New International Guidelines and Consensus on the Use of Lung Ultrasound

Libertario Demi; Frank Wolfram; Catherine Klersy; Annalisa De Silvestri; Virginia Valeria Ferretti; Marie Muller; Douglas Miller; Francesco Feletti; Marcin Wełnicki; Natalia Buda; Agnieszka Skoczylas; Andrzej Pomiecko; Domagoj Damjanovic; Robert Olszewski; Andrew W Kirkpatrick; Raoul Breitkreutz; Gebhart Mathis; Gino Soldati; Andrea Smargiassi; Riccardo Inchingolo; Tiziano Perrone

doi:10.1002/jum.16088

New International Guidelines and Consensus on the Use of Lung Ultrasound

J Ultrasound Med. 2023 Feb;42(2):309-344. doi: 10.1002/jum.16088. Epub 2022 Aug 22.

Authors

Libertario Demi¹, Frank Wolfram², Catherine Klersy³, Annalisa De Silvestri³, Virginia Valeria Ferretti³, Marie Muller⁴, Douglas Miller⁵, Francesco Feletti^{6

7}, Marcin Wełnicki⁸, Natalia Buda⁹, Agnieszka Skoczylas¹⁰, Andrzej Pomiecko¹¹, Domagoj Damjanovic¹², Robert Olszewski¹³, Andrew W Kirkpatrick¹⁴, Raoul Breitkreutz¹⁵, Gebhart Mathis¹⁶, Gino Soldati¹⁷, Andrea Smargiassi^{18

19}, Riccardo Inchingolo^{18

19}, Tiziano Perrone²⁰

Affiliations

¹ Department of Information Engineering and Computer Science, University of Trento, Trento, Italy.
² Department of Thoracic and Vascular Surgery, SRH Wald-Klinikum Gera, Gera, Germany.
³ Unit of Clinical Epidemiology and Biostatistics, Fondazione IRCCS Policlinico S. Matteo, Pavia, Italy.
⁴ Department of Mechanical and Aerospace Engineering, North Carolina State University, Raleigh, North Carolina, USA.
⁵ Department of Radiology, Michigan Medicine, Ann Arbor, Michigan, USA.
⁶ Department of Diagnostic Imaging, Unit of Radiology of the Hospital of Ravenna, Ausl Romagna, Ravenna, Italy.
⁷ Department of Translational Medicine and for Romagna, Università Degli Studi di Ferrara, Ferrara, Italy.
⁸ 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.
⁹ Department of Internal Medicine, Connective Tissue Disease and Geriatrics, Medical University of Gdansk, Gdansk, Poland.
¹⁰ Geriatrics Department, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
¹¹ Clinic of Pediatrics, Hematology and Oncology, University Clinical Center, Gdańsk, Poland.
¹² Heart Center Freiburg University, Department of Cardiovascular Surgery, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
¹³ Department of Gerontology, Public Health and Didactics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.
¹⁴ Departments of Critical Care Medicine and Surgery, University of Calgary and the TeleMentored Ultrasound Supported Medical Interventions Research Group, Calgary, Canada.
¹⁵ FOM Hochschule für Oekonomie & Management gGmbH, Department of Health and Social, Essen, Germany.
¹⁶ Emergency Ultrasound, Austrian Society for Ultrasound in Medicine and Biology, Vienna, Austria.
¹⁷ Diagnostic and Interventional Ultrasound Unit, Valledel Serchio General Hospital, Lucca, Italy.
¹⁸ Pulmonary Medicine Unit, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
¹⁹ Department of Internal Medicine, IRCCS San Matteo Hospital Foundation, University of Pavia, Pavia, Italy.
²⁰ Emergency Department, Humanitas Gavazzeni, Bergamo, Italy.

Abstract

Following the innovations and new discoveries of the last 10 years in the field of lung ultrasound (LUS), a multidisciplinary panel of international LUS experts from six countries and from different fields (clinical and technical) reviewed and updated the original international consensus for point-of-care LUS, dated 2012. As a result, a total of 20 statements have been produced. Each statement is complemented by guidelines and future developments proposals. The statements are furthermore classified based on their nature as technical (5), clinical (11), educational (3), and safety (1) statements.

Keywords: A-lines; B-lines; COVID-19; LUS safety assurance; SARS-CoV-2; artificial intelligence; lung ultrasound; lung ultrasound protocols; lung ultrasound standardization; point of care ultrasound; post-COVID-19; quantitative ultrasound; sonographic interstitial syndrome; vertical artifacts.

Publication types

Review

MeSH terms

COVID-19*
Consensus
Humans
Lung / diagnostic imaging
Point-of-Care Testing
SARS-CoV-2
Ultrasonography