array:22 [
  "pii" => "S1579212918301435"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2018.05.001"
  "estado" => "S300"
  "fechaPublicacion" => "2018-07-01"
  "aid" => "1672"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2018;54:355-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 730
    "formatos" => array:3 [
      "EPUB" => 116
      "HTML" => 391
      "PDF" => 223
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289617302272"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2017.06.018"
      "estado" => "S300"
      "fechaPublicacion" => "2018-07-01"
      "aid" => "1672"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2018;54:355-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1743
        "formatos" => array:3 [
          "EPUB" => 131
          "HTML" => 1164
          "PDF" => 448
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "&#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "355"
            "paginaFinal" => "356"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic&#63;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Aurelio Luis Wang&#252;emert P&#233;rez"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Aurelio Luis"
                "apellidos" => "Wang&#252;emert P&#233;rez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918301435"
          "doi" => "10.1016/j.arbr.2018.05.001"
          "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/S1579212918301435?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302272?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005400000007/v1_201807020415/S0300289617302272/v1_201807020415/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918301447"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.05.002"
    "estado" => "S300"
    "fechaPublicacion" => "2018-07-01"
    "aid" => "1712"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2018;54:357-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1521
      "formatos" => array:3 [
        "EPUB" => 144
        "HTML" => 962
        "PDF" => 415
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "World Health Organization Positioning&#46; The Impact of Tobacco in the Environment&#58; Cultivation&#44; Curing&#44; Manufacturing&#44; Transport&#44; and Third and Fourth-hand Smoking"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "357"
          "paginaFinal" => "358"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Posicionamiento de la Organizaci&#243;n Mundial de la Salud&#46; Impacto del tabaco en el medio ambiente&#58; cultivo&#44; curado&#44; manufactura&#44; transporte y tabaquismo de tercera y cuarta mano"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jos&#233; Ignacio de Granda-Orive, Carlos Andr&#233;s Jim&#233;nez-Ruiz, Segismundo Solano-Reina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jos&#233; Ignacio"
              "apellidos" => "de Granda-Orive"
            ]
            1 => array:2 [
              "nombre" => "Carlos Andr&#233;s"
              "apellidos" => "Jim&#233;nez-Ruiz"
            ]
            2 => array:2 [
              "nombre" => "Segismundo"
              "apellidos" => "Solano-Reina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289617302946"
        "doi" => "10.1016/j.arbres.2017.09.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302946?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301447?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000007/v1_201807020412/S1579212918301447/v1_201807020412/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic&#63;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "355"
        "paginaFinal" => "356"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Aurelio Luis Wang&#252;emert P&#233;rez"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Aurelio Luis"
            "apellidos" => "Wang&#252;emert P&#233;rez"
            "email" => array:1 [
              0 => "aureliowp&#64;hotmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital San Juan de Dios Tenerife&#44; Santa Cruz de Tenerife&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "&#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Thoracic ultrasonography &#40;TU&#41; is a complementary test increasingly used by pulmonologists in recent years&#44; due to its wide range of applications in patients with peripheral pulmonary parenchymal and&#47;or pleural diseases&#46; It also offers several advantages over chest X-ray and computed tomography &#40;CT&#41;&#58; it is portable&#44; does not emit ionizing radiation&#44; images are obtained in real time&#44; and it is inexpensive&#46; The major drawbacks of TU are that it is operator-dependent and ultrasound waves do not pass through air&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In respiratory medicine departments&#44; pleural units use TU as the main complementary tool&#44; but unlike specialized medical units&#44; most general departments do not have access to this equipment&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Nevertheless&#44; several types of patients seen in a general respiratory department may require a TU to resolve a suspected diagnosis&#46; However&#44; in the absence of this equipment&#44; a chest X-ray is usually requested as a first option&#44; exposing the patient to ionizing radiation&#44; delayed diagnosis&#44; possible therapeutic errors&#44; and increased health spending&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In this editorial&#44; we do not aim to describe the specific characteristics of the images obtained in a TU in various pleuropulmonary conditions&#44; but instead we will discuss the most common diseases that may require the use of TU in a general clinic&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This procedure would provide more accurate diagnoses&#44; better targeted treatments&#44; and even a more solid justification for requesting more specific imaging tests&#44; such as chest CT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">TU confers benefits in several scenarios&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0035" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pleural