Development of evidence-based clinical recommendations and consensus statements in critical ultrasound field: why and how?

Elbarbary, Mahmoud; Melniker, Lawrence; Volpicelli, Giovanni; Neri, Luca; Pétrovic, Tomislav; Storti, Enrico; Blaivas, Michael

doi:10.1007/s13089-010-0050-3

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…Lung ultrasound is more accurate than CXR particularly in ruling out pneumothorax [1,6,[13][14][15][16][17]. There are some settings where lung ultrasound for pneumothorax is not only recommended but also essential: cardiac arrest/ unstable patient, radio-occult pneumothorax, and limitedresource areas.…”

Section: B-d1-s8 (No Consensus: Level C)mentioning

confidence: 99%

“…A focal sonographic pattern of interstitial syndrome should be differentiated from a diffuse interstitial syndrome [21]. Similar B-patterns are observed in many acute and chronic conditions with diffuse interstitial involvement [1,19,20,25,28,29]. However, some sonographic signs other than B-lines are useful to differentiate the B-pattern of cardiogenic pulmonary edema, ARDS, and pulmonary fibrosis [10].…”

Section: B-d4-s5 (Strong: Level B)mentioning

confidence: 99%

“…The emergence of differences in approach, techniques utilized, and nomenclature, however, provided the stimulus to initiate a guideline/consensus process with the aim of elaborating a unified approach and language for six major areas, namely terminology, technology, technique, clinical outcomes, cost effectiveness, and future research. This process was conducted following a rigorous scientific pathway to produce evidence-based guidelines containing a list of recommendations for clinical application of lung ultrasound [1]. A literature search was performed, and a multidisciplinary, international panel of experts was identified.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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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: Seventythree 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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Section: B-d1-s8 (No Consensus: Level C)mentioning

confidence: 99%

Section: B-d4-s5 (Strong: Level B)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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“…However, recognising that guidelines are living documents reflecting best evidence,5 we respectfully submit that the BTS guidelines in question are thus somewhat incomplete. In our view, after further review and consensus development according to the GRADE criteria, data reported from the 21st century, far from being conflicted, provide strong and consistent evidence regarding the superiority of sonography over CXR in the diagnosis of pneumothorax (see online supplement).…”

mentioning

confidence: 99%

Ultrasound performs better than radiographs

Agricola¹,

Arbelot

Blaivas

et al. 2010

Thorax

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“…El ultrasonido pulmonar ha sido encontrado con una mayor efectividad en el diagnóstico de un neumotórax a diferencia de las radiografías 34 , y esto se ha podido documentar en diferentes publicaciones encontrando un valor predictivo negativo del 100% para descartarlo 35 . La interposición de aire entre las dos hojas pleurales evita la presencia de deslizamiento pleural y de «líneas B».…”

Section: Neumotóraxunclassified

Semiología pulmonar por ultrasonido - monitorización dinámica disponible junto al paciente

García-Araque

Aristizábal-Linares

Ruíz-Ávila

2015

Revista Colombiana de Anestesiología

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Cómo citar este artículo: Garcia Araque HF, et al. Semiología pulmonar por ultrasonido -monitorización dinámica disponible junto al paciente. Rev Colomb Anestesiol. 2015. http://dx.información del artículo Historia del artículo: Recibido el 7 de noviembre de 2014 Aceptado el 12 de febrero de 2015 On-line el xxx Palabras clave: Enfermedades pulmonares Ultrasonografía Tórax Ultrasonido Anestesia r e s u m e nEl ultrasonido pulmonar es una herramienta de monitorización que se expande a nivel mundial en diferentes escenarios, ofrece una serie de parámetros ecográficos que representan el tejido pulmonar sin patología y los artefactos que se van a generar por la presencia de patología serán un gran apoyo durante el ejercicio diagnóstico para el médico que trata, quien debe tener la oportunidad de hacer una evaluación junto al paciente, de forma dinámica, sin riesgos para él o su paciente. La semiología descrita para algunas de las patologías que le competen al médico involucrado en el manejo del paciente crítico o durante el perioperatorio, ha sido tomado de grupos de expertos que han validado algunos de estos resultados con técnicas estándar como la radiografía de tórax o la tomografía axial computarizada.

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Development of evidence-based clinical recommendations and consensus statements in critical ultrasound field: why and how?

Cited by 13 publications

References 21 publications

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

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

Ultrasound performs better than radiographs

Semiología pulmonar por ultrasonido - monitorización dinámica disponible junto al paciente

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