EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) LONG VERSION

Jarman, Robert; McDermott, Cian; Colclough, Anna; Bøtker, Morten Thingemann; Knudsen, Lars; Harris, Tim; Albaroudi, Bilal; Albaroudi, Omar; Haddad, Mahmoud; Darke, Robert; Berry, Edward; Breslin, Tomás; Fitzpatrick, Gareth; Flanagan, Leah; Olusanya, Olusegun; Craver, Dominic; Omar, Adhnan; Simpson, Thomas; Cherian, Nishant; Dore, Martin; Prosen, Gregor; Kay, Sharon; Villén‐Villegas, Tomás; Gargani, Luna; Carley, Simon; Woo, Michael Y.; Dupriez, Florence; Hussain, Arif; Via, Gabriele; Connolly, James A.; Peck, Marcus; Melniker, Larry; Walden, Andrew; Biancardi, Mark Anthony Attard; Żmijewska-Kaczor, Olga; Lalande, Élizabeth; Geukens, Paul; McLaughlin, R; Olszynski, Paul; Hoffmann, Beatrice; Chin, Eric J.; Muhr, Christopher; Kim, Daniel; Mercieca, Andre; Shukla, Dharmesh; Hayward, Simon; Smith, Mike; Gaspari, Romolo; Smallwood, Nicholas; Pès, Philippe; Tavazzi, Guido; Corradi, Francesco; Lambert, Michael J.; Morris, C.; Trauer, Michael; Baker, Kylie; Bystrzycki, Adam; Goudie, Adrian; Liu, Rachel; Rudd, Lynne; Dietrich, Christoph F.; Jenssen, Christian; Sidhu, Paul S.

doi:10.1055/a-1882-5615

Cited by 11 publications

(8 citation statements)

References 184 publications

(176 reference statements)

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“…A coordinating group assembled several research teams to undertake the phase 1 and 2 activities and recruited members for the expert review group (ERG) who were tasked with participating in phase 3. Further details of the methods applied for each phase are available in the online long version of this CPG [26].…”

Section: Methodsmentioning

confidence: 99%

EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) SHORT VERSION

et al. 2022

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Objective To evaluate the evidence and produce a summary and recommendations for the most common heart and lung point-of-care ultrasound (PoCUS). Methods We reviewed 10 clinical domains/questions related to common heart and lung applications of PoCUS. Following review of the evidence, a summary and recommendations were produced, including assigning levels of evidence (LoE) and grading of recommendation, assessment, development, and evaluation (GRADE). 38 international experts, the expert review group (ERG), were invited to review the evidence presented for each question. A level of agreement of over 75 % was required to progress to the next section. The ERG then reviewed and indicated their level of agreement of the summary and recommendation for each question (using a 5-point Likert scale), which was approved in the case of a level of agreement of greater than 75 %. A level of agreement was defined as a summary of “strongly agree” and “agree” on the Likert scale responses. Findings and Recommendations One question achieved a strong consensus for an assigned LoE of 3 and a weak GRADE recommendation (question 1), the remaining 9 questions achieved broad agreement with an assigned LoE of 4 and a weak GRADE recommendation (question 2), three achieved an LoE of 3 with a weak GRADE recommendation (questions 3–5), three achieved an LoE of 3 with a strong GRADE recommendation (questions 6–8) and the remaining two were assigned an LoE of 2 with a strong GRADE recommendation (questions 9 and 10). Conclusion These consensus-derived recommendations should aid clinical practice and highlight areas of further research for PoCUS in acute settings.

