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

Abstract 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....

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Main Authors: Arif Hussain, Gabriele Via, Lawrence Melniker, Alberto Goffi, Guido Tavazzi, Luca Neri, Tomas Villen, Richard Hoppmann, Francesco Mojoli, Vicki Noble, Laurent Zieleskiewicz, Pablo Blanco, Irene W. Y. Ma, Mahathar Abd. Wahab, Abdulmohsen Alsaawi, Majid Al Salamah, Martin Balik, Diego Barca, Karim Bendjelid, Belaid Bouhemad, Pablo Bravo-Figueroa, Raoul Breitkreutz, Juan Calderon, Jim Connolly, Roberto Copetti, Francesco Corradi, Anthony J. Dean, André Denault, Deepak Govil, Carmela Graci, Young-Rock Ha, Laura Hurtado, Toru Kameda, Michael Lanspa, Christian B. Laursen, Francis Lee, Rachel Liu, Massimiliano Meineri, Miguel Montorfano, Peiman Nazerian, Bret P. Nelson, Aleksandar N. Neskovic, Ramon Nogue, Adi Osman, José Pazeli, Elmo Pereira-Junior, Tomislav Petrovic, Emanuele Pivetta, Jan Poelaert, Susanna Price, Gregor Prosen, Shalim Rodriguez, Philippe Rola, Colin Royse, Yale Tung Chen, Mike Wells, Adrian Wong, Wang Xiaoting, Wang Zhen, Yaseen Arabi
Format: Article
Language:English
Published: BMC 2020-12-01
Series:Critical Care
Subjects:
Online Access:https://doi.org/10.1186/s13054-020-03369-5
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author Arif Hussain
Gabriele Via
Lawrence Melniker
Alberto Goffi
Guido Tavazzi
Luca Neri
Tomas Villen
Richard Hoppmann
Francesco Mojoli
Vicki Noble
Laurent Zieleskiewicz
Pablo Blanco
Irene W. Y. Ma
Mahathar Abd. Wahab
Abdulmohsen Alsaawi
Majid Al Salamah
Martin Balik
Diego Barca
Karim Bendjelid
Belaid Bouhemad
Pablo Bravo-Figueroa
Raoul Breitkreutz
Juan Calderon
Jim Connolly
Roberto Copetti
Francesco Corradi
Anthony J. Dean
André Denault
Deepak Govil
Carmela Graci
Young-Rock Ha
Laura Hurtado
Toru Kameda
Michael Lanspa
Christian B. Laursen
Francis Lee
Rachel Liu
Massimiliano Meineri
Miguel Montorfano
Peiman Nazerian
Bret P. Nelson
Aleksandar N. Neskovic
Ramon Nogue
Adi Osman
José Pazeli
Elmo Pereira-Junior
Tomislav Petrovic
Emanuele Pivetta
Jan Poelaert
Susanna Price
Gregor Prosen
Shalim Rodriguez
Philippe Rola
Colin Royse
Yale Tung Chen
Mike Wells
Adrian Wong
Wang Xiaoting
Wang Zhen
Yaseen Arabi
author_facet Arif Hussain
Gabriele Via
Lawrence Melniker
Alberto Goffi
Guido Tavazzi
Luca Neri
Tomas Villen
Richard Hoppmann
Francesco Mojoli
Vicki Noble
Laurent Zieleskiewicz
Pablo Blanco
Irene W. Y. Ma
Mahathar Abd. Wahab
Abdulmohsen Alsaawi
Majid Al Salamah
Martin Balik
Diego Barca
Karim Bendjelid
Belaid Bouhemad
Pablo Bravo-Figueroa
Raoul Breitkreutz
Juan Calderon
Jim Connolly
Roberto Copetti
Francesco Corradi
Anthony J. Dean
André Denault
Deepak Govil
Carmela Graci
Young-Rock Ha
Laura Hurtado
Toru Kameda
Michael Lanspa
Christian B. Laursen
Francis Lee
Rachel Liu
Massimiliano Meineri
Miguel Montorfano
Peiman Nazerian
Bret P. Nelson
Aleksandar N. Neskovic
Ramon Nogue
Adi Osman
José Pazeli
Elmo Pereira-Junior
Tomislav Petrovic
Emanuele Pivetta
Jan Poelaert
Susanna Price
Gregor Prosen
Shalim Rodriguez
Philippe Rola
Colin Royse
Yale Tung Chen
Mike Wells
Adrian Wong
Wang Xiaoting
Wang Zhen
Yaseen Arabi
author_sort Arif Hussain
collection DOAJ
description Abstract 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.
