International evidence-based recommendations for point-of-care lung ultrasound

被引：2190

作者：

Volpicelli, Giovanni ^{[1
]}

Elbarbary, Mahmoud ^{[2
]}

Blaivas, Michael ^{[3
]}

Lichtenstein, Daniel A. ^{[4
]}

Mathis, Gebhard

Kirkpatrick, Andrew W. ^{[5
]}

Melniker, Lawrence ^{[6
]}

Gargani, Luna ^{[7
]}

Noble, Vicki E. ^{[8
]}

Via, Gabriele ^{[9
]}

Dean, Anthony ^{[10
]}

Tsung, James W. ^{[11
,12
]}

Soldati, Gino ^{[13
]}

Copetti, Roberto ^{[14
]}

Bouhemad, Belaid ^{[15
]}

Reissig, Angelika ^{[16
]}

Agricola, Eustachio ^{[17
]}

Rouby, Jean-Jacques ^{[18
]}

Arbelot, Charlotte ^{[18
]}

Liteplo, Andrew

Sargsyan, Ashot ^{[19
]}

Silva, Fernando ^{[20
]}

Hoppmann, Richard ^{[21
]}

Breitkreutz, Raoul ^{[22
,23
]}

Seibel, Armin ^{[24
]}

Neri, Luca ^{[25
]}

Storti, Enrico ^{[26
]}

Petrovic, Tomislav ^{[27
]}

机构：

[1] San Luigi Gonzaga Univ Hosp, Dept Emergency Med, I-10043 Turin, Italy

[2] King Saud Univ Hlth Sci, Natl & Gulf Ctr Evidence Based Hlth Practice, Riyadh, Saudi Arabia

[3] Northside Hosp Forsyth, Dept Emergency Med, Atlanta, GA USA

[4] Hop Ambroise Pare, Serv Reanimat Med, Boulogne, France

[5] Foothills Med Ctr, Calgary, AB, Canada

[6] Cornell Univ, Weill Med Coll, Dept Med, Clin Epidemiol Unit,Div Gen Internal Med, New York, NY 10021 USA

[7] CNR, Inst Clin Physiol, Pisa, Italy

[8] Massachusetts Gen Hosp, Dept Emergency Med, Div Emergency Ultrasound, Boston, MA 02114 USA

[9] IRCCS Fdn Policlin San Matteo, Dept Anesthesia & Intens Care Pavia 1, Pavia, Italy

[10] Univ Penn, Med Ctr, Dept Emergency Med, Div Emergency Ultrasonog, Philadelphia, PA 19104 USA

[11] Mt Sinai Sch Med, Dept Emergency Med, New York, NY USA

[12] Mt Sinai Sch Med, Dept Pediat, New York, NY USA

[13] Valle Serchio Gen Hosp, Emergency Med Unit, Lucca, Italy

[14] Latisana Hosp, Dept Med, Udine, Italy

[15] Grp Hosp Paris St Joseph, Dept Anesthesia & Crit Care, Surg Intens Care Unit, Paris, France

[16] Univ Jena, Med Univ Clin 1, Dept Pneumol & Allergol, Jena, Germany

[17] Ist Sci San Raffaele, IRCCS, Div Noninvas Cardiol, I-20132 Milan, Italy

[18] Univ Paris 06, Pitie Salpetriere Hosp, Dept Anesthesiol, Multidisciplinary Intens Care Unit, Paris 6, France

[19] Wyle NASA Lyndon B Johnson Space Ctr Bioastronaut, Houston, TX USA

[20] UC Davis Med Ctr, Dept Emergency Med, Sacramento, CA USA

[21] Univ S Carolina, Sch Med, Columbia, SC USA

[22] Univ Hosp Saarland, Dept Anaesthesiol Intens Care & Pain Therapy, Homburg, Germany

[23] Frankfurt Inst Emergency Med & Simulat Training F, Homburg, Germany

[24] Diakonie Klinikum Jung Stilling, Siegen, Germany

[25] AREU EMS Publ Reg Co, Niguarda Ca Granda Hosp, Milan, Italy

[26] Osped Niguarda Ca Granda, Intens Care Unit G Bozza, Milan, Italy

[27] Univ Hosp Avicenne, Bobigny, France

来源：

INTENSIVE CARE MEDICINE | 2012年 / 38卷 / 04期

关键词：

Lung ultrasound; Chest sonography; Emergency ultrasound; Critical ultrasound; Point-of-care ultrasound; Guideline; RAND; GRADE; Evidence-based medicine; RESPIRATORY-DISTRESS-SYNDROME; SONOGRAPHIC B-LINES; CHEST RADIOGRAPHY; THORACIC ULTRASOUND; BEDSIDE ULTRASOUND; PULMONARY-EDEMA; ALVEOLAR CONSOLIDATION; PLEURAL EFFUSIONS; TRAUMATIC PNEUMOTHORAX; INTERSTITIAL SYNDROME;

D O I：

10.1007/s00134-012-2513-4

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The purpose of this study is to provide evidence-based and expert consensus recommendations for lung ultrasound with focus on emergency and critical care settings. A multidisciplinary panel of 28 experts from eight countries was involved. Literature was reviewed from January 1966 to June 2011. Consensus members searched multiple databases including Pubmed, Medline, OVID, Embase, and others. The process used to develop these evidence-based recommendations involved two phases: determining the level of quality of evidence and developing the recommendation. The quality of evidence is assessed by the grading of recommendation, assessment, development, and evaluation (GRADE) method. However, the GRADE system does not enforce a specific method on how the panel should reach decisions during the consensus process. Our methodology committee decided to utilize the RAND appropriateness method for panel judgment and decisions/consensus. Seventy-three proposed statements were examined and discussed in three conferences held in Bologna, Pisa, and Rome. Each conference included two rounds of face-to-face modified Delphi technique. Anonymous panel voting followed each round. The panel did not reach an agreement and therefore did not adopt any recommendations for six statements. Weak/conditional recommendations were made for 2 statements, and strong recommendations were made for the remaining 65 statements. The statements were then recategorized and grouped to their current format. Internal and external peer-review processes took place before submission of the recommendations. Updates will occur at least every 4 years or whenever significant major changes in evidence appear. This document reflects the overall results of the first consensus conference on "point-of-care" lung ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development, and standardization of lung ultrasound in all relevant settings.

引用

页码：577 / 591

页数：15

共 80 条

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