effusion &#40;PE&#41;</span>&#46; Immediate performance of TU can guide the medical&#44; diagnostic&#44; and therapeutic interventions needed in patients with a clinical suspicion of PE&#46; TU can identify PEs of up to 5<span class="elsevierStyleHsp" style=""></span>ml&#44; evaluate the characteristics of the pleural fluid according to its echogenicity&#44; and reveal signs such as the echogenic swirling seen in PEs of neoplastic origin&#46; PEs should also be examined thoroughly&#44; since they indicate a pathological process in which other images may be visualized that could help guide diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;3</span></a></p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pneumothorax &#40;PTX&#41;</span>&#46; An ultrasound scan may be performed to exclude PTX in patients who present in the clinic or in an emergency department&#44; and the diagnosis is routinely based on the absence of comet-tail artifacts and pleuropulmonary movement in B-mode&#44; and the presence of the so-called bar code sign in M-mode&#46; In a meta-analysis in which the utility of TU was compared with chest X-ray in the diagnosis of PTX&#44; sensitivity and specificity of TU were 88&#37; and 99&#37;&#44; and 52&#37; and 100&#37; for chest X-ray&#44; respectively&#46; The authors concluded that the use of TU is very promising&#44; but dependent on the skills of the operator&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">4</span></a></p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Consolidations in peripheral lung parenchyma</span>&#46; TU is useful not only for diagnosing clinically suspected community-acquired pneumonia&#44; but also for monitoring this disease and diagnosing possible early complications&#44; thus reducing the number of chest X-rays performed&#46; Published studies have shown TU to be more sensitive than chest X-ray in the diagnosis of pneumonia&#46; The major limitation of ultrasound diagnosis are consolidations that do not reach the peripheral lung&#59; furthermore&#44; the operator must be experienced in the use of the technique&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">5&#8211;7</span></a></p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0050" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Lung cancer and metastatic pleural involvement</span>&#46; TU can be used to complement chest X-ray and CT&#44; which are essential in these entities&#46; However&#44; when malignancy is strongly suspected&#44; an initial ultrasound exploration can be made to determine the presence of nodules or masses contiguous with the chest wall&#44; obstructive or secondary compressive atelectasis&#44; PE&#44; metastatic pleural involvement with nodule implantation&#44; or the degree of possible pleural invasion of the mesothelioma<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">8&#44;9</span></a></p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5&#46;</span><p id="par0055" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Interstitial lung disease</span>&#46; Many patients present with dyspnea&#44; and the simple presence of a certain number of B-lines on the TU image&#44; in addition to other findings&#44; may indicate if the process is cardiogenic or pulmonary&#46; Given the low specificity of B-lines&#44; it is very important to assess the clinical context&#44; clinical history&#44; and physical examination of the patient&#46; For this reason&#44; TU is a useful tool&#44; both in emergency situations and in day-to-day consultations&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">10</span></a></p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">6&#46;</span><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pulmonary infarctions due to pulmonary thromboembolism &#40;PTE&#41;</span>&#46; As TU is operator-dependent&#44; its relatively low sensitivity rules it out as the diagnostic procedure of choice in some diseases&#44; including PTE&#46; However&#44; it may be a good alternative in certain circumstances &#40;allergy to contrast medium&#44; pregnancy&#41;&#44; and can contribute information to the differential diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">11&#44;12</span></a> A multicenter study that included patients with suspected PTE found 95&#37; specificity for TU and a positive predictive value of 95&#37;&#44; but a negative predictive value of 75&#37; and 74&#37; sensitivity&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">13</span></a></p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">7&#46;</span><p id="par0065" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Paralysis and diaphragmatic hernia</span>&#46; Chest X-ray&#44; being a static image&#44; cannot evaluate diaphragmatic movement in patients previously diagnosed with diaphragmatic elevation using this technique&#46; This means that fluoroscopy must be performed&#44; thus increasing exposure to radiation&#46; TU is useful for studying the diaphragm&#44; as it offers a dynamic examination that can be performed reasonably quickly in a general pulmonology department&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">14&#44;15</span></a></p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">TU is an emerging tool with many advantages for respiratory medicine&#46; We recommend that this technique be implemented in general pulmonology departments&#44; because it would permit on-the-spot decision-making&#44; provide more accurate initial diagnoses&#44; and ensure that the best available treatment is offered from the word go&#46; Pulmonologists&#44; of course&#44; would have to acquire training and a basic knowledge of this technique&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Wang&#252;emert P&#233;rez AL&#46; &#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;&#46; Arch Bronconeumol&#46; 2018&#59;54&#58;355&#8211;356&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:15 [
            0 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transthoracic US of the chest&#58; clinical uses and applications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;M&#46; Koh"
