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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hemos estudiado la tolerancia cl&#237;nica&#44; complicaciones&#44; evoluci&#243;n de las pruebas de funci&#243;n respiratoria &#40;PFR&#41;&#44; gasometr&#237;a arterial&#44; hemoglobina &#40;Hb&#41;&#44; test de esfuerzo de 6 minutos &#40;6 wt&#41; y sensaci&#243;n subjetiva de disnea valorada por la escala visual anal&#243;gica &#40;VAS&#41;&#44; en un grupo de 18 pacientes &#40;17 obstructivos y uno restrictivo&#41; incluidos previamente en un programa de oxigenoterapia continua domiciliaria &#40;OCD&#41; por gafas nasales&#44; que aceptaron oxigenaci&#243;n port&#225;til por cat&#233;ter transtraqueal &#40;CTT&#41; desde 1988 hasta 1993&#46; La tolerancia fue buena&#44; no hubo complicaciones letales secundarias al CTT y se consigui&#243; un excelente cumplimiento de la prescripci&#243;n de la OCD&#46; Se observ&#243; un deterioro de las pruebas de funci&#243;n pulmonar y una mejor&#237;a de la Hb y de la PaO<span class="elsevierStyleInf">2</span> con un importante ahorro de ox&#237;geno &#40;50&#37;&#41;&#46; El 6 wt no se deterior&#243; al final del primer a&#241;o&#44; sin embargo empeor&#243; notablemente al final del tercer a&#241;o&#44; a pesar de haberse preservado relativamente el deterioro de la funci&#243;n pulmonar&#46; No se observ&#243; empeoramiento de la disnea valorada mediante VAS&#46; Concluimos que la tolerancia al m&#233;todo fue buena&#44; sin existir complicaciones relevantes&#46; La OCD por CTT no evit&#243; el deterioro de la obstrucci&#243;n bronquial&#46; La oxigenaci&#243;n de los pacientes fue mejor como lo demuestran la disminuci&#243;n de la Hb y la mejor&#237;a de la PaO2 observadas al final del primer a&#241;o de seguimiento&#46; La evoluci&#243;n del 6 wt muestra que para optimizar m&#225;s los beneficios de la OCD por CTT es conveniente que los pacientes sigan un programa de rehabilitaci&#243;n pulmonar&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We studied clinical tolerance&#44; complications&#44; change in pulmonary function test results&#44; arterial gasometrics&#44; hemoglobin &#40;Hb&#41;&#44; 6 minute stress tests &#40;6 wt&#41; and subjective perception of dyspnea assessed on a visual analog scale &#40;VAS&#41; in a group of 18 patients &#40;17 with obstructive disease and one with restrictive disease&#41;&#46; These patients had previously been enrolled in a home oxygen therapy &#40;HOT&#41; program to deliver continuous oxygen therapy through nasal prongs&#44; and had accepted portable oxygen therapy delivered by transtracheal catheter &#40;TTC&#41; from 1988 until 1993&#46; Tolerance was good&#44; there were no lethal complications of TTC&#44; and excellent compliance with the prescribed HOT was achieved&#46; Lung function test results worsened&#44; while Hb and Pa02 improved and significant oxygen savings &#40;50&#37;&#41; were achieved&#46; The 6 wt test results had not worsened at the end of the first year but did so significantly at the end of the third year&#44; in spite of a relative preservation of lung function&#46; Dyspnea assessed on a VAS was not seen to worsen&#46; We conclude that tolerance of the method was good and that no relevant complications occurred&#46; HOT by TTC did not prevent worsening of bronchial obstruction&#46; Oxygenation of patients was better&#44; as shown by the decrease in Hb and the improvement in PaO2 at the end of the first year of monitoring&#46; Changes in 6 wt showed that in order to achieve greater benefit from HOT by TTC&#44; patients should follow a pulmonar&#41; rehabilitation program&#46;</p></span>"
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Catéter transtraqueal y oxígeno líquido: 5 años de experiencia
Transtracheal catheter and liquid oxygen: 5 years of experience
Ch. Domingo1, J. Izquierdo, J. Roig, J. Morera
Servicios de Neumología, Universidad Autónoma de Barcelona
R. Coll*, J. Klamburg**, E. Domingo***, J.A. Moreno**
* Servicios de Rehabilitación. Hospital Universitario Germans Trias i Pujol. Badalona, Barcelona.
** Servicios de Medicina Intensiva. Hospital Universitario Germans Trias i Pujol. Badalona, Barcelona
*** Cátedra de Fisiología y Biología Molecular. Universidad Autónoma de Barcelona
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Article information
ISSN: 03002896
Original language: Spanish
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