Urgencias broncologicas en cirugia
P. Lazaro y de Mercado, S. Dominguez Reboiras, R. Vidal Loures, J.L. Cruz Ramos
Servicio de Neumología. Centro Especial Ramón y Cajal. Madrid
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Padilla, J.M.a Borro, A. Garcia Zarza, E. Blasco, J. Pastor, V. Tarazona, F. Paris" "autores" => array:7 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Padilla" ] 1 => array:2 [ "nombre" => "J.M.a" "apellidos" => "Borro" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Garcia Zarza" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Blasco" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Pastor" ] 5 => array:2 [ "nombre" => "V." "apellidos" => "Tarazona" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Paris" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615323334?idApp=UINPBA00003Z" "url" => "/03002896/0000001800000006/v1_201509151121/S0300289615323334/v1_201509151121/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Urgencias broncologicas en cirugia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "309" "paginaFinal" => "318" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "P. Lazaro y de Mercado, S. Dominguez Reboiras, R. Vidal Loures, J.L. Cruz Ramos" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Lazaro y de Mercado" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Dominguez Reboiras" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Vidal Loures" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Cruz Ramos" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Neumología. Centro Especial Ramón y Cajal. Madrid" "identificador" => "aff0005" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1982-07-22" "tieneResumen" => true "resumen" => array:1 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="absec0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">En este trabajo se intentan establecer las indicaciones de la broncoscopia, rígida y flexible, como acto complementario de urgencia en cirugía. Sobre un total de 3.000 exploraciones endoscópicas se hace un análisis retrospectivo de las 304 broncoscopias urgentes en cirugía, de las que 284 fueron flexibles y 20 rígidas divididas en tres grupos: /.Intubaciones preoperatorias (57), II. Operatorias (16), y III. Postoperatorias (231). Después de un análisis de cada grupo y teniendo en cuenta la escasez de referencias en la literatura sobre algunos aspectos del tema, se tratan de deducir consecuencias que tengan alguna utilidad de aplicación práctica, respaldada por la experiencia recogida. Así en el grupo I se comprueba la gran utilidad de la ayuda del fibrobroncoscopio en la intubación naso u orotraqueal para anestesia general en situaciones anatómicas diñciles. El grupo II permite analizar principalmente las diferentes técnicas para realizar una fibrobroncoscopia con anestesia general en las mejores condiciones ventilatorias. En el grupo III se evidencian las ventajas de aplicación del fibrobroncoscopio tanto en el aspecto diagnóstico como terapéutico para el seguimiento y control postoperatorio de tráquea y bronquios así como la resolución de atelectasias y aspiración de secreciones retenidas, principalmente relacionadas con la cirugía torácica que supusieron el 88 % de las broncoscopias aspirativas urgentes. En el análisis del tiempo que medió entre el acto quirúrgico y la indicación de la broncoscopia aspirativa no encontramos diferencias significativas según el tipo de cirugía (pulmonar, cardíaca u otras). La tendencia progresiva a disminuir el número de broncoscopias aspirativas en nuestro centro podría ser debida a varios factores de los que el más importante sería probablemente la fisioterapia respiratoria.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:40 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Maximal extent of visualization of bronchial tree by flexible fiberoptic bronchoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "D.M. Kovnat" 1 => "G.S. Rath" 2 => "W.M. Anderson" 3 => "G.L. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 0 | 2 |
