Intubación traqueal mediante broncofibroscopia (experiencia de un servicio hospitalario)
Intubation tracheal guided by fiberoptic bronchoscope: one hospital service's experience
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Arrabal Sánchez, A. Fernández de Rota, C. Pagés Navarrete, A. Benítez Doménech, J.L. Fernández Bermúdez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Arrabal Sánchez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández de Rota" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Pagés Navarrete" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Benítez Doménech" ] 4 => array:2 [ "nombre" => "J.L." 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"apellidos" => "Cámara Angulo" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Domínguez Reboiras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "S." "apellidos" => "Martín Burcio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "Pacheco Galván" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología y Reanimación. Centro Especial de la Seguridad Social. Hospital Ramón y Cajal. Madrid" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología. Centro Especial de la Seguridad Social. Hospital Ramón y Cajal. Madrid" "etiqueta" => "**" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Servicio de Anestesiología y Reanimación, Centro Especial de la Seguridad Social. Hospital Ramón y Cajal. Ctra. de Colmenar Viejo, km 9.100. 28034 Madrid." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Intubation tracheal guided by fiberoptic bronchoscope: one hospital service's experience" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-11-15" "fechaAceptado" => "1996-03-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546073" "palabras" => array:3 [ 0 => "Intubación traqueal" 1 => "Broncofibroscopia" 2 => "Técnica anestésica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546072" "palabras" => array:3 [ 0 => "Tracheal intubation" 1 => "Fiberoptic bronchoscopy" 2 => "Anesthetic technique" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El uso de <span class="elsevierStyleItalic">técnicas fibroendoscópicas ha supuesto un gran</span> avance en el manejo de las “intubaciones difíciles”. Este trabajo presenta la experiencia de un servicio hospitalario en la intubación guiada por broncofibroscopia (BF) y describe la técnica utilizada. Hemos estudiado 512 intubaciones consecutivas realizadas en los últimos 18 años. Un 64,18% fueron varones y el 35,15% mujeres. La causa más frecuente que hizo necesaria la intubación mediante BF fue la patología no tumoral de la columna cervical (28,91%) seguida de los traumatismos (18,16%) y de la imposibilidad técnica para intubar por medios habituales (17,39%). La vía nasal fue la más utilizada (80,86%). El 93,16% de las intubaciones se realizaron por motivos quirúrgicos. Se registraron 35 complicaciones (6,84%) de diversa índole y en 3 casos (0,59%) fue imposible llevar a cabo la intubación. La intubación en pacientes bajo anestesia general presenta especiales dificultades técnicas por la pérdida del tono muscular y la necesidad de mantener una ventilación adecuada. Recomendamos realizar la intubación con los enfermos respirando espontáneamente, por vía nasal, utilizando lidocaína como anestésico local y con tubos intratraqueales del mayor calibre y con el menor ángulo de bisel posible.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Fiberoptic endoscopy has brought about significant progress in the management of so-called difficult intubations. We describe the techniques applied and results in one hospital service performing intubation guided by fiberoptic bronchoscope (FB). A total of 512 consecutive intubations (64.18% men and 35.15% women) performed over the past 18 years were analyzed. Non-tumor related disease of the cervical column (28.91%) was the most frequent cause of difficult intubation requiring FB guidance, followed by trauma (18.16%) and technical difficulties (17.39%). A nasal route was used most often (80.86%). In 93.16% of cases, intubation was needed for surgery. Thirty-five (6.84%) complications of various types were recorded, and intubation was impossible in 3 (0.59%) cases. Intubation in patients under general anesthesia presented special technical difficulties due to loss of muscle tone and the need to maintain ventilation. We recommend intubation only in patients who are breathing spontaneously through the nose, using lidocaine as a local anesthetic and a large caliber endotracheal tube with as small a tip as possible.