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

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

doi:10.1186/s13054-020-03369-5

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

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 BouhemadPablo 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

Research output: Contribution to journal › Review article › peer-review

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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.[Figure not available: see fulltext.]

Original language	English
Article number	702
Journal	Critical Care
Volume	24
Issue number	1
DOIs	https://doi.org/10.1186/s13054-020-03369-5
State	Published - Dec 2020

Keywords

COVID-19
Echocardiography
Focused cardiac ultrasound (FoCUS)
Lung ultrasound (LUS)
Point-of-care ultrasound (PoCUS)
SARS-CoV-2

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10.1186/s13054-020-03369-5

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Hussain, A., Via, G., Melniker, L., Goffi, A., Tavazzi, G., Neri, L., Villen, T., Hoppmann, R., Mojoli, F., Noble, V., Zieleskiewicz, L., Blanco, P., Ma, I. W. Y., Wahab, M. A., Alsaawi, A., Al Salamah, M., Balik, M., Barca, D., Bendjelid, K., ... Arabi, Y. (2020). Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus. Critical Care, 24(1), Article 702. https://doi.org/10.1186/s13054-020-03369-5

@article{6417c96e5d324d2c90da524ff11c59c0,

title = "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. 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.[Figure not available: see fulltext.]",

keywords = "COVID-19, Echocardiography, Focused cardiac ultrasound (FoCUS), Lung ultrasound (LUS), Point-of-care ultrasound (PoCUS), SARS-CoV-2",

author = "Arif Hussain and Gabriele Via and Lawrence Melniker and Alberto Goffi and Guido Tavazzi and Luca Neri and Tomas Villen and Richard Hoppmann and Francesco Mojoli and Vicki Noble and Laurent Zieleskiewicz and Pablo Blanco and Ma, {Irene W.Y.} and Wahab, {Mahathar Abd} and Abdulmohsen Alsaawi and {Al Salamah}, Majid and Martin Balik and Diego Barca and Karim Bendjelid and Belaid Bouhemad and Pablo Bravo-Figueroa and Raoul Breitkreutz and Juan Calderon and Jim Connolly and Roberto Copetti and Francesco Corradi and Dean, {Anthony J.} and Andr{\'e} Denault and Deepak Govil and Carmela Graci and Ha, {Young Rock} and Laura Hurtado and Toru Kameda and Michael Lanspa and Laursen, {Christian B.} and Francis Lee and Rachel Liu and Massimiliano Meineri and Miguel Montorfano and Peiman Nazerian and Nelson, {Bret P.} and Neskovic, {Aleksandar N.} and Ramon Nogue and Adi Osman and Jos{\'e} Pazeli and Elmo Pereira-Junior and Tomislav Petrovic and Emanuele Pivetta and Jan Poelaert and Susanna Price and Gregor Prosen and Shalim Rodriguez and Philippe Rola and Colin Royse and Chen, {Yale Tung} and Mike Wells and Adrian Wong and Wang Xiaoting and Wang Zhen and Yaseen Arabi",

note = "Funding Information: The authors wish to acknowledge Mr. Steve Wilson, Medical Librarian, University of South Carolina School of Medicine, Columbia, SC, USA, for his valuable assistance with the online survey for the Deplhi process and Dr Rajendram Rajkumar, King Abdulaziz Medical City, Riyadh, for assisting with editing of the manuscript. Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2020",

