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

الموجات فوق الصوتية متعددة الأعضاء لنقاط الرعاية لكوفيد-19 (PoCUS4COVID): إجماع الخبراء الدوليين
Authors: Arif Hussain; Gabriele Via; Lawrence A. Melniker; Alberto Goffi; Guido Tavazzi; Luca Neri; Tomás Villén; +53 Authors

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

Abstract

AbstractCOVID-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.

Countries
Canada, Canada, Denmark, Switzerland, Spain, Denmark, Belgium, Canada, Canada, Denmark, Switzerland, Australia, Canada, Switzerland, Belgium, Canada, Australia, Spain, Australia, Denmark, Canada, Switzerland, Spain, Canada, Australia, Spain, Belgium, Italy, Belgium
Keywords

COVID-19 / diagnostic imaging, Echocardiography / standards, Internationality, Cardiac Ultrasound, FOS: Political science, Expert Testimony / methods, Review, Infectious disease (medical specialty), Critical Care and Intensive Care Medicine, Delphi, Point-of-Care Ultrasonography, Sociology, Pathology, echocardiography, Disease, COVID-19; Echocardiography; Focused cardiac ultrasound (FoCUS); Lung ultrasound (LUS); Point-of-care ultrasound (PoCUS); SARS-CoV-2; COVID-19; Echocardiography; Expert Testimony; Humans; Lung; Point-of-Care Systems; Thromboembolism; Triage; Ultrasonography; Consensus; Internationality, Lung, Political science, Ultrasonography, Point-of-Care Systems / standards, Optimization of Perioperative Fluid Therapy, Statistics, COVID-19 / therapy, Medical emergencies. Critical care. Intensive care. First aid, Social science, FOS: Sociology, Focused cardiac ultrasound (FoCUS), Echocardiography, Lung Ultrasound, Medicine, Medical physics, Radiology, Human, Role of Lung Ultrasound in Critical Care, Thromboembolism / diagnostic imaging, Pulmonary and Respiratory Medicine, Consensus, Point-of-Care System, Lung / diagnostic imaging, Point-of-Care Systems, MEDLINE, Point-of-care ultrasound (PoCUS), Delphi method, 610, Lung ultrasound (LUS), Consensu, FOS: Law, Triage / standards, Modalities, Thromboembolism / therapy, Thromboembolism, Health Sciences, Ultrasound, 617, FOS: Mathematics, Humans, Intensive care medicine, Point of care ultrasound, Expert Testimony, Echocardiography / methods, Ultrasonography / standards, RC86-88.9, SARS-CoV-2, COVID-19, Computer science, Triage / methods, Mechanical Ventilation in Respiratory Failure and ARDS, Coronavirus disease 2019 (COVID-19), Operating system, Lung ultrasound (LUS), Expert Testimony / standards, Surgery, Triage, Law, Mathematics, ddc: ddc:617

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    selected citations
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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    112
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 1%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 1%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
112
Top 1%
Top 10%
Top 1%
Green
gold