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Tras su extubación cursó con buena evolución hasta presentar varios episodios de crisis asfícticas intermitentes secundarias a una obstrucción por el desplazamiento de un molde laringotraqueal en la zona subglótica. Se discute el diagnóstico diferencial de las obstrucciones respiratorias de la vía aérea superior, así como el de las entidades relacionadas con la formación de moldes bronquiales, con especial atención a las bronquitis plásticas, sus características clínicas, fisiopatológicas y posibilidades terapéuticas.</p>" ] "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We report the case of an intensive care unit patient with acute respiratory failure caused by severe community-acquired pneumonia with empyema. She required orotracheal intubation and mechanical ventilation. Following extubation the patient¿s condition improved until the onset of several choking episodes caused by a dislodged laryngotracheal cast in the subglottic region. We discuss the differential diagnosis of upper airway obstructions and of the entities related to bronchial cast formation, in particular the clinical and pathophysiological features of plastic bronchitis and the treatment options available.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bronchitis mimicking foreign body aspiration that needs a specific diagnostic procedure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O. Noizet" 1 => "F. Leclerc" 2 => "S. Leteurtre" 3 => "A. Brichet" 4 => "G. Pouessel" 5 => "A. 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Notas clínicas
DOI: 10.1157/13081254
Síndrome asfíctico intermitente provocado por molde bronquial en zona subglótica
Intermittent Asphyxia Syndrome Caused by a Bronchial Cast in the Subglottic Region
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Síndrome asfíctico intermitente provocado por molde bronquial en zona subglótica
J. Ferreres-Franco, J. Blanquer-Olivas, E. Pastor-Esplá, S. Borrás-Pallé, G. Galán-Gil, A. Jordá-Miñana
10.1157/13081254Arch Bronconeumol. 2005;41:638-40