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. 2021 Apr 19;25(2):207–215. doi: 10.1007/s40477-021-00586-8

Table 2.

Summaries of PoCUS Protocols

Date Introduced for COVID19 Authors Pulmonary assessment Lung zones Cardiac assessment Vascular assessment Details (Position, transducer, system examined, time required) Population studied
End SBT Protocol [59] March 12th, 2020 Peng et al. 12

Originally for patients with postextubation distress

Upper and lower posterior zones

Upper and lower axillary zones

Upper and lower anterior zones

20 adult patients at Xiangya Hospital [60]
LUSCOVID Protocol [33] March 30th, 2020 Soldati et al. 14

10 s per zone

Linear/convex transducer

Basal, middle and upper paravertebral line

Basal and upper midaxillary line

Basal and upper midclavicular line

1462 COVID-19 patients across 20 USA/European hospitals [25]

1 pregnant woman with COVID-19 at a tertiary hospital in Rome [40

10 children with COVID-19 at 2 tertiary hospitals in Rome [54]

88 adult COVID-19 patients from 3 Italian hospitals [28]

ASE Protocol [11] April 15th, 2020 Johri et al. 8–10

Assess ventricles, pericardium and valves

Perform an 8–12 zone lung scan

Assess the jugular venous pressure (JVP), subcostal inferior vena cava (IVC) and leg veins

77 COVID-19 patients in the Adan General Hospital ICU [28]
DLETE Protocol [61] April 18th, 2020 Fox et al. 8

10-min examination

Linear/phased array transducer

Perform a focused ECHO

Perform an 8-zone lung scan

Assess the IVC and leg veins for DVTs

CLUE Protocol

[6]

May 9th, 2020 Manivel et al. 12

Upright position

Linear/convex transducer

Upper and lower posterior zones

Upper and lower lateral zones

Upper and lower anterior zones

BLUEa Protocol [57] May 15th, 2020 Karagöz et al. 12

Upright position

Upper and lower posterior zones

Upper and lower axillary zones

Upper and lower anterior zones

20 adult patients at Xi’an Chest Hospital [58]
Six Zone Protocol [30] June 12th, 2020 Antúnez-Montes et al. 6

Upright/prone position

Linear/curvilinear transducer

Bilateral posterior, lateral superior, and lateral inferior zones

38 COVID-19 patients in Tongji Hospital, Wuhan [29]

aThe BLUE protocol was initially introduced by Lichtenstein et al., however, was first outlined for its use in COVID-19 by Sultan et al. [57, 65]