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Section: Methodsmentioning

confidence: 99%

EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) SHORT VERSION

et al. 2022

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“…19,20 The ultrasonography (USG) machine is now considered crucial for bedside evaluation and management decisions in the liver ICU. 1,[21][22][23] The protocol-based ultrasound of the abdomen, lung fields and the heart can detect urgent conditions (e.g. pulmonary embolism, haemothorax or haemoperitoneum) and aid in performing diagnostic and therapeutic procedures such as central line insertions, safe thoracentesis and paracentesis.…”

Section: Point-of-care Ultrasound (Pocus) In Cirrhosismentioning

confidence: 99%

“…The use of POCUS based assessment and interventions has improved the care of critically ill patients with cirrhosis 19,20 . The ultrasonography (USG) machine is now considered crucial for bedside evaluation and management decisions in the liver ICU 1,21–23 …”

Section: Introductionmentioning

confidence: 99%

Review article: Evaluation and care of the critically ill patient with cirrhosis

Kosuta,

Premkumar,

Reddy

2024

Aliment Pharmacol Ther

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SummaryBackgroundThe increase in prevalence of liver disease globally will lead to a substantial incremental burden on intensive care requirements. While liver transplantation offers a potential life‐saving intervention, not all patients are eligible due to limitations such as organ availability, resource constraints, ongoing sepsis or multiple organ failures. Consequently, the focus of critical care of patients with advanced and decompensated cirrhosis turns to liver‐centric intensive care protocols, to mitigate the high mortality in such patients.AimProvide an updated and comprehensive understanding of cirrhosis management in critical care, and which includes emergency care, secondary organ failure management (mechanical ventilation, renal replacement therapy, haemodynamic support and intensive care nutrition), use of innovative liver support systems, infection control, liver transplantation and palliative and end‐of life care.MethodsWe conducted a structured bibliographic search on PubMed, sourcing articles published up to 31 March 2024, to cover topics addressed. We considered data from observational studies, recommendations of society guidelines, systematic reviews, and meta‐analyses, randomised controlled trials, and incorporated our clinical expertise in liver critical care.ResultsCritical care management of the patient with cirrhosis has evolved over time while mortality remains high despite aggressive management with liver transplantation serving as a crucial but not universally available resource.ConclusionsImplementation of organ support therapies, intensive care protocols, nutrition, palliative care and end‐of‐life discussions and decisions are an integral part of critical care of the patient with cirrhosis. A multi‐disciplinary approach towards critical care management is likely to yield better outcomes.

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“…Professional groups have released guidance on POCUS use in the form of guidelines, expert consensus statements, or practice recommendations, particularly from specialties with high levels of POCUS uptake, such as emergency medicine and critical care 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 . However, most guidelines have focused on evidence-based recommendations for the specific clinical uses of POCUS common to their specialty setting.…”

Section: Introductionmentioning

confidence: 99%

Best Practices for Point of Care Ultrasound: An Interdisciplinary Expert Consensus

OTO,

Baeten,

Chen

et al. 2024

pocus

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Despite the growing use of point of care ultrasound (POCUS) in contemporary medical practice and the existence of clinical guidelines addressing its specific applications, there remains a lack of standardization and agreement on optimal practices for several areas of POCUS use. The Society of Point of Care Ultrasound (SPOCUS) formed a working group in 2022 to establish a set of recommended best practices for POCUS, applicable to clinicians regardless of their training, specialty, resource setting, or scope of practice. Using a three-round modified Delphi process, a multi-disciplinary panel of 22 POCUS experts based in the United States reached consensus on 57 statements in domains including: (1) The definition and clinical role of POCUS; (2) Training pathways; (3) Credentialing; (4) Cleaning and maintenance of POCUS devices; (5) Consent and education; (6) Security, storage, and sharing of POCUS studies; (7) Uploading, archiving, and reviewing POCUS studies; and (8) Documenting POCUS studies. The consensus statements are provided here. While not intended to establish a standard of care or supersede more targeted guidelines, this document may serve as a useful baseline to guide clinicians, leaders, and systems considering initiation or enhancement of POCUS programs.

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EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) LONG VERSION

Cited by 11 publications

References 184 publications

EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) SHORT VERSION

EFSUMB Clinical Practice Guidelines for Point-of-Care Ultrasound: Part One (Common Heart and Pulmonary Applications) SHORT VERSION

Review article: Evaluation and care of the critically ill patient with cirrhosis

Best Practices for Point of Care Ultrasound: An Interdisciplinary Expert Consensus

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