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ArticleIntensive care medicine2025

ESICM-ESPNIC international expert consensus on quantitative lung ultrasound in intensive care.

Silvia Mongodi, Andrea Cortegiani, Almudena Alonso-Ojembarrena, Daniele Guerino Biasucci, Lieuwe D J Bos, Belaid Bouhemad, Massimo Cantinotti, Ioana Ciuca, Francesco Corradi, Martin Girard and 12 more

Registry-linked trialAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07432477 (Comparison of Hemodynamic and Pulmonary Outcomes Between Single-Step and Stepwise Lung Recruitment Maneuvers After Cardiopulmonary Bypass), which is not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 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.

NCT07432477 narecruitingnot on this mapstarted 2026, after this paper: background citation

Comparison of Hemodynamic and Pulmonary Outcomes Between Single-Step and Stepwise Lung Recruitment Maneuvers After Cardiopulmonary Bypass: A Randomized Controlled Trial

TypeinterventionalSponsorOndokuz Mayıs UniversityRan2026 to 2027Enrolled52ConditionsAtelectasis, PostoperativeArmsSingle Step Lung Recruitment Maneuver, Stepwise Lung Recruitment Maneuver
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  11. Review
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  19. Article
  20. Validation of Lung Ultrasound Score for Disease Severity and Outcomes in Pediatric Acute Respiratory Failure.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Observational
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

22 authors.

Silvia MongodiIntensive Care Unit 1, San Matteo Hospital, Pavia, Italy. silvia.mongodi@libero.it.ORCID 0000-0002-1987-8599
Andrea CortegianiDepartment of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy.
Almudena Alonso-OjembarrenaNeonatal Intensive Care Unit, Hospital Universitario Puerta del Mar, Cádiz, Spain.ORCID 0000-0002-2413-9758
Daniele Guerino BiasucciDepartment of Clinical Science and Translational Medicine, Tor Vergata' University of Rome, Rome, Italy.
Lieuwe D J BosIntensive Care, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-2911-4549
Belaid BouhemadDepartment of Anaesthesiology and Intensive Care, C.H.U. Dijon, Dijon, France.
Massimo CantinottiFondazione CNR Regione Toscana G. Monasterio, Ospedale del Cuore, Massa, Italy.
Ioana CiucaPediatric Department, "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Romania.ORCID 0000-0002-2879-8080
Francesco CorradiDepartment of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Martin GirardDepartment of Anesthesiology, Centre Hospitalier de L'Université de Montréal, Montréal, Canada.ORCID 0000-0003-2420-0106
Rebeca Gregorio-HernandezNeonatology Division, Gregorio Marañón University Hospital, Madrid, Spain.
Maria Rosaria GualanoUniCamillus - Saint Camillus International University of Health and Medical Sciences, Rome, Italy.
Francesco MojoliIntensive Care Unit 1, San Matteo Hospital, Pavia, Italy.
George NtoumenopoulosDepartment of Physiotherapy, Royal Perth Hospital, Perth, Australia.
Luigi PisaniDepartment of Precision-Regenerative Medicine and Jonic Area (DiMePRe-J), Section of Anesthesiology and Intensive Care Medicine, University of Bari "Aldo Moro", Bari, Italy.
Francesco RaimondiDivision of Neonatology, Department of Translational Medical Sciences, University of Naples Federico II, Naples, Italy.
Javier Rodriguez-FanjulPediatric Intensive Care Unit. Hospital Germans Trias I Pujol, Universitat Autonoma de Barcelona, Barcelona, Spain.
Marilena SavoiaNeonatal Intensive Care Unit, S Maria Della Misericordia Hospital, Udine, Italy.
Marry R SmitDepartment of Intensive Care, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Pieter R TuinmanDepartment of Intensive Care Medicine, Amsterdam UMC, Location Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Laurent ZieleskiewiczDepartment of Anesthesia and Critical Care, North Hospital, Marseille APHM, Aix Marseille University, Marseille, France.
Daniele De LucaDivision of Paediatrics and Neonatal Critical Care, APHP-Paris Saclay University, Paris, France.ORCID 0000-0002-3846-4834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide an international expert consensus on technical aspects and clinical applications of quantitative lung ultrasound in adult, paediatric and neonatal intensive care.

methodsThe European Society of Intensive Care (ESICM) and the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) endorsed the project. We selected an international panel of 20 adult, paediatric and neonatal intensive care experts with clinical and research expertise in quantitative lung ultrasound, plus two non-voting methodologists. Fourteen clinical questions were proposed by the chairs to the panel, who voted for their priority (1-9 Likert-type scale) and proposed modifications/supplementing (two-round vote). All the questions achieved the predefined threshold (mean score > 5) and 14 groups of 3 mixed adult/paediatric experts were identified to develop the statements for each clinical question; predefined groups of experts in the fields of adult and paediatric/neonatal intensive care voted statements specific for these subgroups. An iterative approach was used to obtain the final consensus statements (two-round vote, 1-9 Likert-type scale); statements were classified as with agreement (range 7-9), uncertainty (4-6), disagreement (1-3) when the median score and ≥ 75% of votes laid within a specific range.

resultsA total of 46 statements were produced (4 adults-only, 4 paediatric/neonatal-only, 38 interdisciplinary); all obtained agreement. This result was also achieved by acknowledging in the statements the current limitations of quantitative lung ultrasound.

conclusionThis consensus guides the use of quantitative lung ultrasound in adult, paediatric and neonatal intensive care and helps identify the fields where further research will be needed in the future.

Indexed as

Critical CareLungAdultChildEuropeHumansInfant, NewbornSocieties, MedicalUltrasonographyAerationCritical care ultrasoundLung monitoringLung ultrasound scoreNeonatesQuantitative lung ultrasound

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.