Parálisis diafragmática como complicación de una punción de la vena yugular interna
Diaphragm paralysis as a complication of puncture of the internal jugular vein
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Loscertales, R. Jiménez Merchán, F. García Díaz, C. Arenas Linares, J.C. Girón Arjona, J. Ortega Bevia" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Loscertales" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Jiménez Merchán" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "García Díaz" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Arenas Linares" ] 4 => array:2 [ "nombre" => "J.C." "apellidos" => "Girón Arjona" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Ortega Bevia" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615308188?idApp=UINPBA00003Z" "url" => "/03002896/0000003200000002/v1_201506230109/S0300289615308188/v1_201506230109/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Parálisis diafragmática como complicación de una punción de la vena yugular interna" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "105" "paginaFinal" => "107" ] ] "autores" => array:2 [ 0 => array:4 [ "autoresLista" => "M. Haro, M. Izquierdo, M. Vizcaya, J. Martínez-Moratalla" "autores" => array:4 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Haro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Izquierdo" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Vizcaya" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Martínez-Moratalla" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Secciones de Neumología. Hospital General. Albacete" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. M. Haro Estarriol. Sección de Neumología {Planta 2). Hospital General. Hermanos Falcó, s/n. 02006 Albacete." ] ] ] 1 => array:3 [ "autoresLista" => "B. Catalán, F. Manso" "autores" => array:2 [ 0 => array:3 [ "nombre" => "B." "apellidos" => "Catalán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "F." "apellidos" => "Manso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Neurofisiología Clínica y Hospital General. Albacete" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Hematología. Hospital General. Albacete" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diaphragm paralysis as a complication of puncture of the internal jugular vein" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1995-05-19" "fechaAceptado" => "1995-06-13" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec546194" "palabras" => array:2 [ 0 => "Parálisis diafragmática" 1 => "Vena yugular interna" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec546195" "palabras" => array:2 [ 0 => "Diaphragm paralysis" 1 => "Infernal jugular vein" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones asociadas al uso de la vena yugular interna como vía de acceso vascular son raras y se relacionan con la punción de órganos o estructuras vecinas. Presentamos un caso atípico de una mujer de 55 años con una parálisis diafragmática unilateral atribuida a la lesión accidental del nervio frénico en el intento de canalizar la vena yugular interna y tras la exclusión de otras etiologías más frecuentes. La grave alteración ventilatoria restrictiva producida sólo tuvo mínimas repercusiones clínicas y gasométricas al presentar una función previa normal y la ausencia de patología respiratoria aguda o crónica, a pesar de que otros pacientes con una ventilación ya comprometida podrían empeorar gravemente.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Rare complications of using the internal jugular vein for vascular access are related to puncture of neighboring organs or other structures. We report the atypical case of a 55-years-old woman with unilateral diaphragm paralysis attributed to accidental damage of the phrenic nerve during an attempt to canalize the internal jugular vein. Other more common causes were ruled out. The severe restrictive ventilatory changes produced had only minor clinical and gasometric repercussions, as previous function was normal and no acute or chronic respiratory disease was present. When ventilation is already compromised, however, this event could seriously worsen the patient's condition.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| 2019 June | 19 | 27 | 46 |
| 2019 May | 19 | 20 | 39 |
| 2019 April | 54 | 32 | 86 |
| 2019 March | 11 | 22 | 33 |
| 2019 February | 7 | 19 | 26 |
| 2019 January | 7 | 12 | 19 |
| 2018 December | 5 | 24 | 29 |
| 2018 November | 12 | 31 | 43 |
| 2018 October | 20 | 35 | 55 |
| 2018 September | 14 | 35 | 49 |
| 2018 May | 12 | 1 | 13 |
| 2018 April | 4 | 6 | 10 |
| 2018 March | 6 | 5 | 11 |
| 2018 February | 7 | 13 | 20 |
| 2018 January | 6 | 5 | 11 |
| 2017 December | 9 | 20 | 29 |
| 2017 November | 8 | 22 | 30 |
| 2017 October | 13 | 16 | 29 |
| 2017 September | 5 | 17 | 22 |
| 2017 August | 6 | 12 | 18 |
| 2017 July | 5 | 12 | 17 |
| 2017 June | 9 | 30 | 39 |
| 2017 May | 13 | 13 | 26 |
| 2017 April | 16 | 24 | 40 |
| 2017 March | 6 | 22 | 28 |
| 2017 February | 4 | 11 | 15 |
| 2017 January | 6 | 16 | 22 |
| 2016 December | 8 | 10 | 18 |
| 2016 November | 22 | 15 | 37 |
| 2016 October | 15 | 18 | 33 |
| 2016 September | 29 | 15 | 44 |
| 2016 August | 18 | 11 | 29 |
| 2016 July | 15 | 7 | 22 |
| 2016 June | 15 | 11 | 26 |
| 2016 May | 18 | 7 | 25 |
| 2016 April | 7 | 0 | 7 |
| 2016 March | 6 | 0 | 6 |
| 2016 February | 4 | 1 | 5 |
| 2016 January | 15 | 7 | 22 |
| 2015 December | 27 | 19 | 46 |
| 2015 November | 35 | 13 | 48 |
| 2015 October | 9 | 2 | 11 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 1 | 0 | 1 |
| 2015 June | 1 | 0 | 1 |
Show all