                            1 => "S&#46; Burke"
                            2 => "N&#46; Davies"
                            3 => "S&#46;P&#46; Padley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.22.1.g02jae1e1"
                      "Revista" => array:5 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2002"
                        "volumen" => "22"
                        "paginaInicial" => "e1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11796913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La ecograf&#237;a tor&#225;cica en la enfermedad pleuro-pulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;P&#46; Gallego G&#243;mez"
                            1 => "P&#46; Garc&#237;a Benedito"
                            2 => "D&#46; Pereira Boo"
                            3 => "M&#46; S&#225;nchez P&#233;rez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rx.2012.03.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiologia"
                        "fecha" => "2014"
                        "volumen" => "56"
                        "paginaInicial" => "52"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22819690"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantification of pleural effusions&#58; sonography versus radiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;L&#46; Eibenberger"
                            1 => "W&#46;I&#46; Dock"
                            2 => "M&#46;E&#46; Ammann"
                            3 => "R&#46; Dorffner"
                            4 => "M&#46;F&#46; H&#246;rmann"
                            5 => "F&#46; Grabenw&#246;ger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.191.3.8184046"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1994"
                        "volumen" => "191"
                        "paginaInicial" => "681"
                        "paginaFinal" => "684"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8184046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of pneumothorax by radiography and ultrasonography&#58; a meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46; Ding"
                            1 => "Y&#46; Shen"
                            2 => "J&#46; Yang"
                            3 => "X&#46; He"
                            4 => "M&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.10-2946"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2011"
                        "volumen" => "140"
                        "paginaInicial" => "859"
                        "paginaFinal" => "866"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21546439"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Reissig"
                            1 => "A&#46; Gramegna"
                            2 => "S&#46; Aliberti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejim.2012.01.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Intern Med"
                        "fecha" => "2012"
                        "volumen" => "23"
                        "paginaInicial" => "391"
                        "paginaFinal" => "397"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22726366"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia&#58; a prospective&#44; multicenter&#44; diagnostic accuracy study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Reissig"
                            1 => "R&#46; Copetti"
                            2 => "G&#46; Mathis"
                            3 => "C&#46; Mempel"
                            4 => "A&#46; Schuler"
                            5 => "P&#46; Zechner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.12-0364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2012"
                        "volumen" => "142"
                        "paginaInicial" => "965"
                        "paginaFinal" => "972"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22700780"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound and chest X-ray for detecting pneumonia in an acute geriatric ward"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Ticinesi"
                            1 => "F&#46; Lauretani"
                            2 => "A&#46; Nouvenne"
                            3 => "G&#46; Mori"
                            4 => "G&#46; Chiussi"
                            5 => "M&#46; Maggio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Medicine &#40;Baltimore&#41;"
                        "fecha" => "2016"
                        "volumen" => "95"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleural ultrasonography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;H&#46; Mayo"
                            1 => "P&#46; Doelken"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccm.2006.01.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Chest Med"
                        "fecha" => "2006"
                        "volumen" => "27"
                        "paginaInicial" => "215"
                        "paginaFinal" => "227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16716814"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "MRT CT and sonography in the preoperative assessment of the primary tumor spread in malignant pleural mesothelioma &#91;article in German&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Layer"
                            1 => "H&#46; Schmitteckert"
                            2 => "A&#46; Steudel"
                            3 => "S&#46; Tuengerthal"
                            4 => "J&#46; Schirren"
                            5 => "G&#46; van Kaick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1011055"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rofo"
                        "fecha" => "1999"
                        "volumen" => "170"
                        "paginaInicial" => "365"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10341795"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The comet-tail artifact&#46; An ultrasound sign of alveolar-interstitial syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;A&#46; Lichtenstein"
                            1 => "G&#46;A&#46; M&#233;zi&#232;re"
                            2 => "P&#46; Biderman"
