was read the article
array:23 [ "pii" => "S0300289622003441" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.04.010" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3119" "copyright" => "SEPAR" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:708-9" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:18 [ "pii" => "S0300289622003891" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.05.005" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3123" "copyright" => "SEPAR" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Bronconeumol. 2022;58:710.e1-710.e2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Desensitization to Pirfenidone in a Patient Diagnosed With Idiopathic Pulmonary Fibrosis and Hypersensitivity to Antifibrotic Drugs" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "710.e1" "paginaFinal" => "710.e2" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Francisco León-Román, Alicia Alonso-Gómez, Alejandra Carrón-Herrero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Francisco" "apellidos" => "León-Román" ] 1 => array:2 [ "nombre" => "Alicia" "apellidos" => "Alonso-Gómez" ] 2 => array:2 [ "nombre" => "Alejandra" "apellidos" => "Carrón-Herrero" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622003891?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000010/v2_202302271800/S0300289622003891/v2_202302271800/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289622003374" "issn" => "03002896" "doi" => "10.1016/j.arbres.2022.05.002" "estado" => "S300" "fechaPublicacion" => "2022-10-01" "aid" => "3113" "copyright" => "SEPAR" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 2022;58:699-707" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Effectiveness of Treatment With Dual Bronchodilation (LABA/LAMA) Compared With Combination Therapy (LABA/ICS) for Patients With COPD: A Population-Based Study" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "699" "paginaFinal" => "707" ] ] "contieneResumen" => array:1 [ "en" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 1 "multimedia" => array:5 [ "identificador" => "fig0020" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => false "mostrarDisplay" => true "figura" => array:1 [ 0 => array:4 [ "imagen" => "fx1.jpeg" "Alto" => 686 "Ancho" => 1333 "Tamanyo" => 144345 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mònica Monteagudo, Alexa Nuñez, Miriam Barrecheguren, Marc Miravitlles" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Mònica" "apellidos" => "Monteagudo" ] 1 => array:2 [ "nombre" => "Alexa" "apellidos" => "Nuñez" ] 2 => array:2 [ "nombre" => "Miriam" "apellidos" => "Barrecheguren" ] 3 => array:2 [ "nombre" => "Marc" "apellidos" => "Miravitlles" ] ] ] ] "resumen" => array:1 [ 0 => array:3 [ "titulo" => "Graphical abstract" "clase" => "graphical" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall"><elsevierMultimedia ident="fig0020"></elsevierMultimedia></p></span>" ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622003374?idApp=UINPBA00003Z" "url" => "/03002896/0000005800000010/v2_202302271800/S0300289622003374/v2_202302271800/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case Report</span>" "titulo" => "How to Approach a TransMediastinal Firearm Wound: The Role of Conservative Management and VATS Surgery" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "708" "paginaFinal" => "709" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carlos Enrique García Franco, Fawaz Altaf, Mourad Gharbi" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Carlos Enrique" "apellidos" => "García Franco" "email" => array:1 [ 0 => "c.garciafranco@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Fawaz" "apellidos" => "Altaf" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Mourad" "apellidos" => "Gharbi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Cirugía Torácica, King Abdullah Medical Complex, Jeddah,Saudi Arabia" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Cirugía Cardiaca, King Abdullah Medical Complex, Jeddah, Saudi Arabia" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1883 "Ancho" => 2508 "Tamanyo" => 373178 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 26-year-old man referred to our emergency department after receiving a firearm injury to the chest. On examination, the patient presented an entry wound in the midclavicular line of the fourth right intercostal space with no exit wound. Breathing and hemodynamics were stable. Emergency chest computed tomography showed bilateral hemothorax and pulmonary contusion (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a), a right bullet entry wound (upper circle in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a), and the projectile lodged in the dorsal level, below the posterior arch of the seventh left rib (lower circle in <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>a and b). No cardiac, large vessel or tracheobronchial lesions were found. We decided on conservative treatment of the bilateral hemothorax with placement of chest tubes.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">On the fourth day of admission, the patient developed fever and leukocytosis, and an image of left pleural occupation was obtained (arrow <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>b). Exploratory left single-port video-assisted thoracic surgery (VATS) was performed, revealing 2 pulmonary tears in the left lower lobe, with no air leak or active bleeding. A retained hemothorax was also located and evacuated, and no intrathoracic bleeding focus was observed. No other relevant endothoracic lesions were found. On completion of the VATS, the bullet (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>c), which was located in the dorsal subcutaneous plane, causing discomfort to the patient, was extracted independently.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The postoperative period was incident-free and the patient was discharged on the fifth postoperative day after showing good clinical and radiological progress (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>d). The patient was followed up in the outpatient clinic 1 month after the trauma, confirming an incident-free late postoperative period.