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Open Access 01-12-2021 | Ultrasound | Consensus And Expert Recommendation

Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine

Authors: Chiara Robba, Adrian Wong, Daniele Poole, Ashraf Al Tayar, Robert T. Arntfield, Michelle S. Chew, Francesco Corradi, Ghislaine Douflé, Alberto Goffi, Massimo Lamperti, Paul Mayo, Antonio Messina, Silvia Mongodi, Mangala Narasimhan, Corina Puppo, Aarti Sarwal, Michel Slama, Fabio S. Taccone, Philippe Vignon, Antoine Vieillard-Baron, The European Society of Intensive Care Medicine task force for critical care ultrasonography*

Published in: Intensive Care Medicine | Issue 12/2021

Abstract

Purpose

To provide consensus, and a list of experts’ recommendations regarding the basic skills for head-to-toe ultrasonography in the intensive care setting.

Methods

The Executive Committee of the European Society of Intensive Care (ESICM) commissioned the project and supervised the methodology and structure of the consensus. We selected an international panel of 19 expert clinicians–researchers in intensive care unit (ICU) with expertise in critical care ultrasonography (US), plus a non-voting methodologist. The panel was divided into five subgroups (brain, lung, heart, abdomen and vascular ultrasound) which identified the domains and generated a list of questions to be addressed by the panel. A Delphi process based on an iterative approach was used to obtain the final consensus statements. Statements were classified as a strong recommendation (84% of agreement), weak recommendation (74% of agreement), and no recommendation (less than 74%), in favor or against.

Results

This consensus produced a total of 74 statements (7 for brain, 20 for lung, 20 for heart, 20 for abdomen, 7 for vascular Ultrasound). We obtained strong agreement in favor for 49 statements (66.2%), 8 weak in favor (10.8%), 3 weak against (4.1%), and no consensus in 14 cases (19.9%). In most cases when consensus was not obtained, it was felt that the skills were considered as too advanced. A research agenda and discussion on training programs were implemented from the results of the consensus.

Conclusions

This consensus provides guidance for the basic use of critical care US and paves the way for the development of training and research projects.

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Title: Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine
Authors: Chiara Robba
Adrian Wong
Daniele Poole
Ashraf Al Tayar
Robert T. Arntfield
Michelle S. Chew
Francesco Corradi
Ghislaine Douflé
Alberto Goffi
Massimo Lamperti
Paul Mayo
Antonio Messina
Silvia Mongodi
Mangala Narasimhan
Corina Puppo
Aarti Sarwal
Michel Slama
Fabio S. Taccone
Philippe Vignon
Antoine Vieillard-Baron
The European Society of Intensive Care Medicine task force for critical care ultrasonography*
Publication date: 01-12-2021
Publisher: Springer Berlin Heidelberg
Keywords: Ultrasound
Echocardiography
Care
Echocardiography
Ultrasound
Vascular Ultrasound
Lung Ultrasound
Published in: Intensive Care Medicine / Issue 12/2021
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-021-06486-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Basic ultrasound head-to-toe skills for intensivists in the general and neuro intensive care unit population: consensus and expert recommendations of the European Society of Intensive Care Medicine

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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