                            3 => "A&#46; Gepner"
                            4 => "O&#46; Barr&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.156.5.96-07096"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "156"
                        "paginaInicial" => "1640"
                        "paginaFinal" => "1646"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9372688"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transthoracic ultrasound of lung and pleura in the diagnosis of pulmonary embolism&#58; a novel non-invasive bedside approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Reissig"
                            1 => "C&#46; Kroegel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000074195"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2003"
                        "volumen" => "70"
                        "paginaInicial" => "441"
                        "paginaFinal" => "452"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14665764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ecograf&#237;a tor&#225;cica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; Vollmer"
                            1 => "A&#46; Gayete"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2008.12.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2010"
                        "volumen" => "46"
                        "paginaInicial" => "27"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19410350"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thoracic ultrasound for diagnosing pulmonary embolism&#58; a prospective multicenter study of 352 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Mathis"
                            1 => "W&#46; Blank"
                            2 => "A&#46; Reissig"
                            3 => "P&#46; Lechleitner"
                            4 => "J&#46; Reuss"
                            5 => "A&#46; Schuler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.128.3.1531"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2005"
                        "volumen" => "128"
                        "paginaInicial" => "1531"
                        "paginaFinal" => "1538"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16162754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mechanical ventilation diaphragmatic atrophy in critically ill patients&#58; an ultrasound study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Zambon"
                            1 => "P&#46; Beccaria"
                            2 => "J&#46; Matsuno"
                            3 => "M&#46; Gemma"
                            4 => "E&#46; Frati"
                            5 => "S&#46; Colombo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CCM.0000000000001657"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2016"
                        "volumen" => "44"
                        "paginaInicial" => "1347"
                        "paginaFinal" => "1352"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26992064"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Zambon"
                            1 => "M&#46; Greco"
                            2 => "S&#46; Bocchino"
                            3 => "L&#46; Cabrini"
                            4 => "P&#46;F&#46; Beccaria"
                            5 => "A&#46; Zangrillo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-016-4524-z"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2017"
                        "volumen" => "43"
                        "paginaInicial" => "29"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27620292"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack354681"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0075" class="elsevierStylePara elsevierViewall">My thanks to all my colleagues who taught me to use thoracic ultrasound&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005400000007/v1_201807020412/S1579212918301435/v1_201807020412/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "45360"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000007/v1_201807020412/S1579212918301435/v1_201807020412/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301435?idApp=UINPBA00003Z"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Editorial
Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic?
¿Es necesario el uso de la ecografía torácica en una consulta general de neumología?
Aurelio Luis Wangüemert Pérez
Servicio de Neumología, Hospital San Juan de Dios Tenerife, Santa Cruz de Tenerife, Spain
Read
3654
Times
was read the article
1585
Total PDF
2069
Total HTML
Share statistics
 array:22 [
  "pii" => "S1579212918301435"
  "issn" => "15792129"
  "doi" => "10.1016/j.arbr.2018.05.001"
  "estado" => "S300"
  "fechaPublicacion" => "2018-07-01"
  "aid" => "1672"
  "copyrightAnyo" => "2018"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "sco"
  "cita" => "Arch Bronconeumol. 2018;54:355-6"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:2 [
    "total" => 730
    "formatos" => array:3 [
      "EPUB" => 116
      "HTML" => 391
      "PDF" => 223
    ]
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0300289617302272"
      "issn" => "03002896"
      "doi" => "10.1016/j.arbres.2017.06.018"
      "estado" => "S300"
      "fechaPublicacion" => "2018-07-01"
      "aid" => "1672"
      "copyright" => "SEPAR"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "sco"
      "cita" => "Arch Bronconeumol. 2018;54:355-6"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1743
        "formatos" => array:3 [
          "EPUB" => 131
          "HTML" => 1164
          "PDF" => 448
        ]
      ]
      "es" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
        "titulo" => "&#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "355"
            "paginaFinal" => "356"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic&#63;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Aurelio Luis Wang&#252;emert P&#233;rez"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "Aurelio Luis"
                "apellidos" => "Wang&#252;emert P&#233;rez"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S1579212918301435"