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spelling doaj.art-9b10b01da786484e87f35e19ed5a48c42022-12-21T23:17:54ZengBMCCritical Care1364-85352020-12-0124111810.1186/s13054-020-03369-5Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensusArif Hussain0Gabriele Via1Lawrence Melniker2Alberto Goffi3Guido Tavazzi4Luca Neri5Tomas Villen6Richard Hoppmann7Francesco Mojoli8Vicki Noble9Laurent Zieleskiewicz10Pablo Blanco11Irene W. Y. Ma12Mahathar Abd. Wahab13Abdulmohsen Alsaawi14Majid Al Salamah15Martin Balik16Diego Barca17Karim Bendjelid18Belaid Bouhemad19Pablo Bravo-Figueroa20Raoul Breitkreutz21Juan Calderon22Jim Connolly23Roberto Copetti24Francesco Corradi25Anthony J. Dean26André Denault27Deepak Govil28Carmela Graci29Young-Rock Ha30Laura Hurtado31Toru Kameda32Michael Lanspa33Christian B. Laursen34Francis Lee35Rachel Liu36Massimiliano Meineri37Miguel Montorfano38Peiman Nazerian39Bret P. Nelson40Aleksandar N. Neskovic41Ramon Nogue42Adi Osman43José Pazeli44Elmo Pereira-Junior45Tomislav Petrovic46Emanuele Pivetta47Jan Poelaert48Susanna Price49Gregor Prosen50Shalim Rodriguez51Philippe Rola52Colin Royse53Yale Tung Chen54Mike Wells55Adrian Wong56Wang Xiaoting57Wang Zhen58Yaseen Arabi59Department of Cardiac Sciences, King Abdulaziz Medical City and King Abdullah International Medical Research CenterCardiac Anesthesia and Intensive Care, Cardiocentro TicinoNew York Presbyterian Brooklyn Methodist HospitalDepartment of Medicine and Interdepartmental Division of Critical Care Medicine, University of TorontoDepartment of Clinical-Surgical, Diagnostic and Paediatric Sciences, Unit of Anaesthesia and Intensive Care, University of PaviaEmergency Medicine and Critical Care Consultant, King Fahad Specialist Hospital – DammamSchool of Medicine, Francisco de Vitoria UniversityUniversity of South Carolina School of MedicineAnesthesia and Intensive Care, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi Di PaviaUniversity Hospitals Cleveland Medical CenterService D’Anesthésie Réanimation Hôpital Nord, APHMDepartment of Teaching and Research, Hospital “Dr. Emilio Ferreyra”Division of General Internal Medicine, Department of Medicine, University of CalgaryEmergency and Trauma Department, Hospital Kuala LumpurKing Abdulaziz Medical City, King Abdullah International Medical Research Center, Ministry of National Guard Health AffairsCollege of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health SciencesDept of Anaesthesiology and Intensive Care, First Medical Faculty, Charles UniversityMédico Ecografista IADTIntensive Care Division, Geneva University HospitalsDepartment of Anaesthesiology and Intensive Care, C.H.U. Dijon and Université Bourgogne Franche-ComtéPICU Hospital San Juan de DiosFOM University of Economy & ManagementHospital General, Instituto Mexicano del Seguro SocialGreat North Trauma and Emergency Care NewcastleEmergency Department, Latisana General HospitalDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of PisaUniversity of PennsylvaniaMontreal Heart InstituteMedanta, The MedicityOspedale Niguarda C’ GrandeDept. of Emergency Medicine, Bundang Jesaeng HospitalWINFOCUS Argentina BODDepartment of Clinical Laboratory Medicine and Department of Emergency Medicine, Jichi Medical UniversityOregon Health and Science UniversityDepartment of Respiratory