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World J Crit Care Med. Jun 9, 2026; 15(2): 114264
Published online Jun 9, 2026. doi: 10.5492/wjccm.v15.i2.114264
Published online Jun 9, 2026. doi: 10.5492/wjccm.v15.i2.114264
Integrating structured point-of-care ultrasound into dengue fever management: A mini review and comprehensive clinical guide
Zhi-Yuan Lee, Department of Medicine, Sarawak General Hospital, Kuching 93586, Sarawak, Malaysia
Wei-Ven Chin, Department of Acute Internal Medicine, Sarawak General Hospital, Kuching 93586, Sarawak, Malaysia
Author contributions: Lee ZY designed and drafted the manuscript; Chin WV supervised and revised the manuscript.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Corresponding author: Zhi-Yuan Lee, MD, MRCP (UK), Physician, Department of Medicine, Sarawak General Hospital, 1 Hospital Street, Kuching 93586, Sarawak, Malaysia. jameslee@moh.gov.my
Received: September 15, 2025
Revised: November 25, 2025
Accepted: January 26, 2026
Published online: June 9, 2026
Processing time: 248 Days and 8.4 Hours
Revised: November 25, 2025
Accepted: January 26, 2026
Published online: June 9, 2026
Processing time: 248 Days and 8.4 Hours
Core Tip
Core Tip: This standardized, structured ultrasound protocol focuses on key diagnostic parameters, including gallbladder wall thickness; the presence and extent of ascites, pleural effusion and pericardial effusion; pulmonary interstitial edema; and assessment of fluid responsiveness/tolerance. When integrated with serial serum lactate measurements, it provides a comprehensive framework for clinical evaluation. This approach aims to enable earlier identification of at-risk patients across both general ward and intensive care settings, thereby improving patient care in dengue and reducing morbidity and mortality.