month = dec,

doi = "10.1186/s13054-020-03369-5",

language = "English",

volume = "24",

journal = "Critical Care",

issn = "1364-8535",

publisher = "BioMed Central Ltd.",

number = "1",

}

Hussain, A, Via, G, Melniker, L, Goffi, A, Tavazzi, G, Neri, L, Villen, T, Hoppmann, R, Mojoli, F, Noble, V, Zieleskiewicz, L, Blanco, P, Ma, IWY, Wahab, MA, Alsaawi, A, Al Salamah, M, Balik, M, Barca, D, Bendjelid, K, Bouhemad, B, Bravo-Figueroa, P, Breitkreutz, R, Calderon, J, Connolly, J, Copetti, R, Corradi, F, Dean, AJ, Denault, A, Govil, D, Graci, C, Ha, YR, Hurtado, L, Kameda, T, Lanspa, M, Laursen, CB, Lee, F, Liu, R, Meineri, M, Montorfano, M, Nazerian, P, Nelson, BP, Neskovic, AN, Nogue, R, Osman, A, Pazeli, J, Pereira-Junior, E, Petrovic, T, Pivetta, E, Poelaert, J, Price, S, Prosen, G, Rodriguez, S, Rola, P, Royse, C, Chen, YT, Wells, M, Wong, A, Xiaoting, W, Zhen, W & Arabi, Y 2020, 'Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID): international expert consensus', Critical Care, vol. 24, no. 1, 702. https://doi.org/10.1186/s13054-020-03369-5

TY - JOUR

T1 - Multi-organ point-of-care ultrasound for COVID-19 (PoCUS4COVID)

T2 - international expert consensus

AU - Hussain, Arif

AU - Via, Gabriele

AU - Melniker, Lawrence

AU - Goffi, Alberto

AU - Tavazzi, Guido

AU - Neri, Luca

AU - Villen, Tomas

AU - Hoppmann, Richard

AU - Mojoli, Francesco

AU - Noble, Vicki

AU - Zieleskiewicz, Laurent

AU - Blanco, Pablo

AU - Ma, Irene W.Y.

AU - Wahab, Mahathar Abd

AU - Alsaawi, Abdulmohsen

AU - Al Salamah, Majid

AU - Balik, Martin

AU - Barca, Diego

AU - Bendjelid, Karim

AU - Bouhemad, Belaid

AU - Bravo-Figueroa, Pablo

AU - Breitkreutz, Raoul

AU - Calderon, Juan

AU - Connolly, Jim

AU - Copetti, Roberto

AU - Corradi, Francesco

AU - Dean, Anthony J.

AU - Denault, André

AU - Govil, Deepak

AU - Graci, Carmela

AU - Ha, Young Rock

AU - Hurtado, Laura

AU - Kameda, Toru

AU - Lanspa, Michael

AU - Laursen, Christian B.

AU - Lee, Francis

AU - Liu, Rachel

AU - Meineri, Massimiliano

AU - Montorfano, Miguel

AU - Nazerian, Peiman

AU - Nelson, Bret P.

AU - Neskovic, Aleksandar N.

AU - Nogue, Ramon

AU - Osman, Adi

AU - Pazeli, José

AU - Pereira-Junior, Elmo

AU - Petrovic, Tomislav

AU - Pivetta, Emanuele

AU - Poelaert, Jan

AU - Price, Susanna

AU - Prosen, Gregor

AU - Rodriguez, Shalim

AU - Rola, Philippe

AU - Royse, Colin

AU - Chen, Yale Tung

AU - Wells, Mike

AU - Wong, Adrian

AU - Xiaoting, Wang

AU - Zhen, Wang

AU - Arabi, Yaseen

N1 - Funding Information: The authors wish to acknowledge Mr. Steve Wilson, Medical Librarian, University of South Carolina School of Medicine, Columbia, SC, USA, for his valuable assistance with the online survey for the Deplhi process and Dr Rajendram Rajkumar, King Abdulaziz Medical City, Riyadh, for assisting with editing of the manuscript. Publisher Copyright: © 2020, The Author(s).

PY - 2020/12

Y1 - 2020/12

N2 - 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.[Figure not available: see fulltext.]

AB - 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.[Figure not available: see fulltext.]

KW - COVID-19

KW - Echocardiography

KW - Focused cardiac ultrasound (FoCUS)

KW - Lung ultrasound (LUS)

KW - Point-of-care ultrasound (PoCUS)

KW - SARS-CoV-2

UR - http://www.scopus.com/inward/record.url?scp=85098008870&partnerID=8YFLogxK

U2 - 10.1186/s13054-020-03369-5

DO - 10.1186/s13054-020-03369-5

M3 - Review article

C2 - 33357240

AN - SCOPUS:85098008870

SN - 1364-8535

VL - 24

JO - Critical Care

JF - Critical Care

IS - 1

M1 - 702

ER -

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

Abstract

Keywords

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