Medicine, Department of Clinical Research, Odense University Hospital, University of Southern DenmarkKhoo Teck Puat HospitalDept. of Emergency Medicine, Yale School of MedicineHerzzentrum LeipzigDepartment of Ultrasound & Doppler Hospital de Emergencias “Dr. Clemente Alvarez”Department of Emergency Medicine, Careggi University HospitalDepartment of Emergency Medicine, Icahn School of Medicine At Mount SinaiClinical Hospital Zemun, Faculty of Medicine, University of BelgradeFaculty of Medecine, University of LleidaHospital Raja Permaisuri BainunFAME - Medicine School of Barbacena - MG-BrasilArbo EducationSAMU 93 - Hôpital AvicenneCittà Della Salute E Della Scienza Di Torino Hospital, University of TurinFaculty of Medicine and Pharmacy VUB, Univ Hospital BrusselsRoyal Brompton HospitalEmergency Department, University Clinical Centre MariborHospital Nacional Edgardo Rebagliati MartinsSanta Cabrini HospitalDepartment of Surgery, The University of MelbourneDepartment of Emergency Medicine, Hospital Universitario La PazDivision of Emergency Medicine, University of the WitwatersrandKing’s College HospitalDepartment of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical CollegeThe Fourth Military Medical UniversityKing Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research CenterAbstract 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.https://doi.org/10.1186/s13054-020-03369-5COVID-19SARS-CoV-2Point-of-care ultrasound (PoCUS)Focused cardiac ultrasound (FoCUS)Lung ultrasound (LUS)Echocardiography
spellingShingle Arif Hussain
Gabriele Via
Lawrence Melniker
Alberto Goffi
Guido Tavazzi
Luca Neri
Tomas Villen
Richard Hoppmann
Francesco Mojoli
Vicki Noble
Laurent Zieleskiewicz
Pablo Blanco
Irene W. Y. Ma
Mahathar Abd. Wahab
Abdulmohsen Alsaawi
Majid Al Salamah
Martin Balik
Diego Barca
Karim Bendjelid
Belaid Bouhemad
Pablo Bravo-Figueroa
Raoul Breitkreutz
Juan Calderon
Jim Connolly
Roberto Copetti
Francesco Corradi
Anthony J. Dean
André Denault
Deepak Govil
Carmela Graci
Young-Rock Ha
Laura Hurtado
Toru Kameda
Michael Lanspa
Christian B. Laursen
Francis Lee
Rachel Liu
Massimiliano Meineri
Miguel Montorfano
Peiman Nazerian
Bret P. Nelson
Aleksandar N. Neskovic
Ramon Nogue
Adi Osman
José Pazeli
Elmo Pereira-Junior
Tomislav Petrovic
Emanuele Pivetta
Jan Poelaert
Susanna Price
Gregor Prosen
Shalim Rodriguez
Philippe Rola
Colin Royse
Yale Tung Chen
Mike Wells
Adrian Wong
Wang Xiaoting
Wang Zhen
Yaseen Arabi
Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
Critical Care
COVID-19
SARS-CoV-2
Point-of-care ultrasound (PoCUS)
Focused cardiac ultrasound (FoCUS)
Lung ultrasound (LUS)
Echocardiography
title Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
title_full Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
title_fullStr Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
title_full_unstemmed Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
title_short Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus
title_sort multi organ point of care ultrasound for covid 19 pocus4covid international expert consensus
topic COVID-19
SARS-CoV-2
Point-of-care ultrasound (PoCUS)
Focused cardiac ultrasound (FoCUS)
Lung ultrasound (LUS)
Echocardiography
url https://doi.org/10.1186/s13054-020-03369-5
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