Evidence map›Paper›PMID 42257880›Full record

ArticleIntensive care medicine2026

International evidence-based recommendations for point-of-care lung ultrasound : 2025 focused update of the 2012 recommendations.

Giovanni Volpicelli, Luna Gargani, Laurent Zieleskiewicz, Pieter R Tuinman, Bruce J Kimura, Georgios Zisis, Alberto Vaona, Stefano Coiro, Gustavo N Araujo, Vicki Noble and 13 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Guideline
  2. Article
  3. Article
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

23 authors.

Giovanni VolpicelliDepartment of Medical and Surgical Science, Emergency Medicine, Magna Græcia University, Catanzaro, Italy. giovi.volpicelli@gmail.com.ORCID http://orcid.org/0000-0003-1000-6054
Luna GarganiDepartment of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
Laurent ZieleskiewiczDepartment of Anesthesiology and Intensive Care, Hôpital Nord, Hôpitaux de Marseille, Aix Marseille Université, C2VN, Marseille, France.
Pieter R TuinmanDepartment of Intensive Care, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Bruce J KimuraDepartments of Cardiology and Medicine, Scripps Mercy Hospital, San Diego, USA.
Georgios ZisisDepartment of Cardiology, Northern Health, Epping, Australia.
Alberto VaonaAzienda Ulss 9 Scaligera, Primary Care Department, Verona, Italy.
Stefano CoiroCardiology Department, Santa Maria della Misericordia Hospital, Perugia, Italy.
Gustavo N AraujoDepartment of Cardiology, Hospital da Unimed Grande Florianopolis, Santa Catarina, Brazil.
Vicki NobleUniversity Hospitals Cleveland Medical Center, Department of Emergency Medicine, Case Western Reserve School of Medicine, Cleveland, USA.
Christian B LaursenDepartment of Respiratory Medicine and Centre for Advamced Lung Cancer Diagnostics (CALU), Odense University Hospital, Odense Respiratory Research Unit (ODIN), University of Southern Denmark, Odense, Denmark.
Belaid BouhemadDepartment of Anaesthesiology and Critical Care, Dijon University Hospital, Dijon, France.
Stein SilvaCritical Care Unit and Anaesthesiology Department, University Teaching Hospital of Purpan, Toulouse, France.
Ramon NoguéEmergency Medicine, Universitat de Lleida, Lleida, Spain.
Maurizio ZanobettiEmergency Department, San Donato Hospital, Arezzo, Italy.
Davide A ChiumelloDepartment of Health Sciences, Coordinated Research Center on Respiratory Failure, Department of Anesthesia and Intensive Care, ASST Santi Paolo e Carlo, San Paolo University Hospital, University of Milan, Milan, Italy.
Gebhard MathisGastroenterologie, Internistische Praxis, Rankweil, Austria.
Peiman NazerianDepartment of Emergency Medicine, Careggi University Hospital, Florence, Italy.
Emanuele PivettaDepartment of Medical Sciences, University of Turin and AOU Città della Salute e della Scienza di Torino, Turin, Italy.
Nektaria XirouchakiIntensive Care Medicine Department, University Hospital of Heraklion, University of Crete, Heraklion, Greece.
Carmine ZoccaliInstitute of Molecular Biology and Genetics (Biogem), Ariano Irpino, Italy.
José Carreras-MoraDepartment of Cardiology, Grup de Recerca Biomèdica en Malalties del Cor (GREC), Hospital del Mar, Barcelona, Spain.
Nils P OvelandDepartment of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSince the publication of the previous consensus document on point-of-care lung ultrasound (PoCLUS) in 2012, new evidence has emerged. This consensus aims to update current recommendations by focusing on the clinical applications of PoCLUS as a standalone tool, while acknowledging that this focused approach represents a necessary preliminary step toward its effective integration with other organ-specific ultrasound examinations and complementary diagnostic modalities.

methodsA Delphi-based consensus process was conducted under the supervision of a Steering Committee (five voting members) and a Delphi Committee (two non-voting members). Experts were selected according to strict predefined criteria based on highly impactful scientific output and were assigned to specific domains. A structured literature review covering publications from 2012 to 2025 was performed. Statements were drafted, discussed through multiple online rounds, and iteratively refined. Anonymous voting was conducted for each statement using a predefined agreement threshold (80% full agreement); abstentions were excluded from percentage calculations. The process adhered to ACCORD recommendations.

resultsTwenty-one experts participated in the entire process. A total of 1775 new publications were reviewed, including 892 original studies, 62 meta-analyses, 38 guidelines, 162 original studies discussed in the first consensus. New statements were developed across multiple domains addressing ultrasound signs, technical aspects, monitoring strategies, and clinical applications of PoCLUS. Consensus was achieved for 83 statements following iterative discussion and voting rounds.

conclusionThis updated consensus provides evidence-based recommendations on the use of PoCLUS in clinical practice, defining its strengths and limitations as a standalone tool and identifying areas requiring further investigation.

Indexed as

LungPoint-of-Care SystemsDelphi TechniqueEvidence-Based MedicineHumansUltrasonographyConsensusLung aerationLung ultrasoundMonitoringPneumothoraxPoint-of-care ultrasound

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.