abstract
- Point-of-care ultrasound (POCUS) enables physiology-guided hemodynamic assessment in decompensated cirrhosis, moving beyond protocolized albumin use toward individualized therapy. By integrating IVC/IJV indices, lung ultrasound, and intrarenal venous Doppler, clinicians can tailor albumin and vasopressor strategies to fluid tolerance, potentially improving AKI reversal while limiting overload. We outline a pragmatic bedside framework to operationalize POCUS-guided albumin management in routine hepatology practice. © 2025 Elsevier Masson SAS