          "doi" => "10.1016/j.arbr.2018.05.001"
          "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/S1579212918301435?idApp=UINPBA00003Z"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302272?idApp=UINPBA00003Z"
      "url" => "/03002896/0000005400000007/v1_201807020415/S0300289617302272/v1_201807020415/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S1579212918301447"
    "issn" => "15792129"
    "doi" => "10.1016/j.arbr.2018.05.002"
    "estado" => "S300"
    "fechaPublicacion" => "2018-07-01"
    "aid" => "1712"
    "copyright" => "SEPAR"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Arch Bronconeumol. 2018;54:357-8"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:2 [
      "total" => 1521
      "formatos" => array:3 [
        "EPUB" => 144
        "HTML" => 962
        "PDF" => 415
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
      "titulo" => "World Health Organization Positioning&#46; The Impact of Tobacco in the Environment&#58; Cultivation&#44; Curing&#44; Manufacturing&#44; Transport&#44; and Third and Fourth-hand Smoking"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "357"
          "paginaFinal" => "358"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Posicionamiento de la Organizaci&#243;n Mundial de la Salud&#46; Impacto del tabaco en el medio ambiente&#58; cultivo&#44; curado&#44; manufactura&#44; transporte y tabaquismo de tercera y cuarta mano"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jos&#233; Ignacio de Granda-Orive, Carlos Andr&#233;s Jim&#233;nez-Ruiz, Segismundo Solano-Reina"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Jos&#233; Ignacio"
              "apellidos" => "de Granda-Orive"
            ]
            1 => array:2 [
              "nombre" => "Carlos Andr&#233;s"
              "apellidos" => "Jim&#233;nez-Ruiz"
            ]
            2 => array:2 [
              "nombre" => "Segismundo"
              "apellidos" => "Solano-Reina"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0300289617302946"
        "doi" => "10.1016/j.arbres.2017.09.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289617302946?idApp=UINPBA00003Z"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301447?idApp=UINPBA00003Z"
    "url" => "/15792129/0000005400000007/v1_201807020412/S1579212918301447/v1_201807020412/en/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>"
    "titulo" => "Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic&#63;"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "355"
        "paginaFinal" => "356"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "Aurelio Luis Wang&#252;emert P&#233;rez"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "Aurelio Luis"
            "apellidos" => "Wang&#252;emert P&#233;rez"
            "email" => array:1 [
              0 => "aureliowp&#64;hotmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Servicio de Neumolog&#237;a&#44; Hospital San Juan de Dios Tenerife&#44; Santa Cruz de Tenerife&#44; Spain"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "&#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Thoracic ultrasonography &#40;TU&#41; is a complementary test increasingly used by pulmonologists in recent years&#44; due to its wide range of applications in patients with peripheral pulmonary parenchymal and&#47;or pleural diseases&#46; It also offers several advantages over chest X-ray and computed tomography &#40;CT&#41;&#58; it is portable&#44; does not emit ionizing radiation&#44; images are obtained in real time&#44; and it is inexpensive&#46; The major drawbacks of TU are that it is operator-dependent and ultrasound waves do not pass through air&#46;<a class="elsevierStyleCrossRefs" href="#bib0080"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">In respiratory medicine departments&#44; pleural units use TU as the main complementary tool&#44; but unlike specialized medical units&#44; most general departments do not have access to this equipment&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Nevertheless&#44; several types of patients seen in a general respiratory department may require a TU to resolve a suspected diagnosis&#46; However&#44; in the absence of this equipment&#44; a chest X-ray is usually requested as a first option&#44; exposing the patient to ionizing radiation&#44; delayed diagnosis&#44; possible therapeutic errors&#44; and increased health spending&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In this editorial&#44; we do not aim to describe the specific characteristics of the images obtained in a TU in various pleuropulmonary conditions&#44; but instead we will discuss the most common diseases that may require the use of TU in a general clinic&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">This procedure would provide more accurate diagnoses&#44; better targeted treatments&#44; and even a more solid justification for requesting more specific imaging tests&#44; such as chest CT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">TU confers benefits in several scenarios&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0035" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pleural effusion &#40;PE&#41;</span>&#46; Immediate performance of TU can guide the medical&#44; diagnostic&#44; and therapeutic interventions needed in patients with a clinical suspicion of PE&#46; TU can identify PEs of up to 5<span class="elsevierStyleHsp" style=""></span>ml&#44; evaluate the characteristics of the pleural fluid according to its echogenicity&#44; and reveal signs such as the echogenic swirling seen in PEs of neoplastic origin&#46; PEs should also be examined thoroughly&#44; since they indicate a pathological process in which other images may be visualized that could help guide diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;3</span></a></p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pneumothorax &#40;PTX&#41;</span>&#46; An ultrasound scan may be performed to exclude PTX in patients who present in the clinic or in an emergency department&#44; and the diagnosis is routinely based on the absence of comet-tail artifacts and