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Volume 13
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Guidelines

Thoracic UltrasONOgraphy Reporting: The TUONO Consensus

by
Italo Calamai
1,†,
Massimiliano Greco
2,3,*,†,
Marzia Savi
2,3,
Gaia Vitiello
4,
Elena Garbero
4,
Rosario Spina
1,
Luigi Pisani
5,6,
Silvia Mongodi
7,‡,
Stefano Finazzi
8,‡ and
on behalf of the TUONO Study Investigators
1
Anesthesia and Intensive Care Unit AUsl Toscana Centro, Ospedale San Giuseppe, Viale Boccaccio 16/20, 50053 Empoli, Italy
2
Department of Biomedical Sciences, Humanitas University, 20072 Milan, Italy
3
Department of Anesthesiology and Intensive Care, IRCCS Humanitas Research Hospital, 20089 Milan, Italy
4
Laboratory of Clinical Data Science, Mario Negri Institute of Pharmacological Research IRCCS, 20156 Ranica, Italy
5
Intensive Care Unit, Ospedale Generale Regionale Miulli, 70021 Acquaviva delle Fonti, Italy
6
Mahidol Oxford Tropical Research Unit, Bangkok 10400, Thailand
7
Anaesthesia and Intensive Care, San Matteo Hospital, 94403 Pavia, Italy
8
Laboratory of Clinical Epidemiology, Mario Negri Institute of Pharmacological Research IRCCS, 20156 Ranica, Italy
*
Author to whom correspondence should be addressed.
†
Both authors equally contributed as co-first authors.
‡
Both authors equally contributed as co-last authors.
Diagnostics 2023, 13(9), 1535; https://doi.org/10.3390/diagnostics13091535
Submission received: 28 March 2023 / Revised: 8 April 2023 / Accepted: 24 April 2023 / Published: 25 April 2023
(This article belongs to the Special Issue Advances in Point-of-Care Ultrasonography)
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Abstract

The widespread use of the lung ultrasound (LUS) has not been followed by the development of a comprehensive standardized tool for its reporting in the intensive care unit (ICU) which could be useful to promote consistency and reproducibility during clinical examination. This work aims to define the essential features to be included in a standardized reporting tool and provides a structured model form to fully express the diagnostic potential of LUS and facilitate intensivists in the use of a LUS in everyday clinical ICU examination. We conducted a modified Delphi process to build consensus on the items to be integrated in a standardized report form and on its structure. A committee of 19 critical care physicians from 19 participating ICUs in Italy was formed, including intensivists experienced in ultrasound from both teaching hospitals and referral hospitals, and internationally renowned experts on the LUS. The consensus for 31 statements out of 33 was reached at the third Delphi round. A structured model form was developed based on the approved statements. The development of a standardized model as a backbone to report a LUS may facilitate the guidelines’ application in clinical practice and increase inter-operator agreement. Further studies are needed to evaluate the effects of standardized reports in critically ill patients.
Keywords: point-of-care; lung ultrasound; report; modified Delphi; consensus point-of-care; lung ultrasound; report; modified Delphi; consensus

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MDPI and ACS Style

Calamai, I.; Greco, M.; Savi, M.; Vitiello, G.; Garbero, E.; Spina, R.; Pisani, L.; Mongodi, S.; Finazzi, S.; on behalf of the TUONO Study Investigators. Thoracic UltrasONOgraphy Reporting: The TUONO Consensus. Diagnostics 2023, 13, 1535. https://doi.org/10.3390/diagnostics13091535

AMA Style

Calamai I, Greco M, Savi M, Vitiello G, Garbero E, Spina R, Pisani L, Mongodi S, Finazzi S, on behalf of the TUONO Study Investigators. Thoracic UltrasONOgraphy Reporting: The TUONO Consensus. Diagnostics. 2023; 13(9):1535. https://doi.org/10.3390/diagnostics13091535

Chicago/Turabian Style

Calamai, Italo, Massimiliano Greco, Marzia Savi, Gaia Vitiello, Elena Garbero, Rosario Spina, Luigi Pisani, Silvia Mongodi, Stefano Finazzi, and on behalf of the TUONO Study Investigators. 2023. "Thoracic UltrasONOgraphy Reporting: The TUONO Consensus" Diagnostics 13, no. 9: 1535. https://doi.org/10.3390/diagnostics13091535

APA Style

Calamai, I., Greco, M., Savi, M., Vitiello, G., Garbero, E., Spina, R., Pisani, L., Mongodi, S., Finazzi, S., & on behalf of the TUONO Study Investigators. (2023). Thoracic UltrasONOgraphy Reporting: The TUONO Consensus. Diagnostics, 13(9), 1535. https://doi.org/10.3390/diagnostics13091535

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