International evidence-based recommendations for point-of-care lung ultrasound
International evidence-based recommendations for point-of-care lung ultrasound
复制标题
DOI：
10.1007/s00134-012-2513-4
复制
发表时间：
2012-04-01
影响因子：
38.9
通讯作者：
Petrovic, Tomislav
中科院分区：
文献类型：
--
作者：
Volpicelli, Giovanni;Elbarbary, Mahmoud;Petrovic, Tomislav
本研究的目的是提供基于证据和专家共识的建议，肺部超声，重点是急诊和重症监护settings.A多学科小组的28名专家来自8个国家。回顾了1966年1月至2011年6月的文献。共识成员检索了多个数据库，包括Pubmed、Medline、奥维德、Embase等。用于制定这些循证建议的过程包括两个阶段：确定证据的质量水平和制定建议。证据质量采用推荐、评估、开发和评价分级（GRADE）方法进行评估。然而，GRADE系统并没有强制执行关于小组在协商一致过程中应如何达成决定的具体方法。我们的方法委员会决定利用兰德公司的适当性方法进行小组判断和决策/共识。在博洛尼亚、比萨和罗马举行的三次会议上，对73份拟议声明进行了审查和讨论。每次会议包括两轮面对面的改进德尔菲技术。每一轮都进行匿名小组投票。小组没有达成一致意见，因此没有通过任何关于六项声明的建议。对2份声明提出了弱/有条件的建议，对其余65份声明提出了强建议。这些发言随后被重新归类，并按目前的格式分组。在提交建议之前，进行了内部和外部同行审查。更新将至少每4年进行一次，或在证据出现重大变化时进行更新。本文件反映了第一次关于“床旁”肺部超声共识会议的总体结果。在过去的20年里，发表了关于肺部超声临床应用的绝大多数论文的专家对这些声明进行了讨论和阐述。提出了建议，以指导实施，发展和标准化的肺部超声在所有相关的设置。
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.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.Seventy-three 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.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.