Estabilizacion quirurgica del torax flaccido traumatico
Surgical stabilization of the traumatic flaccid thorax
A.G. Zarza, E. Blasco, A. Cantó, M. Casillas, J. Padilla, J. Pastor, V. Tarazona, F. París
Servicio de Cirugía Torácica. Departamento de Cirugía. Centro Hospitalario de la Seguridad Social La Fe. Valencia
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Latour, M. Lorenzo Cruz, J.M. Alés, A. Sastre, F. Lahoz, P. Daroca" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Latour" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Lorenzo Cruz" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Alés" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Sastre" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Lahoz" ] 5 => array:2 [ "nombre" => "P." 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"apellidos" => "Vara Thorbeck" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615326879?idApp=UINPBA00003Z" "url" => "/03002896/0000001300000002/v1_201509151256/S0300289615326879/v1_201509151256/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Estabilizacion quirurgica del torax flaccido traumatico" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "98" "paginaFinal" => "102" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "A.G. Zarza, E. Blasco, A. Cantó, M. Casillas, J. Padilla, J. Pastor, V. Tarazona, F. París" "autores" => array:8 [ 0 => array:2 [ "nombre" => "A.G." "apellidos" => "Zarza" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Blasco" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Cantó" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Casillas" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Padilla" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Pastor" ] 6 => array:2 [ "nombre" => "V." "apellidos" => "Tarazona" ] 7 => array:2 [ "nombre" => "F." "apellidos" => "París" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Departamento de Cirugía. Centro Hospitalario de la Seguridad Social La Fe. Valencia" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical stabilization of the traumatic flaccid thorax" ] ] "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 describe una técnica original de osteosíntesis costoesternal, destinada al tratamiento de los enfermos con grave traumatismo torácico y severa respiración paradójica, con el fin de obviar los inconvenientes de la estabilización neumática interna prolongasa. Se analizan los resultados obtenidos en 20 pacientes, reuniéndolos en grupos diferentes según que la estabilización se hiciera aisladamente o asociada a ventilación mecánica, o como acto final de una toracotomía. Se establecen las indicaciones de laestabilización quirúrgica.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los autores se sienten satisfechos de la técnica y creen que cuando la indicación es correcta, constituye un buen método terapéutico, que acorta el período de cuidados intensivos, logrando suprimir tras la intervención, precozmente la ventilación mecánica.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The authors describe an original technique of costosternal osteosynthesis, destined for the treatment of patients with grave thoracic injuries and severe paradoxical respiration in order to eliminate the disadvantages of prolonged internal pneumatic stabilization. The results obtained from 20 patients were analyzed, separating them into different groups, according to whether the stabilization was made as an isolated measure; was associated with mechanical ventilation; or as the final act ofa thoracotomy. The indications for surgical stabilization were then established.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors feel satisfied with this technique and believe that when the indication is correct, it constitutes a good therapeutical method that shortens the period of intensive care, and allows a precocious suppression of mechanical ventilation after the intervention.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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