pleuropulmonary movement in B-mode&#44; and the presence of the so-called bar code sign in M-mode&#46; In a meta-analysis in which the utility of TU was compared with chest X-ray in the diagnosis of PTX&#44; sensitivity and specificity of TU were 88&#37; and 99&#37;&#44; and 52&#37; and 100&#37; for chest X-ray&#44; respectively&#46; The authors concluded that the use of TU is very promising&#44; but dependent on the skills of the operator&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">4</span></a></p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Consolidations in peripheral lung parenchyma</span>&#46; TU is useful not only for diagnosing clinically suspected community-acquired pneumonia&#44; but also for monitoring this disease and diagnosing possible early complications&#44; thus reducing the number of chest X-rays performed&#46; Published studies have shown TU to be more sensitive than chest X-ray in the diagnosis of pneumonia&#46; The major limitation of ultrasound diagnosis are consolidations that do not reach the peripheral lung&#59; furthermore&#44; the operator must be experienced in the use of the technique&#46;<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">5&#8211;7</span></a></p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0050" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Lung cancer and metastatic pleural involvement</span>&#46; TU can be used to complement chest X-ray and CT&#44; which are essential in these entities&#46; However&#44; when malignancy is strongly suspected&#44; an initial ultrasound exploration can be made to determine the presence of nodules or masses contiguous with the chest wall&#44; obstructive or secondary compressive atelectasis&#44; PE&#44; metastatic pleural involvement with nodule implantation&#44; or the degree of possible pleural invasion of the mesothelioma<a class="elsevierStyleCrossRefs" href="#bib0115"><span class="elsevierStyleSup">8&#44;9</span></a></p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5&#46;</span><p id="par0055" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Interstitial lung disease</span>&#46; Many patients present with dyspnea&#44; and the simple presence of a certain number of B-lines on the TU image&#44; in addition to other findings&#44; may indicate if the process is cardiogenic or pulmonary&#46; Given the low specificity of B-lines&#44; it is very important to assess the clinical context&#44; clinical history&#44; and physical examination of the patient&#46; For this reason&#44; TU is a useful tool&#44; both in emergency situations and in day-to-day consultations&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">10</span></a></p></li><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">6&#46;</span><p id="par0060" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Pulmonary infarctions due to pulmonary thromboembolism &#40;PTE&#41;</span>&#46; As TU is operator-dependent&#44; its relatively low sensitivity rules it out as the diagnostic procedure of choice in some diseases&#44; including PTE&#46; However&#44; it may be a good alternative in certain circumstances &#40;allergy to contrast medium&#44; pregnancy&#41;&#44; and can contribute information to the differential diagnosis&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">11&#44;12</span></a> A multicenter study that included patients with suspected PTE found 95&#37; specificity for TU and a positive predictive value of 95&#37;&#44; but a negative predictive value of 75&#37; and 74&#37; sensitivity&#46;<a class="elsevierStyleCrossRef" href="#bib0140"><span class="elsevierStyleSup">13</span></a></p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">7&#46;</span><p id="par0065" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Paralysis and diaphragmatic hernia</span>&#46; Chest X-ray&#44; being a static image&#44; cannot evaluate diaphragmatic movement in patients previously diagnosed with diaphragmatic elevation using this technique&#46; This means that fluoroscopy must be performed&#44; thus increasing exposure to radiation&#46; TU is useful for studying the diaphragm&#44; as it offers a dynamic examination that can be performed reasonably quickly in a general pulmonology department&#46;<a class="elsevierStyleCrossRefs" href="#bib0145"><span class="elsevierStyleSup">14&#44;15</span></a></p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">TU is an emerging tool with many advantages for respiratory medicine&#46; We recommend that this technique be implemented in general pulmonology departments&#44; because it would permit on-the-spot decision-making&#44; provide more accurate initial diagnoses&#44; and ensure that the best available treatment is offered from the word go&#46; Pulmonologists&#44; of course&#44; would have to acquire training and a basic knowledge of this technique&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Wang&#252;emert P&#233;rez AL&#46; &#191;Es necesario el uso de la ecograf&#237;a tor&#225;cica en una consulta general de neumolog&#237;a&#63;&#46; Arch Bronconeumol&#46; 2018&#59;54&#58;355&#8211;356&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:15 [
            0 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transthoracic US of the chest&#58; clinical uses and applications"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;M&#46; Koh"
                            1 => "S&#46; Burke"
                            2 => "N&#46; Davies"
                            3 => "S&#46;P&#46; Padley"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.22.1.g02jae1e1"
                      "Revista" => array:5 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "2002"
                        "volumen" => "22"
                        "paginaInicial" => "e1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11796913"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0085"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "La ecograf&#237;a tor&#225;cica en la enfermedad pleuro-pulmonar"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "M&#46;P&#46; Gallego G&#243;mez"
                            1 => "P&#46; Garc&#237;a Benedito"
