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

2020; BioMed Central; Volume: 24; Issue: 1 Linguagem: Inglês

10.1186/s13054-020-03369-5

1466-609X

Arif Hussain, Gabriele Via, Lawrence A. Melniker, Alberto Goffi, Guido Tavazzi, Luca Neri, Tomás Villén, Richard Hoppmann, Francesco Mojoli, Vicki E. Noble, Laurent Zieleskiewicz, Pablo Blanco, Irene Ma, Mahathar Abd. Wahab, Abdulmohsen Alsaawi, Majid Al Salamah, Martin Balík, Diego Rodríguez Calderón de la Barca, Karim Bendjelid, Bélaïd 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 J. Lanspa, Christian B. Laursen, Francis Lee, Rachel Liu, Massimiliano Meineri, Miguel Montórfano, Peiman Nazerian, Bret P. Nelson, Aleksandar Nešković, Ramon Nogué, Adi Osman, José Muniz Pazeli, Elmo Pereira-Junior, Tomislav Pétrovic, Emanuele Pivetta, Jan Poelaert, Susanna Price, Gregor Prosen, Shalim Rodriguez, Philippe Rola, Colin Royse, Yale Tung‐Chen, Mike Wells, Adrian Wong, Xiaoting Wang, Zhen Wang, Yaseen M. Arabi,

Respiratory Support and Mechanisms

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.