Fluid Responsiveness and Venous Congestion in Critical Care

Fluid Responsiveness and Venous Congestion in Critical Care

By Dan Anghel, MD

In critical care, fluid management is both an art and a science—one that can mean the difference between life and death. Fluid Responsiveness and Venous Congestion in Critical Care is an essential, evidence-based guide designed for intensivists, anesthesiologists, emergency physicians, and all healthcare professionals involved in managing critically ill patients.

Written by Dr. Dan Anghel, an experienced intensivist and anesthesiologist, this book bridges the gap between theory and bedside application, offering a structured approach to fluid optimization. It covers key concepts such as fluid responsiveness, venous congestion, hemodynamic monitoring, and the latest advancements in non-invasive and invasive assessment techniques.

Key topics include:

 Understanding the physiology of fluid balance and its impact on organ perfusion

 Advanced techniques to assess fluid responsiveness, including passive leg raising, stroke volume variation, and dynamic parameters

 The role of venous congestion in critical illness and how to diagnose it using VExUS (Venous Excess Ultrasound Score)

 Comparative analysis of invasive vs. non-invasive hemodynamic monitoring tools

 Strategies for fluid resuscitation and de-resuscitation in sepsis, acute kidney injury, heart failure, and trauma

 Bedside ultrasound protocols for assessing venous congestion and optimizing fluid therapy

Combining the latest research with practical insights, Fluid Responsiveness and Venous Congestion in Critical Care provides a comprehensive roadmap for clinicians seeking to master fluid management and improve patient outcomes. Whether you are a seasoned intensivist or a trainee in critical care medicine, this book will empower you to make informed, evidence-based decisions at the bedside.