2018-4-42-50

Currently, various methods are available for assessing volemic status and volume responsiveness in critically ill patients. A significant advantage of ultrasound methods is their non-invasiveness, ease of use, and a quick learning curve, which makes them probably the most promising in the clinical practice. This literature review outlines the basic principles of diagnosis and evaluation of the volemic status of critically ill patients. The informativity of central venous pressure, hemodynamic tests (volume loading teats, passive leg raising test), as well as instrumental methods for assessing volemic status, in particular ultrasound (assessment of respiratory modulation of the inferior vena cava, collapse of internal jugular vein, transthoracic and transesophageal echocardiography).

Keywords: volemic status, hypovolemia, ultrasound, passive leg raising test, cardiac output

Received: 08.10.2018

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