Consensus on the Application of Lung Ultrasound in Pneumonia and Bronchiolitis in Children

Overview

Journal Diagnostics (Basel)

Specialty Radiology

Date 2020 Nov 14

PMID 33187099

Citations 12

Authors

Joanna Jaworska

Anna Komorowska-Piotrowska

Andrzej Pomiecko

Jakub Wisniewski

Mariusz Wozniak

Blazej Littwin

Magdalena Kryger

Piotr Kwasniewicz

Jozef Szczyrski

Katarzyna Kulinska-Szukalska

Natalia Buda

Zbigniew Doniec

Wojciech Kosiak

Affiliations

Soon will be listed here.

Abstract

This evidence-based consensus aims to establish the role of point-of-care lung ultrasound in the management of pneumonia and bronchiolitis in paediatric patients. A panel of thirteen experts form five Polish tertiary pediatric centres was involved in the development of this document. The literature search was done in PubMed database. Statements were established based on a review of full-text articles published in English up to December 2019. The development of this consensus was conducted according to the GRADE (Grading of Recommendations, Assessment, Development and Evaluations)-adopted and Delphi method. Initially, 22 proposed statements were debated over 3 rounds of on-line discussion and anonymous voting sessions. A total of 17 statements were agreed upon, including four statements referring to general issues, nine referring to pneumonia and four to bronchiolitis. For five statements experts did not achieve an agreement. The evidence supporting each statement was evaluated to assess the strength of each statement. Overall, eight statements were rated strong, five statements moderate, and four statements weak. For each statement, experts provided their comments based on the literature review and their own experience. This consensus is the first to establish the role of lung ultrasound in the diagnosis and management of pneumonia and bronchiolitis in children as an evidence-based method of imaging.

Citing Articles

Prognostic Role of Lung-Ultrasound Score in Acute Bronchiolitis Patients Treated With High Flow Nasal Cannula: A Prospective Study.

Thabet F, Zayani S, Haddad N, Daya A, Nasrallah C, Chouchane S Pediatr Pulmonol. 2024; 60(1):e27432.

PMID: 39620374 PMC: 11748104. DOI: 10.1002/ppul.27432.

Improving the Transparency and Replicability of Consensus Methods: Respiratory Medicine as a Case Example.

Rolfe M, Winchester C, Chisholm A, Price D Pragmat Obs Res. 2024; 15:201-207.

PMID: 39429979 PMC: 11490235. DOI: 10.2147/POR.S478163.

Point of care lung ultrasound in preschool children with cystic fibrosis: a case-controlled, prospective, pilot study.

Crispino A, Musolino A, Buonsenso D, Caloiero M, Concolino D J Ultrasound. 2024; 27(2):303-314.

PMID: 38240960 PMC: 11178747. DOI: 10.1007/s40477-023-00841-0.

The correlation between lung ultrasound scores and outcomes of high-flow nasal cannula therapy in infants with severe pneumonia.

Zheng L, Chen R, Zheng C, Dai X, Zheng W, Zhang J BMC Pediatr. 2024; 24(1):51.

PMID: 38229006 PMC: 10790390. DOI: 10.1186/s12887-024-04522-7.

Radiological Imaging in Chest Diseases: Moving Away from Conventional Modes.

Bhatia A, Jana M, Chaluvashetty S, Saxena A, Sodhi K Indian J Pediatr. 2023; 90(8):798-805.

PMID: 37273132 DOI: 10.1007/s12098-023-04615-8.

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