| 2024 October | 31 | 17 | 48 |
| 2024 September | 26 | 16 | 42 |
| 2024 August | 42 | 44 | 86 |
| 2024 July | 31 | 27 | 58 |
| 2024 June | 33 | 22 | 55 |
| 2024 May | 28 | 28 | 56 |
| 2024 April | 27 | 16 | 43 |
| 2024 March | 54 | 21 | 75 |
| 2024 February | 43 | 37 | 80 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 3 | 3 |
| 2023 October | 0 | 5 | 5 |
| 2023 September | 0 | 1 | 1 |
| 2023 August | 0 | 5 | 5 |
| 2023 July | 0 | 16 | 16 |
| 2023 May | 0 | 2 | 2 |
| 2023 March | 4 | 2 | 6 |
| 2023 February | 18 | 32 | 50 |
| 2023 January | 23 | 41 | 64 |
| 2022 December | 22 | 35 | 57 |
| 2022 November | 23 | 26 | 49 |
| 2022 October | 20 | 31 | 51 |
| 2022 September | 19 | 21 | 40 |
| 2022 August | 32 | 39 | 71 |
| 2022 July | 24 | 30 | 54 |
| 2022 June | 23 | 29 | 52 |
| 2022 May | 26 | 29 | 55 |
| 2022 April | 24 | 23 | 47 |
| 2022 March | 56 | 28 | 84 |
| 2022 February | 31 | 15 | 46 |
| 2022 January | 21 | 18 | 39 |
| 2021 December | 19 | 26 | 45 |
| 2021 November | 18 | 22 | 40 |
| 2021 October | 13 | 21 | 34 |
| 2021 September | 16 | 31 | 47 |
| 2021 August | 6 | 21 | 27 |
| 2021 July | 14 | 28 | 42 |
| 2021 June | 18 | 29 | 47 |
| 2021 May | 14 | 19 | 33 |
| 2021 April | 19 | 69 | 88 |
| 2021 March | 35 | 24 | 59 |
| 2021 February | 36 | 12 | 48 |
| 2021 January | 30 | 16 | 46 |
| 2020 December | 22 | 22 | 44 |
| 2020 November | 10 | 19 | 29 |
| 2020 October | 13 | 21 | 34 |
| 2020 September | 8 | 7 | 15 |
| 2020 August | 18 | 10 | 28 |
| 2020 July | 28 | 15 | 43 |
| 2020 June | 19 | 19 | 38 |
| 2020 May | 27 | 13 | 40 |
| 2020 April | 21 | 17 | 38 |
| 2020 March | 21 | 29 | 50 |
| 2020 February | 17 | 24 | 41 |
| 2020 January | 28 | 19 | 47 |
| 2019 December | 21 | 23 | 44 |
| 2019 November | 4 | 8 | 12 |
| 2019 October | 5 | 10 | 15 |
| 2019 September | 9 | 11 | 20 |
| 2019 August | 9 | 12 | 21 |
| 2019 July | 18 | 23 | 41 |
| 2019 June | 15 | 10 | 25 |
| 2019 May | 21 | 19 | 40 |
| 2019 April | 38 | 29 | 67 |
| 2019 March | 8 | 25 | 33 |
| 2019 February | 5 | 3 | 8 |
| 2019 January | 5 | 5 | 10 |
| 2018 December | 3 | 9 | 12 |
| 2018 November | 6 | 7 | 13 |
| 2018 October | 16 | 17 | 33 |
| 2018 September | 13 | 6 | 19 |
| 2018 July | 0 | 1 | 1 |
| 2018 May | 10 | 1 | 11 |
| 2018 April | 5 | 11 | 16 |
| 2018 March | 9 | 6 | 15 |
| 2018 February | 8 | 13 | 21 |
| 2018 January | 4 | 12 | 16 |
| 2017 December | 9 | 13 | 22 |
| 2017 November | 8 | 10 | 18 |
| 2017 October | 10 | 8 | 18 |
| 2017 September | 7 | 4 | 11 |
| 2017 August | 17 | 15 | 32 |
| 2017 July | 10 | 9 | 19 |
| 2017 June | 11 | 21 | 32 |
| 2017 May | 12 | 12 | 24 |
| 2017 April | 13 | 11 | 24 |
| 2017 March | 7 | 9 | 16 |
| 2017 February | 9 | 6 | 15 |
| 2017 January | 4 | 6 | 10 |
| 2016 December | 8 | 4 | 12 |
| 2016 November | 13 | 14 | 27 |
| 2016 October | 18 | 19 | 37 |
| 2016 September | 19 | 17 | 36 |
| 2016 August | 18 | 8 | 26 |
| 2016 July | 24 | 6 | 30 |
| 2016 June | 25 | 13 | 38 |
| 2016 May | 24 | 15 | 39 |
| 2016 April | 16 | 1 | 17 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 5 | 4 | 9 |
| 2016 January | 18 | 11 | 29 |
| 2015 December | 23 | 21 | 44 |
| 2015 November | 39 | 17 | 56 |
| 2015 October | 4 | 1 | 5 |
| 2015 September | 1 | 0 | 1 |
Show all
