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"tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "310" "paginaFinal" => "316" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Efectos de la antibioterapia y la técnica fisioterápica respiratoria en pacientes con fibrosis quística tratados por exacerbación pulmonar aguda: estudio experimental" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Camila Isabel da Silva Santos, Maria Angela Gonçalves de Oliveira Ribeiro, André Moreno Morcillo, Antônio Fernando Ribeiro, José Dirceu Ribeiro" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Camila Isabel" "apellidos" => "da Silva Santos" ] 1 => array:2 [ "nombre" => "Maria Angela Gonçalves" "apellidos" => "de Oliveira Ribeiro" ] 2 => array:2 [ "nombre" => "André Moreno" "apellidos" => "Morcillo" ] 3 => array:2 [ "nombre" => "Antônio Fernando" "apellidos" => "Ribeiro" ] 4 => array:2 [ "nombre" => "José Dirceu" "apellidos" => "Ribeiro" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212910700732?idApp=UINPBA00003Z" "url" => "/15792129/0000004600000006/v2_201309190220/S1579212910700732/v2_201309190220/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Review Article</span>" "titulo" => "Peri-Operative Atelectasis and Alveolar Recruitment Manoeuvres" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "317" "paginaFinal" => "324" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Pablo Rama-Maceiras" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Pablo" "apellidos" => "Rama-Maceiras" "email" => array:2 [ 0 => "pablo.rama.maceiras@sergas.es" 1 => "prmaceiras@wanadoo.es" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario, A Coruña, Spain" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Atelectasias perioperatorias y maniobras de reclutamiento alveolar" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-09-11" "fechaAceptado" => "2009-10-10" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec257360" "palabras" => array:3 [ 0 => "Atelectasis" 1 => "Post-operative period" 2 => "Post-operative complications" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec257359" "palabras" => array:3 [ 0 => "Atelectasia" 1 => "Período postoperatorio" 2 => "Complicaciones postoperatorias" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Respiratory complications are a significant cause of postoperative morbidity and mortality. Perioperative atelectasis, in particular, affects 90% of surgical patients and its effects can be prolonged due to changes in respiratory mechanics, pulmonary circulation and hypoxaemia. Alveolar collapse is caused by certain predisposing factors, mainly due to compression and absorption mechanisms. Several therapeutic strategies have been proposed to prevent or treat this atelectasis, such as alveolar recruitment manoeuvres, which has become widely used in the last few years. Its application in patients with alveolar collapse, but without a previous significant acute lung lesion has some unusual features. Its use is, therefore, not free of uncertainties and complications. This review describes the frequency, pathophysiology, importance and treatment of perioperative atelectasis. Special attention is paid to treatment with recruitment manoeuvres, so as to provide a basis for their rational and appropriate use.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Las complicaciones respiratorias postoperatorias constituyen una causa importante de morbimortalidad. Las atelectasias perioperatorias, en concreto, afectan hasta al 90% de los pacientes quirúrgicos y su repercusión puede prolongarse en el tiempo en forma de alteraciones de la mecánica respiratoria, de la circulación pulmonar y de hipoxemia. El colapso alveolar se produce en presencia de ciertos factores predisponentes, fundamentalmente por mecanismos de compresión y absorción. Para prevenir o tratar estas atelectasias, se han propuesto diversas estrategias terapéuticas, como las maniobras de reclutamiento alveolar, cuyo uso se ha popularizado en los últimos años. Su aplicación en pacientes con colapso alveolar, pero sin lesión pulmonar aguda previa relevante, presenta ciertas particularidades, por lo que su empleo no está exento de incertidumbres y complicaciones. Esta revisión describe la frecuencia, la fisiopatología, la relevancia y el tratamiento de las atelectasias perioperatorias, y hace especial incidencia en el tratamiento con maniobras de reclutamiento con el objetivo de proporcionar las bases para un empleo racional y adecuado de éstas.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:123 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Year/Month | Html | Total | |