                            2 => "D&#46; Pereira Boo"
                            3 => "M&#46; S&#225;nchez P&#233;rez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rx.2012.03.008"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiologia"
                        "fecha" => "2014"
                        "volumen" => "56"
                        "paginaInicial" => "52"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22819690"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Quantification of pleural effusions&#58; sonography versus radiography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;L&#46; Eibenberger"
                            1 => "W&#46;I&#46; Dock"
                            2 => "M&#46;E&#46; Ammann"
                            3 => "R&#46; Dorffner"
                            4 => "M&#46;F&#46; H&#246;rmann"
                            5 => "F&#46; Grabenw&#246;ger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.191.3.8184046"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1994"
                        "volumen" => "191"
                        "paginaInicial" => "681"
                        "paginaFinal" => "684"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8184046"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0095"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of pneumothorax by radiography and ultrasonography&#58; a meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46; Ding"
                            1 => "Y&#46; Shen"
                            2 => "J&#46; Yang"
                            3 => "X&#46; He"
                            4 => "M&#46; Zhang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.10-2946"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2011"
                        "volumen" => "140"
                        "paginaInicial" => "859"
                        "paginaFinal" => "866"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21546439"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0100"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The role of lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Reissig"
                            1 => "A&#46; Gramegna"
                            2 => "S&#46; Aliberti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejim.2012.01.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Intern Med"
                        "fecha" => "2012"
                        "volumen" => "23"
                        "paginaInicial" => "391"
                        "paginaFinal" => "397"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22726366"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0105"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound in the diagnosis and follow-up of community-acquired pneumonia&#58; a prospective&#44; multicenter&#44; diagnostic accuracy study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Reissig"
                            1 => "R&#46; Copetti"
                            2 => "G&#46; Mathis"
                            3 => "C&#46; Mempel"
                            4 => "A&#46; Schuler"
                            5 => "P&#46; Zechner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.12-0364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2012"
                        "volumen" => "142"
                        "paginaInicial" => "965"
                        "paginaFinal" => "972"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22700780"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0110"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound and chest X-ray for detecting pneumonia in an acute geriatric ward"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Ticinesi"
                            1 => "F&#46; Lauretani"
                            2 => "A&#46; Nouvenne"
                            3 => "G&#46; Mori"
                            4 => "G&#46; Chiussi"
                            5 => "M&#46; Maggio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Medicine &#40;Baltimore&#41;"
                        "fecha" => "2016"
                        "volumen" => "95"
                        "paginaInicial" => "1"
                        "paginaFinal" => "7"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0115"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pleural ultrasonography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;H&#46; Mayo"
                            1 => "P&#46; Doelken"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ccm.2006.01.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Chest Med"
                        "fecha" => "2006"
                        "volumen" => "27"
                        "paginaInicial" => "215"
                        "paginaFinal" => "227"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16716814"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0120"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "MRT CT and sonography in the preoperative assessment of the primary tumor spread in malignant pleural mesothelioma &#91;article in German&#93;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Layer"
                            1 => "H&#46; Schmitteckert"
                            2 => "A&#46; Steudel"
                            3 => "S&#46; Tuengerthal"
                            4 => "J&#46; Schirren"
                            5 => "G&#46; van Kaick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1011055"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rofo"
                        "fecha" => "1999"
                        "volumen" => "170"
                        "paginaInicial" => "365"
                        "paginaFinal" => "370"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10341795"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0125"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The comet-tail artifact&#46; An ultrasound sign of alveolar-interstitial syndrome"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;A&#46; Lichtenstein"
                            1 => "G&#46;A&#46; M&#233;zi&#232;re"
                            2 => "P&#46; Biderman"
