Evidence map›Paper›PMID 37386555›Full record

ArticleJournal of anesthesia, analgesia and critical care2021

Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care expert consensus statement on the use of lung ultrasound in critically ill patients with coronavirus disease 2019 (ITACO).

Luigi Vetrugno, Francesco Mojoli, Andrea Cortegiani, Elena Giovanna Bignami, Mariachiara Ippolito, Daniele Orso, Francesco Corradi, Gianmaria Cammarota, Silvia Mongodi, Enrico Boero and 14 more

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In one paragraph

Article in Journal of anesthesia, analgesia and critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Luigi VetrugnoDepartment of Medicine, University of Udine, Via Colugna n 50, 33100, Udine, Italy. luigi.vetrugno@uniud.it.ORCID http://orcid.org/0000-0003-3745-8368
Francesco MojoliDepartment of Clinical-Surgical, Diagnostic, and Pediatric Sciences, Unit of Anesthesia and Intensive Care, University of Pavia, Pavia, Italy.
Andrea CortegianiDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S), University of Palermo, Palermo, Italy.
Elena Giovanna BignamiAnesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Mariachiara IppolitoDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S), University of Palermo, Palermo, Italy.
Daniele OrsoUniversity-Hospital of Friuli Centrale, ASU FC, Udine, Italy.
Francesco CorradiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Gianmaria CammarotaDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Silvia MongodiDepartment of Clinical-Surgical, Diagnostic, and Pediatric Sciences, Unit of Anesthesia and Intensive Care, University of Pavia, Pavia, Italy.
Enrico BoeroAnesthesia and Intensive Care Unit, San Giovanni Bosco Hospital, Turin, Italy.
Carmine IacovazzoDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy.
Maria VargasDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Naples, Italy.
Daniele PooleAnesthesia and Intensive Care Operative Unit, S. Martino Hospital, Belluno, Italy.
Daniele Guerino BiasucciDepartment of Anesthesia and Intensive Care, Fondazione Policlinico Universitario "A. Gemelli", Rome, Italy.
Paolo PersonaUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Tiziana BoveUniversity-Hospital of Friuli Centrale, ASU FC, Udine, Italy.
Lorenzo BallDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.
Davide ChiumelloDepartment of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, Milan, Italy.
Francesco ForforiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Edoardo de RobertisDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Paolo PelosiDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.
Paolo NavalesiUOC Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.
Antonino GiarratanoDepartment of Surgical, Oncological and Oral Science (Di.Chir.On.S), University of Palermo, Palermo, Italy.
Flavia PetriniItalian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care (SIAARTI), Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo produce statements based on the available evidence and an expert consensus (as members of the Lung Ultrasound Working Group of the Italian Society of Analgesia, Anesthesia, Resuscitation, and Intensive Care, SIAARTI) on the use of lung ultrasound for the management of patients with COVID-19 admitted to the intensive care unit.

methodsA modified Delphi method was applied by a panel of anesthesiologists and intensive care physicians expert in the use of lung ultrasound in COVID-19 intensive critically ill patients to reach a consensus on ten clinical questions concerning the role of lung ultrasound in the following: COVID-19 diagnosis and monitoring (with and without invasive mechanical ventilation), positive end expiratory pressure titration, the use of prone position, the early diagnosis of pneumothorax- or ventilator-associated pneumonia, the process of weaning from invasive mechanical ventilation, and the need for radiologic chest imaging.

resultsA total of 20 statements were produced by the panel. Agreement was reached on 18 out of 20 statements (scoring 7-9; "appropriate") in the first round of voting, while 2 statements required a second round for agreement to be reached. At the end of the two Delphi rounds, the median score for the 20 statements was 8.5 [IQR 8.9], and the agreement percentage was 100%.

conclusionThe Lung Ultrasound Working Group of the Italian Society of Analgesia, Anesthesia, Resuscitation, and Intensive Care produced 20 consensus statements on the use of lung ultrasound in COVID-19 patients admitted to the ICU. This expert consensus strongly suggests integrating lung ultrasound findings in the clinical management of critically ill COVID-19 patients.

Indexed as

ConsensusCoronavirus disease 2019Intensive careLung ultrasound

Identifiers

PMID37386555
PMCPMC8611396

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.