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European Respiratory Society Statement on Thoracic Ultrasound

Christian B. Laursen, Amelia Clive, Rob Hallifax, Pia Iben Pietersen, Rachelle Asciak, Jesper Rømhild Davidsen, Rahul Bhatnagar, Eihab O Bedawi, Niels Jacobsen, Courtney Coleman, Anthony Edey, Gabriele Via, Giovanni Volpicelli, Gilbert Massard, Francesco Raimondi, Matthew Evison, Lars Konge, Jouke Annema, Najib M Rahman, Nick Maskell
European Respiratory Journal 2020; DOI: 10.1183/13993003.01519-2020
Christian B. Laursen
1Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark
2Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
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  • ORCID record for Christian B. Laursen
Amelia Clive
3Academic Respiratory Unit, University of Bristol, Bristol, United Kingdom
4Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom
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Rob Hallifax
5Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
6Oxford Respiratory Trials Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
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Pia Iben Pietersen
1Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark
2Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
7Regional Center for Technical Simulation, Odense University Hospital, Odense, Denmark
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Rachelle Asciak
5Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
6Oxford Respiratory Trials Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
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Jesper Rømhild Davidsen
1Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark
2Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
8South Danish Center for Interstitial Lung Diseases (SCILS), Odense University Hospital, Odense, Denmark
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Rahul Bhatnagar
3Academic Respiratory Unit, University of Bristol, Bristol, United Kingdom
4Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom
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Eihab O Bedawi
5Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
6Oxford Respiratory Trials Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
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Niels Jacobsen
1Department of Respiratory Medicine, Odense University Hospital, Odense, Denmark
2Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
7Regional Center for Technical Simulation, Odense University Hospital, Odense, Denmark
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Courtney Coleman
9European Lung Foundation, Sheffield, United Kingdom
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Anthony Edey
10Department of Radiology, Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom
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Gabriele Via
11Cardiac Anesthesia and Intensive Care, Cardiocentro Ticino, Lugano, Switzerland
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Giovanni Volpicelli
12Department of Emergency Medicine, Ospedale San Luigi Gonzaga, Torino, Italy
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Gilbert Massard
13Faculty of Science, Technology and Medicine, University of Luxembourg, Grand-Duchy of Luxembourg
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Francesco Raimondi
14Division of Neonatology, Section of Pediatrics, Department of Translational Medical Sciences, Università “Federico II” di Napoli, Naples, Italy
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Matthew Evison
15Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom
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Lars Konge
16Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Centre for HR, University of Copenhagen, Copenhagen, Denmark
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Jouke Annema
17Department of Respiratory Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
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Najib M Rahman
5Oxford Centre for Respiratory Medicine, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom
6Oxford Respiratory Trials Unit, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
18Laboratory of Pleural and Lung Cancer Translational Research, Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom
19National Institute for Health Research, Oxford Biomedical Research Centre, University of Oxford, Oxford, United Kingdom
20Joined last authors
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Nick Maskell
3Academic Respiratory Unit, University of Bristol, Bristol, United Kingdom
4Southmead Hospital, North Bristol NHS Trust, Bristol, United Kingdom
20Joined last authors
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Abstract

Thoracic ultrasound is increasingly considered to be an essential tool for the pulmonologist. It is used in diverse clinical scenarios, including as an adjunct to clinical decision making for diagnosis, a real-time guide to procedures, and a predictor or measurement of treatment response. The aim of this European Respiratory Society task force was to produce a statement on thoracic ultrasound for pulmonologists using thoracic ultrasound within the field of respiratory medicine. The multidisciplinary panel performed a review of the literature, addressing major areas of thoracic ultrasound practice and application. The selected major areas include equipment and technique, assessment of the chest wall, parietal pleura, pleural effusion, pneumothorax, interstitial syndrome, lung consolidation, diaphragm assessment, intervention guidance, training, and the patient perspective. Despite the growing evidence supporting the use of thoracic ultrasound, the published literature still contains a paucity of data in some important fields. Key research questions for each of the major areas were identified, which serve to facilitate future multi-centre collaborations and research to further consolidate an evidence-based use of thoracic ultrasound, for the benefit of the many patients being exposed to clinicians using thoracic ultrasound.

Footnotes

This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: Dr. Laursen has nothing to disclose.

Conflict of interest: Dr. Clive has nothing to disclose.

Conflict of interest: Dr. Hallifax has nothing to disclose.

Conflict of interest: Dr. Pietersen has nothing to disclose.

Conflict of interest: Dr. Asciak has nothing to disclose.

Conflict of interest: Dr. Davidsen has nothing to disclose.

Conflict of interest: Dr. Bhatnagar has nothing to disclose.

Conflict of interest: Dr. Bedawi has nothing to disclose.

Conflict of interest: Dr. Jacobsen has nothing to disclose.

Conflict of interest: Ms. Coleman has nothing to disclose.

Conflict of interest: Dr. Edey has nothing to disclose.

Conflict of interest: Dr. Via has nothing to disclose.

Conflict of interest: Dr. Volpicelli has nothing to disclose.

Conflict of interest: Dr. Raimondi has nothing to disclose.

Conflict of interest: Dr. Evison has nothing to disclose.

Conflict of interest: Dr. Konge has nothing to disclose.

Conflict of interest: Dr. Rahman reports non-financial support from Esaote, Italy, outside the submitted work;.

  • Received May 1, 2020.
  • Accepted August 20, 2020.
  • Copyright ©ERS 2020
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European Respiratory Society Statement on Thoracic Ultrasound
Christian B. Laursen, Amelia Clive, Rob Hallifax, Pia Iben Pietersen, Rachelle Asciak, Jesper Rømhild Davidsen, Rahul Bhatnagar, Eihab O Bedawi, Niels Jacobsen, Courtney Coleman, Anthony Edey, Gabriele Via, Giovanni Volpicelli, Gilbert Massard, Francesco Raimondi, Matthew Evison, Lars Konge, Jouke Annema, Najib M Rahman, Nick Maskell
European Respiratory Journal Jan 2020, 2001519; DOI: 10.1183/13993003.01519-2020

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European Respiratory Society Statement on Thoracic Ultrasound
Christian B. Laursen, Amelia Clive, Rob Hallifax, Pia Iben Pietersen, Rachelle Asciak, Jesper Rømhild Davidsen, Rahul Bhatnagar, Eihab O Bedawi, Niels Jacobsen, Courtney Coleman, Anthony Edey, Gabriele Via, Giovanni Volpicelli, Gilbert Massard, Francesco Raimondi, Matthew Evison, Lars Konge, Jouke Annema, Najib M Rahman, Nick Maskell
European Respiratory Journal Jan 2020, 2001519; DOI: 10.1183/13993003.01519-2020
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