                            3 => "A&#46; Gepner"
                            4 => "O&#46; Barr&#233;"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.156.5.96-07096"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "156"
                        "paginaInicial" => "1640"
                        "paginaFinal" => "1646"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9372688"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0130"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transthoracic ultrasound of lung and pleura in the diagnosis of pulmonary embolism&#58; a novel non-invasive bedside approach"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Reissig"
                            1 => "C&#46; Kroegel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000074195"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2003"
                        "volumen" => "70"
                        "paginaInicial" => "441"
                        "paginaFinal" => "452"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14665764"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0135"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ecograf&#237;a tor&#225;cica"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; Vollmer"
                            1 => "A&#46; Gayete"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.arbres.2008.12.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Bronconeumol"
                        "fecha" => "2010"
                        "volumen" => "46"
                        "paginaInicial" => "27"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19410350"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0140"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Thoracic ultrasound for diagnosing pulmonary embolism&#58; a prospective multicenter study of 352 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Mathis"
                            1 => "W&#46; Blank"
                            2 => "A&#46; Reissig"
                            3 => "P&#46; Lechleitner"
                            4 => "J&#46; Reuss"
                            5 => "A&#46; Schuler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.128.3.1531"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2005"
                        "volumen" => "128"
                        "paginaInicial" => "1531"
                        "paginaFinal" => "1538"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16162754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0145"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mechanical ventilation diaphragmatic atrophy in critically ill patients&#58; an ultrasound study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Zambon"
                            1 => "P&#46; Beccaria"
                            2 => "J&#46; Matsuno"
                            3 => "M&#46; Gemma"
                            4 => "E&#46; Frati"
                            5 => "S&#46; Colombo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/CCM.0000000000001657"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2016"
                        "volumen" => "44"
                        "paginaInicial" => "1347"
                        "paginaFinal" => "1352"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26992064"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0150"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Zambon"
                            1 => "M&#46; Greco"
                            2 => "S&#46; Bocchino"
                            3 => "L&#46; Cabrini"
                            4 => "P&#46;F&#46; Beccaria"
                            5 => "A&#46; Zangrillo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-016-4524-z"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2017"
                        "volumen" => "43"
                        "paginaInicial" => "29"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27620292"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack354681"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0075" class="elsevierStylePara elsevierViewall">My thanks to all my colleagues who taught me to use thoracic ultrasound&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/15792129/0000005400000007/v1_201807020412/S1579212918301435/v1_201807020412/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "45360"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Editorials"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/15792129/0000005400000007/v1_201807020412/S1579212918301435/v1_201807020412/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1579212918301435?idApp=UINPBA00003Z"
]
Article information
ISSN: 15792129
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 9 2 11
2024 October 48 25 73
2024 September 41 22 63
2024 August 75 37 112
2024 July 33 16 49
2024 June 59 43 102
2024 May 68 29 97
2024 April 33 32 65
2024 March 34 21 55
2024 February 29 18 47
2023 March 7 3 10
2023 February 41 17 58
2023 January 31 39 70
2022 December 48 28 76
2022 November 66 22 88
2022 October 48 37 85
2022 September 59 28 87
2022 August 39 45 84
2022 July 33 38 71
2022 June 32 31 63
2022 May 37 38 75
2022 April 34 27 61
2022 March 35 38 73
2022 February 27 27 54
2022 January 29 35 64
2021 December 39 40 79
2021 November 32 42 74
2021 October 46 61 107
2021 September 34 40 74
2021 August 50 40 90
2021 July 23 25 48
2021 June 37 33 70
2021 May 40 48 88
2021 April 82 139 221
2021 March 37 16 53
2021 February 32 28 60
2021 January 33 21 54
2020 December 40 18 58
2020 November 32 16 48
2020 October 25 33 58
2020 September 23 18 41
2020 August 22 11 33
2020 July 30 25 55
2020 March 17 5 22
2020 February 22 13 35
2020 January 32 19 51
2019 December 28 15 43
2019 November 19 14 33
2019 October 18 15 33
2019 September 42 10 52
2019 August 26 21 47
2019 July 27 15 42
2019 June 21 17 38
2019 May 35 16 51
2019 April 23 23 46
2019 March 47 25 72
2019 February 33 21 54
2019 January 26 4 30
2018 December 1 0 1
Show all

Follow this link to access the full text of the article

Archivos de Bronconeumología

Are you a health professional able to prescribe or dispense drugs?