Broncoscopia flexible en la reexpansión de atelectasias persistentes en pediatría

Holmgren, N.L.; Córdova, M.; Ortúzar, P.; Sánchez, I.

doi:10.1016/S0300-2896(02)75241-1

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"apellidos" => "Ortúzar" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Sánchez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Sección de Respiratorio Pediátrico. Departamento de Pediatría. Pontificia Universidad Católica de Chile" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Marcoleta, 434, Santiago. Chile" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Role of flexible bronchoscopy in the re-expansion of persistent atelectasis in children" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-05-08" "fechaAceptado" => "2002-05-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190553" "palabras" => array:3 [ 0 => "Broncoscopia" 1 => "Atelectasia" 2 => "Niños" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190554" "palabras" => array:3 [ 0 => "Bronchoscopy" 1 => "Atelectasis" 2 => "Children" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "ObjetivoEvaluar la efectividad de la broncoscopia flexible más lavado broncoalveolar en la reexpansión de atelectasias persistentes (más de 3 semanas de evolución) en pacientes pediátricos Pacientes Y MétodoRevisión retrospectiva de las fichas clínicas de 83 pacientes pediátricos sometidos a fibrobroncoscopia flexible más lavado broncoalveolar por atelectasias persistentes. Se establecieron tres categorías de la evolución radiológica: a) reexpansión completa, al haber mejoría completa de la imagen inicial; b) reexpansión parcial, al haber disminución de imagen radiológica en más del 50% y menos del 100%, y c) sin reexpansión, al existir disminución de imagen radiológica menor del 50% ResultadosLos hallazgos endoscópicos fueron tapones de secreciones en 54 pacientes (65%); malformaciones bronquiales en 16 pacientes (19%); estenosis bronquial en 5 pa-cientes (6%); vía aérea normal en 5 pacientes (6%), y misceláneos en 3 pacientes (4%). La evolución radiológica posterior a la fibrobroncoscopia demostró reexpansión completa en 34 pacientes (41%); reexpansión parcial en 28 pacientes (34%), y no hubo cambios en 21 pacientes (25%) ConclusionesLa fibrobroncoscopia más lavado broncoalveolar es útil en la reexpansión de atelectasias persistentes en un alto porcentaje de pacientes pediátricos" ] "en" => array:1 [ "resumen" => "ObjectiveTo evaluate the efficacy of flexible bronchoscopy plus bronchoalveolar lavage for the reexpansion of persistent atelectasis (course longer than 3 weeks) in children Patients And MethodsRetrospective review of the records of 83 children who underwent flexible fiberoptic bronchoscopy plus bronchoalveolar lavage for persistent atelectasis. Three categories of evolution were established for radiologic assessment: a) full re-expansion (full improvement over the initial image); b) partial re-expansion (decreased atelectasis of between 50% and 100%); and c) no change (if the decrease was less than 50% of the initial image) ResultsEndoscopy revealed mucus plugs in 54 patients (65%); bronchial malformations in 16 (19%); bronchial stenosis in 5 (6%); normal airways in 5 (6%) and other findings in 3 (4%). Radiologic changes after bronchoscopy showed full expansion for 34 patients (41%), partial re-expansion for 28 (34%) and no changes for 21 (25%) ConclusionFlexible bronchoscopy plus bronchoalveolar lavage for the re-expansion of persistent atelectasis is useful in a high percentage of children" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spelunking in the pediatric airways: explorations with the flexible fiberoptic bronchoscope" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.E. Wood" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Pediatr Clin North Am NA" "fecha" => "1984" "volumen" => "31" "paginaInicial" => "785" "paginaFinal" => "799" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Indications for flexible fiberoptic bronchoscopy in pediatric patients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Brown" 1 => "B. Marsh" 2 => "D. Stokes" 3 => "K.P. 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Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

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Current Contents/Clinical Medicine, JCR SCI-Expanded, Index Medicus/Medline, Excerpta Medica/EMBASE, IBECS, IME, SCOPUS, IBECS

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8.7

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