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Publication Name World Journal of Critical Care Medicine
Manuscript ID 122632
DOI 10.5492/wjccm.122632
Country India
Category Critical Care Medicine
Manuscript Type Minireviews
Article Title Venous dimension of shock: Integrating arterial inflow and venous back-pressure in hemodynamic assessment
Manuscript Source Invited Manuscript
All Author List Sahil Kataria, Saketh Vinjamuri, Deven Juneja and Sargam Goel
Funding Agency and Grant Number
Corresponding Author Deven Juneja, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, 1 Press Enclave Road, New Delhi 110017, Delhi, India. devenjuneja@gmail.com
Key Words Arterial-venous perfusion gradient; Central venous pressure; Hemodynamic monitoring; Hypoperfusion; Mean arterial pressure; Microcirculation; Shock; Venous congestion
Core Tip Venous congestion is an underrecognized cause of organ hypoperfusion in critical illness. This review highlights how elevated venous pressure can reduce organ perfusion despite apparently preserved arterial hemodynamics. The arterial-venous perfusion gradient is presented as a pragmatic clinical synthesis of established physiology, providing a bedside framework to interpret arterial inflow, venous outflow, and tissue perfusion together during shock assessment and resuscitation.
Citation Kataria S, Vinjamuri S, Juneja D, Goel S. Venous dimension of shock: Integrating arterial inflow and venous back-pressure in hemodynamic assessment. World J Crit Care Med 2026; In press
PDF 122632-in-press.pdf
Received
2026-04-24 07:04
Peer-Review Started
2026-04-24 07:05
First Decision by Editorial Office Director
2026-05-22 09:03
Return for Revision
2026-05-22 09:03
Revised
2026-06-12 12:07
Publication Fee Transferred
Second Decision by Editor
2026-06-25 02:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-25 08:18
Articles in Press
2026-06-25 08:18
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-3141(online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com