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array:22 [ "pii" => "S0300289619303448" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.08.008" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "2253" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:594" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 253 "formatos" => array:3 [ "EPUB" => 63 "HTML" => 136 "PDF" => 54 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289619303436" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.08.007" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "2252" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:595" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 204 "formatos" => array:3 [ "EPUB" => 41 "HTML" => 105 "PDF" => 58 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "A Case Report on a Patient With Spontaneous Expulsion of Large Foreign Body (Dental Prothesis) Without Complications" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "595" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Un caso de expulsión espontánea de un cuerpo extraño grande (prótesis dental) sin complicaciones" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1072 "Ancho" => 1123 "Tamanyo" => 147295 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Postero-anterior view of chest X-ray showing the foreign body (prosthetic teeth – black arrow) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen. (b) Lateral view of chest X-ray showing the foreign body (prosthetic teeth – black arrow) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen. (c) Prosthetic teeth hold on hand for scale. (d) Lateral view of chest X-ray showing no foreign body (prosthetic) in the trachea/left main bronchus. Also, a pacemaker and the pacemaker electrodes are seen.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "João Pedro Neiva Machado, José Coutinho Costa, Teresa Costa" "autores" => array:3 [ 0 => array:2 [ "nombre" => "João Pedro" "apellidos" => "Neiva Machado" ] 1 => array:2 [ "nombre" => "José Coutinho" "apellidos" => "Costa" ] 2 => array:2 [ "nombre" => "Teresa" "apellidos" => "Costa" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619303436?idApp=UINPBA00003Z" "url" => "/03002896/0000005600000009/v2_202010270647/S0300289619303436/v2_202010270647/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0300289619302765" "issn" => "03002896" "doi" => "10.1016/j.arbres.2019.06.002" "estado" => "S300" "fechaPublicacion" => "2020-09-01" "aid" => "2198" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Arch Bronconeumol. 2020;56:593" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 24 "formatos" => array:2 [ "HTML" => 10 "PDF" => 14 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen Clínica</span>" "titulo" => "Fístula traqueoesofágica secundaria a ventilación mecánica prolongada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "593" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tracheoesophageal Fistula due to Prolonged Mechanical Ventilation" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 689 "Ancho" => 695 "Tamanyo" => 91698 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Imágenes de la TC de tórax y cuello donde se visualiza en cortes sagital y axial dilatación traqueal (A y C) y fistula traqueoesofágica (B y D); además, en las imágenes C y D se objetiva infiltrado pulmonar derecho secundario a broncoaspiraciones repetidas.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rafael Perera Louvier, Cristina Benito Bernáldez, Jesús Fernando Sánchez Gómez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Rafael" "apellidos" => "Perera Louvier" ] 1 => array:2 [ "nombre" => "Cristina" "apellidos" => "Benito Bernáldez" ] 2 => array:2 [ "nombre" => "Jesús Fernando" "apellidos" => "Sánchez Gómez" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1579212920301658" "doi" => "10.1016/j.arbr.2020.07.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212920301658?idApp=UINPBA00003Z" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619302765?idApp=UINPBA00003Z" "url" => "/03002896/0000005600000009/v2_202010270647/S0300289619302765/v2_202010270647/es/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Foreign Body Airway Obstruction" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "594" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Joana Batista Correia, Giovana Ennis, Carla Ferreira Santos, Ana Albuquerque" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Joana Batista" "apellidos" => "Correia" "email" => array:1 [ 0 => "joanambcorreia@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Giovana" "apellidos" => "Ennis" ] 2 => array:2 [ "nombre" => "Carla Ferreira" "apellidos" => "Santos" ] 3 => array:2 [ "nombre" => "Ana" "apellidos" => "Albuquerque" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Intensive Care Unit, Centro Hospitalar Tondela-Viseu, Viseu, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Obstrucción de las vías aéreas por cuerpo extraño" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 639 "Ancho" => 1250 "Tamanyo" => 80575 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph (posteroanterior and lateral views) – a metal radiopaque foreign body is projected over the midline at the C4–C7 level, consistent with dental prosthesis. No cutaneous emphysema, pneumothorax, athelectasy ou parenchymatous alterations are identified.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">73-Year-old female patient, which presented to the emergency service with dyspnea, cough and hoarseness. Reference to an episode of choking at dinner the day before. Heimlich maneuvering was performed with food expulsion (meat), with transient improvement, but no dental prosthesis was found after the event. Chest radiograph shows dental prosthesis located on the laryngo-esophageal transition at the C4–C7 level. The patient was submitted to endoscopic removal of the prosthesis in the operating room. Severe pharyngeal edema was detected (need for oro-tracheal intubation), and upper esophagus showed extensive superficial ulceration at the denture impaction site, without active hemorrhage. The patient was admitted to Intensive Care Unit. During the stay, the institution of corticotherapy and ibuprofen resulted in a decrease in pharyngeal edema, with a 48-h cuff-leak test compatible with arway permeability, which allowed successful extubation. On the thirteenth day she got discharged.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Foreign body airway obstruction usually manifests as acute respiratory failure. However, in about 50% of these patients the manifestation occurs within the first 24<span class="elsevierStyleHsp" style=""></span>h after the episode and cough is the most common symptom.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> It is fundamental to maintain a high degree of clinical suspicion in patients with respiratory distress after a choking episode and Chest radiograph may confirm the diagnosis<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a> (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 639 "Ancho" => 1250 "Tamanyo" => 80575 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Chest radiograph (posteroanterior and lateral views) – a metal radiopaque foreign body is projected over the midline at the C4–C7 level, consistent with dental prosthesis. No cutaneous emphysema, pneumothorax, athelectasy ou parenchymatous alterations are identified.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Foreign body aspiration in adult: analysis of 28 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C. Özdemir" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Euras J Pulmonol" "fecha" => "2015" "volumen" => "17" "paginaInicial" => "29" "paginaFinal" => "34" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0020" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Foreign body aspiration in adult airways: therapeutic approach" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.C. Hewlett" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.21037/jtd.2017.06.137" "Revista" => array:6 [ "tituloSerie" => "J Thorac Dis" "fecha" => "2017" "volumen" => "9" "paginaInicial" => "3398" "paginaFinal" => "3409" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29221325" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005600000009/v2_202010270647/S0300289619303448/v2_202010270647/en/main.assets" "Apartado" => array:4 [ "identificador" => "21422" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images / Imágenes clínicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005600000009/v2_202010270647/S0300289619303448/v2_202010270647/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289619303448?idApp=UINPBA00003Z" ]
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