Polish recommendations for lung ultrasound in internal medicine (POLLUS-IM)

• Authors: Natalia Buda , Wojciech Kosiak , Elżbieta Radzikowska , Robert Olszewski , Ewa Jassem , Elżbieta Magdalena Grabczak , Andrzej Pomiecko , Jakub Piotrkowski , Maciej Piskunowicz , Malwina Sołtysiak , Szymon Skoczyński , Grzegorz Jaczewski , Jolanta Odrowska , Agnieszka Skoczylas , Marcin Wełnicki , Jakub Wiśniewski , Anna Zamojska

Title variants

PL

Polskie zalecenia na temat zastosowania ultrasonografii płuc w chorobach wewnętrznych (POLLUS-IM

• Languages of publication: EN PL

Abstracts

EN

Objective: The aim of this study was to establish recommendations for the use of lung ultrasound in internal medicine, based on reliable data and expert opinions. Methods: The bibliography from the databases (Pubmed, Medline, OVID, Embase) has been fully reviewed up to August 2017. Members of the expert group assessed the credibility of the literature data. Then, in three rounds, a discussion was held on individual recommendations (in accordance with the Delphi procedure) followed by secret voting. Results: Thirty-eight recommendations for the use of lung ultrasound in internal medicine were established as well as discussed and subjected to secret voting in three rounds. The first 31 recommendations concerned the use of ultrasound in the diagnosis of the following conditions: pneumothorax, pulmonary consolidation, pneumonia, atelectasis, pulmonary embolism, malignant neoplastic lesions, interstitial lung lesions, cardiogenic pulmonary edema, interstitial lung diseases with fibrosis, dyspnea, pleural pain and acute cough. Furthermore, seven additional statements were made regarding the technical conditions of lung ultrasound examination and the need for training in the basics of lung ultrasound in a group of doctors during their specialization programs and medical students. The panel of experts established a consensus on all 38 recommendations.

PL

Cel: Celem niniejszej pracy było ustalenie opartych na wiarygodnych danych i opiniach ekspertów zaleceń dotyczących zastosowania ultrasonografii płuc w chorobach wewnętrznych. Metody: Piśmiennictwo z baz danych (PubMed, Medline, OVID, Embase) zostało w całości poddane przeglądowi do sierpnia 2017 roku. Członkowie grupy ekspertów ocenili wiarygodność danych z piśmiennictwa. Następnie w trzech 3 turach przeprowadzono dyskusję na temat poszczególnych zaleceń (zgodnie z systemem Delphi) i przeprowadzono tajne głosowanie. Wyniki: Utworzono 38 zaleceń dotyczących zastosowania ultrasonografii płuc w chorobach wewnętrznych, zalecenia przedyskutowano oraz poddano tajnemu głosowaniu w trzech turach. Pierwsze 31 zaleceń dotyczyło ultrasonograficznych kryteriów rozpoznawania: odmy opłucnej, konsolidacji miąższu płucnego, zapalenia płuc, niedodmy, zatorowości płucnej, złośliwych zmian nowotworowych, zmian śródmiąższowych płuc, kardiogennego obrzęku płuc, śródmiąższowych chorób płuc przebiegających z włóknieniem płuc, duszności, bólów opłucnowych oraz ostrego kaszlu. Ponadto powstało siedem dodatkowych stwierdzeń, dotyczących technicznych warunków wykonania badania ultrasonograficznego płuc, a także potrzeby szkoleń w zakresie podstaw ultrasonografii płuc w grupie specjalizujących się lekarzy i studentów. Panel ekspertów ustalił konsensus dotyczący wszystkich 38 zaleceń.

Keywords

EN

chest sonography; internal medicine; lung ultrasound; recommendation

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Journal of Ultrasonography
• Year: 2018
• Volume: 18
• Issue: 74
• Pages: 198–206

Contributors

author

Natalia Buda

• Department of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdansk, Gdansk, Poland

author

Wojciech Kosiak

• Department of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland

author

Elżbieta Radzikowska

• III Department of Lung Disease, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland

author

Robert Olszewski

• Department of Geriatrics, National Institute of Geriatrics Rheumatology and Rehabilitation; Department of Ultrasound, Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Poland

author

Ewa Jassem

• Department of Pneumonology and Allergology, Medial University of Gdansk, Gdansk, Poland

author

Elżbieta Magdalena Grabczak

• Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland

author

Andrzej Pomiecko

• Department of Pediatrics, Hematology and Oncology, University Clinical Centre in Gdansk, Gdansk, Poland

author

Jakub Piotrkowski

• Independent Public Health Care Facility of the Ministry of the Internal Affairs with the Oncology Centre in Olsztyn, Olsztyn, Poland

author

Maciej Piskunowicz

• Department of Radiology, Medical University of Gdansk, Gdansk, Poland

author

Malwina Sołtysiak

• Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland

author

Szymon Skoczyński

• Department of Pneumology, Medical University of Silesia, Katowice, Poland

author

Grzegorz Jaczewski

• Department of Internal Medicine, Pulmonary Diseases and Allergy, Medical University of Warsaw, Warsaw, Poland

author

Jolanta Odrowska

• A Non-public Health Care Facility “Folk-Med”, Bialogard, Poland

author

Agnieszka Skoczylas

• Department of Geriatrics, National Institute of Geriatrics Rheumatology and Rehabilitation

author

Marcin Wełnicki

• 3rd Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland

author

Jakub Wiśniewski

• Department of Pediatrics, Hematology and Oncology, University Clinical Centre in Gdansk, Gdansk, Poland

author

Anna Zamojska

• Department of Econometrics at the Faculty of Management, University of Gdansk, Gdansk, Poland

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• Document Type: article