Critical Care (Dec 2020)
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
Affiliations
- Arif Hussain
- Department of Cardiac Sciences, King Abdulaziz Medical City and King Abdullah International Medical Research Center
- Gabriele Via
- Cardiac Anesthesia and Intensive Care, Cardiocentro Ticino
- Lawrence Melniker
- New York Presbyterian Brooklyn Methodist Hospital
- Alberto Goffi
- Department of Medicine and Interdepartmental Division of Critical Care Medicine, University of Toronto
- Guido Tavazzi
- Department of Clinical-Surgical, Diagnostic and Paediatric Sciences, Unit of Anaesthesia and Intensive Care, University of Pavia
- Luca Neri
- Emergency Medicine and Critical Care Consultant, King Fahad Specialist Hospital – Dammam
- Tomas Villen
- School of Medicine, Francisco de Vitoria University
- Richard Hoppmann
- University of South Carolina School of Medicine
- Francesco Mojoli
- Anesthesia and Intensive Care, Fondazione IRCCS Policlinico San Matteo, Università Degli Studi Di Pavia
- Vicki Noble
- University Hospitals Cleveland Medical Center
- Laurent Zieleskiewicz
- Service D’Anesthésie Réanimation Hôpital Nord, APHM
- Pablo Blanco
- Department of Teaching and Research, Hospital “Dr. Emilio Ferreyra”
- Irene W. Y. Ma
- Division of General Internal Medicine, Department of Medicine, University of Calgary
- Mahathar Abd. Wahab
- Emergency and Trauma Department, Hospital Kuala Lumpur
- Abdulmohsen Alsaawi
- King Abdulaziz Medical City, King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs
- Majid Al Salamah
- College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences
- Martin Balik
- Dept of Anaesthesiology and Intensive Care, First Medical Faculty, Charles University
- Diego Barca
- Médico Ecografista IADT
- Karim Bendjelid
- Intensive Care Division, Geneva University Hospitals
- Belaid Bouhemad
- Department of Anaesthesiology and Intensive Care, C.H.U. Dijon and Université Bourgogne Franche-Comté
- Pablo Bravo-Figueroa
- PICU Hospital San Juan de Dios
- Raoul Breitkreutz
- FOM University of Economy & Management
- Juan Calderon
- Hospital General, Instituto Mexicano del Seguro Social
- Jim Connolly
- Great North Trauma and Emergency Care Newcastle
- Roberto Copetti
- Emergency Department, Latisana General Hospital
- Francesco Corradi
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa
- Anthony J. Dean
- University of Pennsylvania
- André Denault
- Montreal Heart Institute
- Deepak Govil
- Medanta, The Medicity
- Carmela Graci
- Ospedale Niguarda C’ Grande
- Young-Rock Ha
- Dept. of Emergency Medicine, Bundang Jesaeng Hospital
- Laura Hurtado
- WINFOCUS Argentina BOD
- Toru Kameda
- Department of Clinical Laboratory Medicine and Department of Emergency Medicine, Jichi Medical University
- Michael Lanspa
- Oregon Health and Science University
- Christian B. Laursen
- Department of Respiratory Medicine, Department of Clinical Research, Odense University Hospital, University of Southern Denmark
- Francis Lee
- Khoo Teck Puat Hospital
- Rachel Liu
- Dept. of Emergency Medicine, Yale School of Medicine
- Massimiliano Meineri
- Herzzentrum Leipzig
- Miguel Montorfano
- Department of Ultrasound & Doppler Hospital de Emergencias “Dr. Clemente Alvarez”
- Peiman Nazerian
- Department of Emergency Medicine, Careggi University Hospital
- Bret P. Nelson
- Department of Emergency Medicine, Icahn School of Medicine At Mount Sinai
- Aleksandar N. Neskovic
- Clinical Hospital Zemun, Faculty of Medicine, University of Belgrade
- Ramon Nogue
- Faculty of Medecine, University of Lleida
- Adi Osman
- Hospital Raja Permaisuri Bainun
- José Pazeli
- FAME - Medicine School of Barbacena - MG-Brasil
- Elmo Pereira-Junior
- Arbo Education
- Tomislav Petrovic
- SAMU 93 - Hôpital Avicenne
- Emanuele Pivetta
- Città Della Salute E Della Scienza Di Torino Hospital, University of Turin
- Jan Poelaert
- Faculty of Medicine and Pharmacy VUB, Univ Hospital Brussels
- Susanna Price
- Royal Brompton Hospital
- Gregor Prosen
- Emergency Department, University Clinical Centre Maribor
- Shalim Rodriguez
- Hospital Nacional Edgardo Rebagliati Martins
- Philippe Rola
- Santa Cabrini Hospital
- Colin Royse
- Department of Surgery, The University of Melbourne
- Yale Tung Chen
- Department of Emergency Medicine, Hospital Universitario La Paz
- Mike Wells
- Division of Emergency Medicine, University of the Witwatersrand
- Adrian Wong
- King’s College Hospital
- Wang Xiaoting
- Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College
- Wang Zhen
- The Fourth Military Medical University
- Yaseen Arabi
- King Abdulaziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center
- DOI
- https://doi.org/10.1186/s13054-020-03369-5
- Journal volume & issue
-
Vol. 24,
no. 1
pp. 1 – 18
Abstract
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.
Keywords
- COVID-19
- SARS-CoV-2
- Point-of-care ultrasound (PoCUS)
- Focused cardiac ultrasound (FoCUS)
- Lung ultrasound (LUS)
- Echocardiography
