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01.04.2012 | Conference Reports and Expert Panel

International evidence-based recommendations for point-of-care lung ultrasound

verfasst von: Giovanni Volpicelli, Mahmoud Elbarbary, Michael Blaivas, Daniel A. Lichtenstein, Gebhard Mathis, Andrew W. Kirkpatrick, Lawrence Melniker, Luna Gargani, Vicki E. Noble, Gabriele Via, Anthony Dean, James W. Tsung, Gino Soldati, Roberto Copetti, Belaid Bouhemad, Angelika Reissig, Eustachio Agricola, Jean-Jacques Rouby, Charlotte Arbelot, Andrew Liteplo, Ashot Sargsyan, Fernando Silva, Richard Hoppmann, Raoul Breitkreutz, Armin Seibel, Luca Neri, Enrico Storti, Tomislav Petrovic, International Liaison Committee on Lung Ultrasound (ILC-LUS) for the International Consensus Conference on Lung Ultrasound (ICC-LUS)

Erschienen in: Intensive Care Medicine | Ausgabe 4/2012

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Abstract

Background

The purpose of this study is to provide evidence-based and expert consensus recommendations for lung ultrasound with focus on emergency and critical care settings.

Methods

A multidisciplinary panel of 28 experts from eight countries was involved. Literature was reviewed from January 1966 to June 2011. Consensus members searched multiple databases including Pubmed, Medline, OVID, Embase, and others. The process used to develop these evidence-based recommendations involved two phases: determining the level of quality of evidence and developing the recommendation. The quality of evidence is assessed by the grading of recommendation, assessment, development, and evaluation (GRADE) method. However, the GRADE system does not enforce a specific method on how the panel should reach decisions during the consensus process. Our methodology committee decided to utilize the RAND appropriateness method for panel judgment and decisions/consensus.

Results

Seventy-three proposed statements were examined and discussed in three conferences held in Bologna, Pisa, and Rome. Each conference included two rounds of face-to-face modified Delphi technique. Anonymous panel voting followed each round. The panel did not reach an agreement and therefore did not adopt any recommendations for six statements. Weak/conditional recommendations were made for 2 statements, and strong recommendations were made for the remaining 65 statements. The statements were then recategorized and grouped to their current format. Internal and external peer-review processes took place before submission of the recommendations. Updates will occur at least every 4 years or whenever significant major changes in evidence appear.

Conclusions

This document reflects the overall results of the first consensus conference on “point-of-care” lung ultrasound. Statements were discussed and elaborated by experts who published the vast majority of papers on clinical use of lung ultrasound in the last 20 years. Recommendations were produced to guide implementation, development, and standardization of lung ultrasound in all relevant settings.

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Titel: International evidence-based recommendations for point-of-care lung ultrasound
verfasst von: Giovanni Volpicelli
Mahmoud Elbarbary
Michael Blaivas
Daniel A. Lichtenstein
Gebhard Mathis
Andrew W. Kirkpatrick
Lawrence Melniker
Luna Gargani
Vicki E. Noble
Gabriele Via
Anthony Dean
James W. Tsung
Gino Soldati
Roberto Copetti
Belaid Bouhemad
Angelika Reissig
Eustachio Agricola
Jean-Jacques Rouby
Charlotte Arbelot
Andrew Liteplo
Ashot Sargsyan
Fernando Silva
Richard Hoppmann
Raoul Breitkreutz
Armin Seibel
Luca Neri
Enrico Storti
Tomislav Petrovic
International Liaison Committee on Lung Ultrasound (ILC-LUS) for the International Consensus Conference on Lung Ultrasound (ICC-LUS)
Publikationsdatum: 01.04.2012
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 4/2012
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-012-2513-4

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International evidence-based recommendations for point-of-care lung ultrasound