Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus

被引：96

作者：

Hussain, Arif ^{[1
,2
]}

Via, Gabriele ^{[3
]}

Melniker, Lawrence ^{[4
]}

Goffi, Alberto ^{[5
,6
]}

Tavazzi, Guido ^{[7
,8
]}

Neri, Luca ^{[9
]}

Villen, Tomas ^{[10
]}

Hoppmann, Richard ^{[11
]}

Mojoli, Francesco ^{[12
]}

Noble, Vicki ^{[13
]}

Zieleskiewicz, Laurent ^{[14
]}

Blanco, Pablo ^{[15
]}

Ma, Irene W. Y. ^{[16
]}

Abd Wahab, Mahathar ^{[17
]}

Alsaawi, Abdulmohsen ^{[18
]}

Al Salamah, Majid ^{[19
]}

Balik, Martin ^{[20
]}

Barca, Diego ^{[21
]}

Bendjelid, Karim ^{[22
]}

Bouhemad, Belaid ^{[23
,24
]}

Bravo-Figueroa, Pablo ^{[25
]}

Breitkreutz, Raoul ^{[26
]}

Calderon, Juan ^{[27
]}

Connolly, Jim ^{[28
]}

Copetti, Roberto ^{[29
]}

Corradi, Francesco ^{[30
]}

Dean, Anthony J. ^{[31
]}

Denault, Andre ^{[32
]}

Govil, Deepak ^{[33
]}

Graci, Carmela ^{[34
]}

Ha, Young-Rock ^{[35
]}

Hurtado, Laura ^{[36
]}

Kameda, Toru ^{[37
,38
]}

Lanspa, Michael ^{[39
]}

Laursen, Christian B. ^{[40
]}

Lee, Francis ^{[41
]}

Liu, Rachel ^{[42
]}

Meineri, Massimiliano ^{[43
]}

Montorfano, Miguel ^{[44
]}

Nazerian, Peiman ^{[45
]}

Nelson, Bret P. ^{[46
]}

Neskovic, Aleksandar N. ^{[47
]}

Nogue, Ramon ^{[48
]}

Osman, Adi ^{[49
]}

Pazeli, Jose ^{[50
]}

Pereira-Junior, Elmo ^{[51
]}

Petrovic, Tomislav ^{[52
]}

Pivetta, Emanuele ^{[53
]}

Poelaert, Jan ^{[54
]}

Price, Susanna ^{[55
]}

机构：

[1] King Abdul Aziz Med City, Dept Cardiac Sci, Riyadh, Saudi Arabia

[2] King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia

[3] Cardioctr Ticino, Cardiac Anesthesia & Intens Care, Lugano, Switzerland

[4] New York Presbyterian Brooklyn Methodist Hosp, New York, NY USA

[5] Univ Toronto, Dept Med, Toronto, ON, Canada

[6] Univ Toronto, Interdept Div Crit Care Med, Toronto, ON, Canada

[7] Univ Pavia, Dept Clin Surg Diagnost & Paediat Sci, Unit Anaesthesia & Intens Care, Pavia, Italy

[8] Policlin San Matteo Fdn, Fdn Ist Ricovero & Cura Carattere Sci, Anaesthesia & Intens Care, Pavia, Italy

[9] King Fahad Specialist Hosp Dammam, Dammam, Saudi Arabia

[10] Francisco Vitoria Univ, Sch Med, Madrid, Spain

[11] Univ South Carolina, Sch Med, Columbia, SC 29208 USA

[12] Univ Pavia, Fdn IRCCS Policlin San Matteo, Anesthesia & Intens Care, Pavia, Italy

[13] Univ Hosp Cleveland, Med Ctr, Cleveland, OH 44106 USA

[14] Hop Nord Marseille, AP HM, Serv Anesthesie Reanimat, Chemin Bourrely, F-13015 Marseille, France

[15] Hosp Dr Emilio Ferreyra, Dept Teaching & Res, Necochea, Argentina

[16] Univ Calgary, Dept Med, Div Gen Internal Med, Calgary, AB, Canada

[17] Hosp Kuala Lumpur, Emergency & Trauma Dept, Kuala Lumpur 50586, Malaysia

[18] Minist Natl Guard Hlth Affairs, King Abdullah Int Med Res Ctr, King Abdulaziz Med City, Riyadh, Saudi Arabia