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2024 November | 4 | 17 | 21 |
2024 October | 39 | 162 | 201 |
2024 September | 31 | 126 | 157 |
2024 August | 55 | 187 | 242 |
2024 July | 27 | 115 | 142 |
2024 June | 28 | 126 | 154 |
2024 May | 38 | 126 | 164 |
2024 April | 26 | 115 | 141 |
2024 March | 35 | 86 | 121 |
2024 February | 19 | 96 | 115 |
2023 March | 5 | 15 | 20 |
2023 February | 27 | 32 | 59 |
2023 January | 27 | 114 | 141 |
2022 December | 30 | 126 | 156 |
2022 November | 30 | 108 | 138 |
2022 October | 31 | 56 | 87 |
2022 September | 25 | 121 | 146 |
2022 August | 27 | 91 | 118 |
2022 July | 30 | 114 | 144 |
2022 June | 37 | 98 | 135 |
2022 May | 34 | 125 | 159 |
2022 April | 38 | 97 | 135 |
2022 March | 43 | 105 | 148 |
2022 February | 20 | 112 | 132 |
2022 January | 36 | 91 | 127 |
2021 December | 30 | 86 | 116 |
2021 November | 36 | 94 | 130 |
2021 October | 78 | 140 | 218 |
2021 September | 38 | 99 | 137 |
2021 August | 44 | 110 | 154 |
2021 July | 24 | 68 | 92 |
2021 June | 23 | 116 | 139 |
2021 May | 32 | 131 | 163 |
2021 April | 92 | 191 | 283 |
2021 March | 44 | 135 | 179 |
2021 February | 38 | 72 | 110 |
2021 January | 24 | 85 | 109 |
2020 December | 40 | 102 | 142 |
2020 November | 34 | 55 | 89 |
2020 October | 29 | 51 | 80 |
2020 September | 22 | 90 | 112 |
2020 August | 35 | 102 | 137 |
2020 July | 40 | 66 | 106 |
2020 June | 22 | 46 | 68 |
2020 May | 39 | 103 | 142 |
2020 April | 56 | 89 | 145 |
2020 March | 53 | 77 | 130 |
2020 February | 104 | 76 | 180 |
2020 January | 97 | 83 | 180 |
2019 December | 71 | 57 | 128 |
2019 November | 53 | 77 | 130 |
2019 October | 53 | 73 | 126 |
2019 September | 82 | 75 | 157 |
2019 August | 46 | 50 | 96 |
2019 July | 34 | 51 | 85 |
2019 June | 18 | 48 | 66 |
2019 May | 44 | 55 | 99 |
2019 April | 58 | 79 | 137 |
2019 March | 41 | 87 | 128 |
2019 February | 25 | 48 | 73 |
2019 January | 15 | 51 | 66 |
2018 December | 16 | 41 | 57 |
2018 November | 17 | 42 | 59 |
2018 October | 32 | 25 | 57 |
2018 September | 14 | 17 | 31 |
2018 May | 4 | 1 | 5 |
2018 April | 10 | 29 | 39 |
2018 March | 3 | 7 | 10 |
2018 February | 10 | 11 | 21 |
2018 January | 6 | 10 | 16 |
2017 December | 8 | 13 | 21 |
2017 November | 9 | 39 | 48 |
2017 October | 6 | 22 | 28 |
2017 September | 4 | 57 | 61 |
2017 August | 9 | 56 | 65 |
2017 July | 13 | 53 | 66 |
2017 June | 7 | 41 | 48 |
2017 May | 6 | 43 | 49 |
2017 April | 6 | 24 | 30 |
2017 March | 4 | 23 | 27 |
2017 February | 6 | 30 | 36 |
2017 January | 5 | 21 | 26 |
2016 December | 14 | 19 | 33 |
2016 November | 12 | 18 | 30 |
2016 October | 15 | 27 | 42 |
2016 September | 26 | 35 | 61 |
2016 August | 20 | 9 | 29 |
2016 July | 16 | 13 | 29 |
2016 May | 1 | 0 | 1 |
2016 March | 8 | 0 | 8 |
2016 February | 6 | 0 | 6 |
2016 January | 6 | 0 | 6 |
2015 December | 5 | 0 | 5 |
2015 October | 147 | 45 | 192 |
2015 September | 167 | 77 | 244 |
2015 August | 172 | 45 | 217 |
2015 July | 121 | 31 | 152 |
2015 June | 114 | 43 | 157 |
2015 May | 128 | 44 | 172 |
2015 April | 103 | 56 | 159 |
2015 March | 126 | 32 | 158 |
2015 February | 99 | 21 | 120 |
2015 January | 118 | 21 | 139 |
2014 December | 152 | 23 | 175 |
2014 November | 120 | 19 | 139 |
2014 October | 132 | 18 | 150 |
2014 September | 107 | 27 | 134 |
2014 August | 92 | 23 | 115 |
2014 July | 80 | 23 | 103 |
2014 June | 90 | 46 | 136 |
2014 May | 103 | 28 | 131 |
2014 April | 78 | 29 | 107 |
2014 March | 95 | 19 | 114 |
2014 February | 64 | 22 | 86 |
2014 January | 60 | 19 | 79 |
2013 December | 61 | 29 | 90 |
2013 November | 55 | 21 | 76 |
2013 October | 89 | 15 | 104 |
2013 September | 63 | 31 | 94 |
2013 August | 63 | 27 | 90 |
2013 July | 45 | 19 | 64 |
2013 June | 44 | 25 | 69 |
2013 May | 53 | 18 | 71 |
2013 April | 25 | 12 | 37 |
2013 March | 13 | 5 | 18 |