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Our case has prompted us to address certain aspects of the management of transmediastinal firearm wounds.<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1)</span><p id="par0025" class="elsevierStylePara elsevierViewall">Is a systematic invasive tracheobronchial, esophageal or vascular diagnostic examination required in the stable patient? A large number of authors in the literature advocate this approach.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–3</span></a> Undiagnosed occult lesions occur only in around 20% of stable patients,<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> so we would be systematically subjecting large numbers of patients without injuries to multiple unnecessary invasive treatments. Our recommendation is that if there are clinical, laboratory or radiological issues (after urgent chest CT scan) that suggest tracheobronchial, esophageal and/or cardiovascular lesions, specific diagnostic examinations should be performed in these areas.</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2)</span><p id="par0030" class="elsevierStylePara elsevierViewall">When should treatment be conservative? We believe that if the patient's respiratory status and hemodynamics are stable, there is no obvious benefit in performing urgent damage-limiting surgery.<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">1–3</span></a> Clinical observations derived from the monitoring of vital signs, laboratory parameters (anemia and/or leukocytosis), and the radiological follow-up may indicate the need to stray from the conservative strategy.</p></li></ul></p><p id="par0035" class="elsevierStylePara elsevierViewall">In our patient, we had to evacuate a late retained hemothorax by minimally invasive surgery (single-port VATS). This approach is very useful in patients with stable hemodynamics and respiratory status because it offers the possibility of exploring the entire pleural cavity, inspecting and repairing intrathoracic structures if necessary.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2,4,5</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0045" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0010" ] ] ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1883 "Ancho" => 2508 "Tamanyo" => 373178 ] ] ] 1 => array:5 [ "identificador" => "upi0005" "tipo" => "MULTIMEDIAECOMPONENTE" "mostrarFloat" => false "mostrarDisplay" => true "Ecomponente" => array:2 [ "fichero" => "mmc1.pdf" "ficheroTamanyo" => 198237 ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transmediastinal gunshot wounds in a mature trauma center: changing perspectives" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:8 [ 0 => "O.T. Okoye" 1 => "P. Talving" 2 => "P.G. Teixeira" 3 => "M. Chervonski" 4 => "J.A. Smith" 5 => "K. Inaba" 6 => "T.T. Noguchi" 7 => "D. Demetriades" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.injury.2012.12.014" "Revista" => array:6 [ "tituloSerie" => "Injury" "fecha" => "2013" "volumen" => "44" "paginaInicial" => "1198" "paginaFinal" => "2003" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23298755" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Penetrating injuries of the chest: indications for operation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D. Demetriades" 1 => "G.C. Velmahos" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/145749690209100107" "Revista" => array:6 [ "tituloSerie" => "Scand J Surg" "fecha" => "2002" "volumen" => "91" "paginaInicial" => "41" "paginaFinal" => "45" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12075833" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lesiones transmediastinales. Revisión de la literatura y una visión de lo que se debe hacer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Cantu-Sacal" 1 => "D. Trueba Lozano" 2 => "D. Rungs-Brown" 3 => "J.C. Vazquez-Minero" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Neumol Cir Torax" "fecha" => "2015" "volumen" => "74" "paginaInicial" => "95" "paginaFinal" => "101" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Single port video assisted thoracoscopic surgery for removal of a retained bullet in the lung parenchyma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "F.H. Kakamad" 1 => "R.K. Ali" 2 => "S.H. Mohammed" 3 => "H.A. Sofi Mohammed" 4 => "M.Q. Mustafa" 5 => "A.M. Salih" 6 => "B.Y. Abdalla" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amsu.2021.102977" "Revista" => array:5 [ "tituloSerie" => "Ann Med Surg (Lond)" "fecha" => "2021" "volumen" => "71" "paginaInicial" => "102977" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34840741" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fístula biliotorácica postraumática" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Semaan" 1 => "W. Muñoz" 2 => "D. Villafañe" 3 => "C.E. Garcia Franco" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ciresp.2019.08.009" "Revista" => array:6 [ "tituloSerie" => "Cir Esp" "fecha" => "2020" "volumen" => "98" "paginaInicial" => "366" "paginaFinal" => "367" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31607383" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005800000010/v2_202302271800/S0300289622003441/v2_202302271800/en/main.assets" "Apartado" => array:4 [ "identificador" => "93562" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005800000010/v2_202302271800/S0300289622003441/v2_202302271800/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289622003441?idApp=UINPBA00003Z" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 October | 42 | 22 | 64 |
2024 September | 58 | 15 | 73 |
2024 August | 69 | 40 | 109 |
2024 July | 54 | 13 | 67 |
2024 June | 53 | 26 | 79 |
2024 May | 68 | 20 | 88 |
2024 April | 55 | 23 | 78 |
2024 March | 67 | 13 | 80 |
2024 February | 58 | 30 | 88 |
2024 January | 52 | 26 | 78 |
2023 December | 55 | 21 | 76 |
2023 November | 65 | 18 | 83 |
2023 October | 100 | 28 | 128 |
2023 September | 71 | 26 | 97 |
2023 August | 50 | 34 | 84 |
2023 July | 60 | 23 | 83 |
2023 June | 60 | 19 | 79 |
2023 May | 71 | 16 | 87 |
2023 April | 66 | 28 | 94 |
2023 March | 67 | 24 | 91 |
2023 February | 56 | 19 | 75 |
2023 January | 52 | 24 | 76 |
2022 December | 103 | 31 | 134 |
2022 November | 122 | 49 | 171 |
2022 October | 221 | 91 | 312 |
2022 June | 2 | 2 | 4 |