Utilidad de la broncofibroscopia en las unidades de cuidados intensivos
Utility of bronchofibroscopy in intensive care units
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Cabrer, D. Bofill, A. Grau, S. Jorge, J. Luna, J. Vivancos, A. Balcells" "autores" => array:7 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Cabrer" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Bofill" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Grau" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Jorge" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Luna" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Vivancos" ] 6 => array:2 [ "nombre" => "A." "apellidos" => "Balcells" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326594?idApp=UINPBA00003Z" "url" => "/03002896/0000001300000004/v1_201509151316/S0300289615326594/v1_201509151316/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Utilidad de la broncofibroscopia en las unidades de cuidados intensivos" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "190" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A. Gutiérrez del Olmo, J.A. Ramírez Armengol, B. Oteo de la Vara, N. Carrasco Joaniquet" "autores" => array:4 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Gutiérrez del Olmo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J.A." "apellidos" => "Ramírez Armengol" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "B." "apellidos" => "Oteo de la Vara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "N." "apellidos" => "Carrasco Joaniquet" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio Central de Endoscopia (Dr. Ramírez Armengol). Hospital Clínico de San Carlos de la Universidad Complutense. Madrid" "etiqueta" => "*" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Cuidados Intensivos (Prof. Ello). Hospital Clínico de San Carlos de la Universidad Complutense. Madrid" "etiqueta" => "**" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Utility of bronchofibroscopy in intensive care units" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se han practicado 19 broncofibroscopias en 12 pacientes ingresados en la Unidad de Cuidados Intensivos (UCI) que, por retención de secreciones, presentaban atelectasias de diversa localización en las radiografías. De ellos, 7 estaban con respiración asistida y 5 con respiración espontánea. Todas las exploraciones se han realizado a través de tubo endotraqueal, que fue colocado previamente en los pacientes con respiración espontánea. En los casos necesarios, se ventiló con una conexión en T, que permite una correcta oxigenación del paciente durante la exploración. Con este método terapéutico, que consideramos de elección, se obtuvo resolución parcial de la atelectasia en 7 casos (58,3%), resolución total en 4 (33,3%) y no hubo variación en 1 paciente (8,3%).</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Nineteen bronchofibroscopies were carried out on 12 patients admitted to the Intensive Care Unit (I.C.U. who presented atelectasis of various Iocations in the X-rays due to retention of secretions. Of these patients, 7 were with assisted respiration and 5 with spontaneous respiration. All the explorations were made using an endotracheal tube that was placed previously in those patients with spontaneous respiration. In the necessary cases, the patient was ventilated with a T-connection that allowed a corred oxygenation of the patient during the exploration. With this therapeutic method, which the authors consider to be of choice, partial solution of the atelectasis was achieved in 7 cases (58.3%), total solution in 4 (33.3%) and there was no variation in 1 patient (8.3%).</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Progress in Bronchoesophageal Endoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E.C. Rosenow" 1 => "R.W. Hughes" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Surg. Clin. N. Amer" "fecha" => "1973" "volumen" => "53" "paginaInicial" => "4" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bedside Bronchoscopy for Atelectasis and Lung Abscess" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A. Wanner" 1 => "J. Landa" 2 => "R.E. Neimann Jr." 3 => "J. Vevaina" 4 => "I. Delgado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "JAMA" "fecha" => "1973" "volumen" => "224" "paginaInicial" => "1.281" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12277009" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "La broncofibroscopia en el tratamiento de las atelectasias pulmonares" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B. Massot" 1 => "F. De La Calle" 2 => "A. Ladaria" 3 => "A. Mayol" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Arch. Bronconeumol." "fecha" => "1974" "volumen" => "10" "paginaInicial" => "157" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Therapeutic fibreoptic bronchoscopy in intensive care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.S. Milledge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Brit. Med. J" "fecha" => "1976" "volumen" => "2" "paginaInicial" => "1427" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/519485" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Flexible. fiberoptic bronchoscopy in critical care medicine" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C.E. Lindholm" 1 => "B. Ollman" 2 => "J. Snyder" 3 => "E. Millen" 4 => "A. Grenvik" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Critical Care Med" "fecha" => "1976" "volumen" => "14" "paginaInicial" => "88" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Ramirez Armengol, J.A., Gutierrez Del Olmo, A., Armengol Miro, J. y De Los Rios, F. Fibroendoscopia bronquial: introducción a la técnica. Arch. Bronconeumol en prensa." ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A Technique for Bedside Bronchofiberoscopy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Wanner" 1 => "B. Amikan" 2 => "M.A. Sackner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Chest" "fecha" => "1972" "volumen" => "61" "paginaInicial" => "3" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000001300000004/v1_201509151316/S0300289615326600/v1_201509151316/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000001300000004/v1_201509151316/S0300289615326600/v1_201509151316/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326600?idApp=UINPBA00003Z" ]
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