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

Hussain A 1 , Via G 2 , Melniker L 3 , Goffi A 4 , Tavazzi G 5 , Neri L 6 Show all authors , Villen T 7 , Hoppmann R 8 , Mojoli F 9 , Noble V 10 , Zieleskiewicz L 11 , Blanco P 12 , Ma IWY 13 , Wahab MA 14 , Alsaawi A 15 , Al Salamah M 16 , Balik M 17 , Barca D 18 , Bendjelid K 19 , Bouhemad B 20 , Bravo-Figueroa P 21 , Breitkreutz R 22 , Calderon J 23 , Connolly J 24 , Copetti R 25 , Corradi F 26 , Dean AJ 27 , Denault A 28 , Govil D 29 , Graci C 30 , Ha YR 31 , Hurtado L 32 , Kameda T 33 , Lanspa M 34 , Laursen CB 35 , Lee F 36 , Liu R 37 , Meineri M 38 , Montorfano M 39 , Nazerian P 40 , Nelson BP 41 , Neskovic AN 42 , Nogue R 43 , Osman A 44 , Pazeli J 45 , Pereira-Junior E 46 , Petrovic T 47 , Pivetta E 48 , Poelaert J 49 , Price S 50 , Prosen G 51 , Rodriguez S 52 , Rola P 53 , Royse C 54 , Chen YT 55 , Wells M 56 , Wong A 57 , Xiaoting W 58 , Zhen W 59 , Arabi Y 60

Affiliations 

  • 1 Department of Cardiac Sciences, King Abdulaziz Medical City and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia. hussain_pscc@hotmail.com
  • 2 Cardiac Anesthesia and Intensive Care, Cardiocentro Ticino, Lugano, Switzerland
  • 3 New York Presbyterian Brooklyn Methodist Hospital, New York, NY, USA
  • 4 Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada
  • 5 Department of Clinical-Surgical, Diagnostic and Paediatric Sciences, Unit of Anaesthesia and Intensive Care, University of Pavia, Pavia, Italy
  • 6 Emergency Medicine and Critical Care Consultant, King Fahad Specialist Hospital - Dammam, Dammam, Saudi Arabia
  • 7 School of Medicine, Francisco de Vitoria University, Madrid, Spain
  • 8 University of South Carolina School of Medicine, Columbia, SC, USA
  • 9 Anesthesia and Intensive Care, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi Di Pavia, Pavia, Italy
  • 10 University Hospitals Cleveland Medical Center, Cleveland, OH, USA
  • 11 Service D'Anesthésie Réanimation Hôpital Nord, APHM, Chemin des Bourrely, 13015, Marseille, France
  • 12 Department of Teaching and Research, Hospital "Dr. Emilio Ferreyra", Necochea, Argentina
  • 13 Division of General Internal Medicine, Department of Medicine, University of Calgary, Calgary, Canada
  • 14 Emergency and Trauma Department, Hospital Kuala Lumpur, 50586, Kuala Lumpur, Malaysia
  • 15 King Abdulaziz Medical City, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia
  • 16 College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  • 17 Dept of Anaesthesiology and Intensive Care, First Medical Faculty, Charles University, Prague, Czechia
  • 18 Médico Ecografista IADT, Buenos Aires, Argentina
  • 19 Intensive Care Division, Geneva University Hospitals, Geneva, Switzerland
  • 20 Department of Anaesthesiology and Intensive Care, C.H.U. Dijon and Université Bourgogne Franche-Comté, LNC UMR866, 21000, Dijon, France
  • 21 PICU Hospital San Juan de Dios, Santiago, Chile
  • 22 FOM University of Economy & Management, Frankfurt Campus, Frankfurt, Germany
  • 23 Hospital General, Instituto Mexicano del Seguro Social, De Zona 4 Monterrey, Nuevo Leon, Mexico
  • 24 Great North Trauma and Emergency Care Newcastle, Newcastle upon Tyne, UK
  • 25 Emergency Department, Latisana General Hospital, Latisana, Italy
  • 26 Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
  • 27 University of Pennsylvania, Philadelphia, PA, USA
  • 28 Montreal Heart Institute, Montreal, Canada
  • 29 Medanta, The Medicity, Gurgaon, India
  • 30 Ospedale Niguarda C' Grande, Milan, Italy
  • 31 Dept. of Emergency Medicine, Bundang Jesaeng Hospital, Seoul, Korea
  • 32 WINFOCUS Argentina BOD, Rosario, Argentina
  • 33 Department of Clinical Laboratory Medicine and Department of Emergency Medicine, Jichi Medical University, Tokyo, Japan
  • 34 Oregon Health and Science University, Portland, OR, USA
  • 35 Department of Respiratory Medicine, Department of Clinical Research, Odense University Hospital, University of Southern Denmark, Odense, Denmark
  • 36 Khoo Teck Puat Hospital, Singapore, Singapore
  • 37 Dept. of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA
  • 38 Herzzentrum Leipzig, Leipzig, Germany
  • 39 Department of Ultrasound & Doppler Hospital de Emergencias "Dr. Clemente Alvarez", Rosario, Santa Fe, Argentina
  • 40 Department of Emergency Medicine, Careggi University Hospital, Firenze, Italia
  • 41 Department of Emergency Medicine, Icahn School of Medicine At Mount Sinai, New York, NY, USA
  • 42 Clinical Hospital Zemun, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  • 43 Faculty of Medecine, University of Lleida, Lleida, Spain
  • 44 Hospital Raja Permaisuri Bainun, Ipoh, Perak, Malaysia
  • 45 FAME - Medicine School of Barbacena - MG-Brasil, Barbacena, Brazil
  • 46 Arbo Education, Rio de Janeiro, Brazil
  • 47 SAMU 93 - Hôpital Avicenne, Paris, France
  • 48 Città Della Salute E Della Scienza Di Torino Hospital, University of Turin, Turin, Italy
  • 49 Faculty of Medicine and Pharmacy VUB, Univ Hospital Brussels, Brussels, Belgium
  • 50 Royal Brompton Hospital, London, UK
  • 51 Emergency Department, University Clinical Centre Maribor, Maribor, Slovenia
  • 52 Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru
  • 53 Santa Cabrini Hospital, Montreal, Canada
  • 54 Department of Surgery, The University of Melbourne, Melbourne, VIC, Australia
  • 55 Department of Emergency Medicine, Hospital Universitario La Paz, Madrid, Spain
  • 56 Division of Emergency Medicine, University of the Witwatersrand, Johannesburg, South Africa
  • 57 King's College Hospital, London, UK
  • 58 Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, China
  • 59 The Fourth Military Medical University, Xi'an, 710032, China
  • 60 King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia
Crit Care, 2020 12 24;24(1):702.
PMID: 33357240 DOI: 10.1186/s13054-020-03369-5

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.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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