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MINERVA ANESTESIOLOGICA

Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2017 Mar 07

DOI: 10.23736/S0375-9393.17.11509-9

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Current adoption of lung ultrasound in Intensive Care Units: an Italian multi-centre survey

Italo CALAMAI 1, Massimiliano GRECO 2, Guido BERTOLINI 3 , Rosario SPINA 1, on behalf of the Italian Group for the Evaluation of Interventions in Intensive Care Medicine 

1 AUSL Toscana Centro, UOC Anestesia e Rianimazione, Ospedale San Giuseppe, Empoli, Florence, Italy; 2 Dipartmento di Anestesia e Rianimazione, IRCCS San Raffaele Hospital, Milan, Italy; 3 GiViTI Coordinating Center, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Centro di Ricerche Cliniche per le Malattie Rare Aldo e Cele Daccò, Ranica, Bergamo, Italy


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BACKGROUND: Lung ultrasound (LUS) is a useful tool for assessing lung status in critically ill patients, but is not widely applied in intensive care units (ICUs). The aim of this study was to investigate the use of LUS in Italian ICUs.
METHODS: A questionnaire was distributed to 116 ICU representatives belonging to the Italian GiViTI network, participating in a national project on continuous quality of care assessment. The answers to the questionnaire were analysed with the data collected in the course of said project.
RESULTS: 87 ICUs took part in the study. LUS was performed in 94.3% of them, generally by an internal intensivist. The mean number of tests per bed per week was 0.97 (SD, 1.0). A standardized reporting format was present in only 11% of ICUs. LUS was generally used to investigate known or suspected diseases and as a screening tool in only 10%. The number of testes per bed per week was inversely correlated to the number of beds per physician (p<0.001) and to the provider performing the LUS (p<0.001), but not to other structural, organizational or performance data.
CONCLUSIONS: LUS is performed in the majority of ICUs and is generally used to investigate known or suspected diseases. Frequency of use appears to be low and related to selected organizational factors. There is generally no standardized format for reporting LUS findings.


KEY WORDS: Lung ultrasound - Intensive care units - Survey

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Per citare questo articolo

the Italian Group for the Evaluation of Interventions in Intensive Care Medicine

Adele ADORNI (Como, Italy); Patrizia ANDREONI (Milan, Italy); Maria BABINI (Lugo, Ravenna, Italy); Alessandra BELLONZI (Ferrara, Italy); Mara BERNASCONI (Rovigo, Italy); Francesco BERRUTO (Pinerolo, Turin, Italy); Monica BONFIGLIO (Lavagna, Genoa, Italy); Corinna BONIOTTI (Brescia, Italy); Paola BONUCCI (Siena, Italy); Leonardo BOSSI (Legnano, Milan, Italy); Andrea BOTTAZZI (Pavia, Italy); Roberto BUONANNO (Lacco Ameno, Naples, Italy); Giuseppe BUSCAGLIA (Genoa, Italy); Massimo CANDIDO (Florence, Italy); Adalgisa CARACCIOLO (Bari, Italy); Gilda CARRARA (Como, Italy); Pierpaolo CASALINI (Faenza, Ravenna, Italy); Marina CERADELLI (La Spezia, Italy); Andrea CIANI (Pescia, Pistoia, Italy); Stefano CLEMENTI (Sesto San Giovanni, Milan, Italy); Francesco COCCIOLO (Cesena, Forlì, Italy); Luciano CREMA (Cremona, Italy); Paolo Dal CERO (Conegliano, Treviso, Italy); Pierfrancesco Di MASI (Castellana Grotte, Bari, Italy); Dino Di PASQUALE (Pontedera, Pisa, Italy); Maria C. FABI (Fano, Pesaro e Urbino, Italy); Francesca FACONDINI (Rimini, Italy); Stefano FALINI (Grosseto, Italy); Gabriele FALZETTI (Senigallia, Ancona, Italy); Loredana FARALDI (Milan, Italy); Elsa GALEOTTI (Feltre, Belluno, Italy); Emanuela GHILLINO (Genoa, Italy); Massimo GIANNI (Aosta, Italy); Riccardo GIUDICI (Legnano, Milan, Italy); Romano GIUNTINI (Empoli, Firenze, Italy); Adonella GORIETTI (Perugia, Italy); Maurizio GRECO (Ariano Irpino, Avellino, Italy); Andreina GRIONI (Cernusco sul Naviglio, Milan, Italy); Alberto GUADAGNUCCI (Massa, Italy); Clementina GUAGLIARDI (Gallarate, Varese, Italy); Maria D. GUARDUCCI (Bagno a Ripoli, Florence, Italy); Cristiana LAICI (Bologna, Italy); Ugo LEFONS (Poggibonsi, Siena, Italy); Sergio LIVIGNI (Turin, Italy); Paolo MALACARNE (Pisa, Italy); Renato C. MANZI (Milan, Italy); Silvio MARAFON (Vicenza, Italy); Gianmariano MARCHESI (Bergamo, Italy); Maurizia MARCHI (Ferrara, Italy); Andrea MARUDI (Modena, Italy); Teresa S. MEDIANI (Pavia, Italy); Stefano MEINARDI (Chieri, Turin, Italy); Marianna MESSINA (Olbia, Italy); Pasqualina MODANO (Rionero in Vulture, Potenza, Italy); Gianluigi MORELLO (Catania, Italy); Giuseppe NARDI (Rome, Italy); Massimiliano NARDINI (Lido di Camaiore, Lucca, Italy); Ennio NASCIMBEN (Treviso, Italy); Giuseppe NATTINO (Lecco, Italy); Giancarlo NEGRO (Casarano, Lecce, Italy); Massimo NERI (Bologna, Italy); Carlo OLIVIERI (Novara, Italy); Maria C. OLIVIERI (Arezzo, Italy); Vieri PARRINI (Borgo San Lorenzo, Florence, Italy); Giovanni PASETTI (Orbetello, Grosseto, Italy); Maria PASSAFIUME (Palermo, Italy); Isabella PELLICIOLI (Bergamo, Italy); Cleta P. POMPA (Borgomanero, Novara, Italy); Maurizio POSTIGLIONE (Naples, Italy); Massimo RAFFAELI (Milan, Italy); Filippo RIGHETTI (San Bonifacio, Verona, Italy); Stefania ROSSI (Florence, Italy); Simona ROSSI (Rho, Milan, Italy); Marco SACCHI (Milan, Italy); Pierpaolo SALSI (Reggio Emilia, Italy); Paola F. SCIACCA (Turin, Italy); Alberto SICIGNANO (Milan, Italy); Simone SILVESTRI (Lucca, Italy); Donatella SPARICIO (Milan, Italy); Marina TERZITTA (Forlì, Italy); Giuseppe TIBALDI (Brescia, Italy); Livio TODESCO (Cittadella, Padua, Italy); Monica VAJ (Turin, Italy); Giuseppe A. VULCANO (Rossano, Cosenza, Italy); Anna ZAMPERONI (Treviso, Italy); Sergio ZAPPA (Brescia, Italy); Francesco ZUCCARO (Matera, Italy)

Corresponding author e-mail

guido.bertolini@marionegri.it