[19] King Saud Bin Abdulaziz Univ Hlth Sci, Coll Publ Hlth & Hlth Informat, Riyadh, Saudi Arabia

[20] Charles Univ Prague, Med Fac 1, Dept Anaesthesiol & Intens Care, Prague, Czech Republic

[21] Med Ecografista IADT, Buenos Aires, DF, Argentina

[22] Geneva Univ Hosp, Intens Care Div, Geneva, Switzerland

[23] CHU Dijon, Dept Anaesthesiol & Intens Care, F-21000 Dijon, France

[24] Univ Bourgogne Franche Comte, LNC UMR866, F-21000 Dijon, France

[25] PICU Hosp San Juan de Dios, Santiago, Chile

[26] FOM Univ Econ & Management, Frankfurt Campus, Frankfurt, Germany

[27] Hosp Gen, Inst Mexicano Seguro Social, De Zona 4, Monterrey, Nuevo Leon, Mexico

[28] Great North Trauma & Emergency Care Newcastle, Newcastle Upon Tyne, Tyne & Wear, England

[29] Latisana Gen Hosp, Emergency Dept, Latisana, Italy

[30] Univ Pisa, Dept Surg Med & Mol Pathol & Crit Care Med, Pisa, Italy

[31] Univ Penn, Philadelphia, PA 19104 USA

[32] Montreal Heart Inst, Montreal, PQ, Canada

[33] Medanta, Gurgaon, India

[34] Osped Niguarda C Grande, Milan, Italy

[35] Bundang Jesaeng Hosp, Dept Emergency Med, Seoul, South Korea

[36] WINFOCUS Argentina BOD, Rosario, Santa Fe, Argentina

[37] Jichi Med Univ, Dept Clin Lab Med, Tokyo, Japan

[38] Jichi Med Univ, Dept Emergency Med, Tokyo, Japan

[39] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[40] Univ Southern Denmark, Odense Univ Hosp, Dept Resp Med, Dept Clin Res, Odense, Denmark

[41] Khoo Teck Puat Hosp, Singapore, Singapore

[42] Yale Sch Med, Dept Emergency Med, New Haven, CT USA

[43] Herzzentrum Leipzig, Leipzig, Germany

[44] Hosp Emergencias Dr Clemente Alvarez, Dept Ultrasound & Doppler, Rosario, Santa Fe, Argentina

[45] Careggi Univ Hosp, Dept Emergency Med, Florence, Italy

[46] Icahn Sch Med Mt Sinai, Dept Emergency Med, New York, NY 10029 USA

[47] Univ Belgrade, Clin Hosp Zemun, Fac Med, Belgrade, Serbia

[48] Univ Lleida, Fac Med, Lleida, Spain

[49] Hosp Raja Permaisuri Bainun, Ipoh, Perak, Malaysia

[50] FAME Med Sch Barbacena MG Brasil, Barbacena, Brazil

来源：

CRITICAL CARE | 2020年 / 24卷 / 01期

关键词：

COVID-19; SARS-CoV-2; Point-of-care ultrasound (PoCUS); Focused cardiac ultrasound (FoCUS); Lung ultrasound (LUS); Echocardiography; ACUTE RESPIRATORY-FAILURE; EXTRAVASCULAR LUNG WATER; SEPTIC SHOCK; ULTRASONOGRAPHY; ECHOCARDIOGRAPHY; DIAGNOSIS; PNEUMONIA; MANAGEMENT; EMERGENCY; ILLNESS;

D O I：

10.1186/s13054-020-03369-5

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

COVID-19 has caused great devastation in the past year. Multi-organ point-of-care ultrasound (PoCUS) including lung ultrasound (LUS) and focused cardiac ultrasound (FoCUS) as a clinical adjunct has played a significant role in triaging, diagnosis and medical management of COVID-19 patients. The expert panel from 27 countries and 6 continents with considerable experience of direct application of PoCUS on COVID-19 patients presents evidence-based consensus using GRADE methodology for the quality of evidence and an expedited, modified-Delphi process for the strength of expert consensus. The use of ultrasound is suggested in many clinical situations related to respiratory, cardiovascular and thromboembolic aspects of COVID-19, comparing well with other imaging modalities. The limitations due to insufficient data are highlighted as opportunities for future research.

引用

页数：18

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