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:55 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 4 | 1 | 5 |
| 2024 October | 41 | 12 | 53 |
| 2024 September | 48 | 9 | 57 |
| 2024 August | 58 | 25 | 83 |
| 2024 July | 35 | 20 | 55 |
| 2024 June | 56 | 18 | 74 |
| 2024 May | 34 | 23 | 57 |
| 2024 April | 28 | 26 | 54 |
| 2024 March | 36 | 21 | 57 |
| 2024 February | 29 | 22 | 51 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 7 | 7 |
| 2023 November | 0 | 14 | 14 |
| 2023 October | 0 | 6 | 6 |
| 2023 August | 0 | 1 | 1 |
| 2023 July | 0 | 2 | 2 |
| 2023 June | 0 | 4 | 4 |
| 2023 May | 0 | 65 | 65 |
| 2023 March | 2 | 5 | 7 |
| 2023 February | 19 | 16 | 35 |
| 2023 January | 21 | 29 | 50 |
| 2022 December | 31 | 27 | 58 |
| 2022 November | 31 | 16 | 47 |
| 2022 October | 28 | 39 | 67 |
| 2022 September | 28 | 17 | 45 |
| 2022 August | 37 | 38 | 75 |
| 2022 July | 24 | 33 | 57 |
| 2022 June | 17 | 37 | 54 |
| 2022 May | 31 | 23 | 54 |
| 2022 April | 18 | 34 | 52 |
| 2022 March | 32 | 33 | 65 |
| 2022 February | 27 | 24 | 51 |
| 2022 January | 22 | 30 | 52 |
| 2021 December | 19 | 28 | 47 |
| 2021 November | 20 | 27 | 47 |
| 2021 October | 69 | 30 | 99 |
| 2021 September | 35 | 36 | 71 |
| 2021 August | 21 | 24 | 45 |
| 2021 July | 15 | 20 | 35 |
| 2021 June | 13 | 31 | 44 |
| 2021 May | 11 | 21 | 32 |
| 2021 April | 15 | 31 | 46 |
| 2021 March | 25 | 14 | 39 |
| 2021 February | 29 | 13 | 42 |
| 2021 January | 17 | 19 | 36 |
| 2020 December | 20 | 12 | 32 |
| 2020 November | 15 | 12 | 27 |
| 2020 October | 21 | 6 | 27 |
| 2020 September | 15 | 4 | 19 |
| 2020 August | 29 | 17 | 46 |
| 2020 July | 30 | 8 | 38 |
| 2020 June | 10 | 4 | 14 |
| 2020 May | 14 | 13 | 27 |
| 2020 April | 18 | 7 | 25 |
| 2020 March | 11 | 13 | 24 |
| 2020 February | 9 | 15 | 24 |
| 2020 January | 27 | 8 | 35 |
| 2019 December | 26 | 29 | 55 |
| 2019 November | 20 | 6 | 26 |
| 2019 October | 18 | 16 | 34 |
| 2019 September | 16 | 23 | 39 |
| 2019 August | 6 | 8 | 14 |
| 2019 July | 17 | 28 | 45 |
| 2019 June | 9 | 16 | 25 |
| 2019 May | 16 | 28 | 44 |
| 2019 April | 27 | 25 | 52 |
| 2019 March | 13 | 17 | 30 |
| 2019 February | 11 | 8 | 19 |
| 2019 January | 7 | 7 | 14 |
| 2018 December | 7 | 9 | 16 |
| 2018 November | 16 | 19 | 35 |
| 2018 October | 20 | 10 | 30 |
| 2018 September | 17 | 6 | 23 |
| 2018 May | 3 | 1 | 4 |
| 2018 April | 8 | 7 | 15 |
| 2018 March | 3 | 7 | 10 |
| 2018 February | 8 | 14 | 22 |
| 2018 January | 6 | 8 | 14 |
| 2017 December | 7 | 12 | 19 |
| 2017 November | 5 | 11 | 16 |
| 2017 October | 8 | 9 | 17 |
| 2017 September | 3 | 2 | 5 |
| 2017 August | 10 | 13 | 23 |
| 2017 July | 4 | 3 | 7 |
| 2017 June | 11 | 33 | 44 |
| 2017 May | 10 | 13 | 23 |
| 2017 April | 7 | 9 | 16 |
| 2017 March | 4 | 3 | 7 |
| 2017 February | 5 | 11 | 16 |
| 2017 January | 5 | 6 | 11 |
| 2016 December | 7 | 4 | 11 |
| 2016 November | 17 | 15 | 32 |
| 2016 October | 28 | 21 | 49 |
| 2016 September | 21 | 14 | 35 |
| 2016 August | 21 | 8 | 29 |
| 2016 July | 26 | 4 | 30 |
| 2016 June | 28 | 9 | 37 |
| 2016 May | 31 | 5 | 36 |
| 2016 April | 10 | 0 | 10 |
| 2016 March | 12 | 0 | 12 |
| 2016 February | 7 | 2 | 9 |
| 2016 January | 20 | 18 | 38 |
| 2015 December | 22 | 14 | 36 |
| 2015 November | 28 | 8 | 36 |
| 2015 October | 10 | 2 | 12 |
| 2015 September | 2 | 0 | 2 |
| 2015 June | 1 | 0 | 1 |
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