Images in Intensive Medicine
Disappearance of cerebral diastolic flow after an unexpected complication
Desaparición del flujo diastólico cerebral tras una complicación inesperada
Read
4751
Timeswas read the article
1863
Total PDF
2888
Total HTML
Share statistics
array:24 [ "pii" => "S217357271930058X" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.03.003" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "1206" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:259" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 370 "formatos" => array:3 [ "EPUB" => 73 "HTML" => 189 "PDF" => 108 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569118301220" "issn" => "02105691" "doi" => "10.1016/j.medin.2018.04.003" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "1206" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:259" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1825 "formatos" => array:3 [ "EPUB" => 120 "HTML" => 1432 "PDF" => 273 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Medicina Intensiva</span>" "titulo" => "Desaparición del flujo diastólico cerebral tras una complicación inesperada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "259" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Disappearance of cerebral diastolic flow after an unexpected complication" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1037 "Ancho" => 1250 "Tamanyo" => 178110 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Registro de dúplex transcraneal codificado color. Tras evacuación de neumotórax se aprecia recuperación de la onda diastólica en ACM izquierda (flecha blanca).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Arroyo Diez, A. Zabalegui Pérez, G. Kaminsky" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Arroyo Diez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Zabalegui Pérez" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Kaminsky" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217357271930058X" "doi" => "10.1016/j.medine.2019.03.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930058X?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569118301220?idApp=WMIE" "url" => "/02105691/0000004300000004/v4_201907180823/S0210569118301220/v4_201907180823/es/main.assets" ] ] "itemAnterior" => array:19 [ "pii" => "S2173572719300591" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.03.004" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "1215" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:258" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 453 "formatos" => array:3 [ "EPUB" => 72 "HTML" => 258 "PDF" => 123 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Bening pneumoperitoneum in patient trying non invasive mechanical ventilation and gastrostomy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "258" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumoperitoneo benigno en paciente con ventilación mecánica no invasiva y gastrostomía" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 600 "Ancho" => 600 "Tamanyo" => 42623 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Radioscopy without percutaneous gastrostomy complication.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. González Cubillo, A. Vallejo de la Cueva, A. Martín López" "autores" => array:3 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "González Cubillo" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Vallejo de la Cueva" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Martín López" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118301530" "doi" => "10.1016/j.medin.2018.04.009" "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/S0210569118301530?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300591?idApp=WMIE" "url" => "/21735727/0000004300000004/v2_201905020913/S2173572719300591/v2_201905020913/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S2173572719300694" "issn" => "21735727" "doi" => "10.1016/j.medine.2018.07.013" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "1233" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:255" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 353 "formatos" => array:3 [ "EPUB" => 52 "HTML" => 198 "PDF" => 103 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Bias in the interpretation of the transcranial color-coded duplex sonography register" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "255" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Factores de confusión en el análisis del registro de ecografía dúplex transcraneal codificado color" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "N.S. Rocchetti, J.J. Egea-Guerrero" "autores" => array:2 [ 0 => array:2 [ "nombre" => "N.S." "apellidos" => "Rocchetti" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569118301888" "doi" => "10.1016/j.medin.2018.07.002" "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/S0210569118301888?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719300694?idApp=WMIE" "url" => "/21735727/0000004300000004/v2_201905020913/S2173572719300694/v2_201905020913/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Disappearance of cerebral diastolic flow after an unexpected complication" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "259" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Arroyo Diez, A. Zabalegui Pérez, G. Kaminsky" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Arroyo Diez" "email" => array:1 [ 0 => "martaarroyo84@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Zabalegui Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "G." "apellidos" => "Kaminsky" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital de Fuenlabrada, Fuenlabrada, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0010" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Desaparición del flujo diastólico cerebral tras una complicación inesperada" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1314 "Ancho" => 1583 "Tamanyo" => 252549 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Transcranial color-coded duplex ultrasound recording. After evacuation of the pneumothorax, the diastolic wave was recovered in the left middle cerebral artery (white arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 43-year-old woman presented with headache of sudden onset. The CT scan revealed left parietal-occipital hemorrhage over an underlying lesion with partial herniation. The Glasgow coma score (GCS) was 15 until day four, when she presented right anisocoria and GCS 3. Osmotherapy was started, with sedation, mechanical ventilation, hyperventilation and the placement of a right subclavian catheter, followed by resolution of the anisocoria, with a bispectral index (BIS) of 40 (CT discarded repeat bleeding). A few minutes later an intracranial pressure (ICP) sensor was placed (65<span class="elsevierStyleHsp" style=""></span>mmHg), the BIS dropped to 0 and transcranial Doppler ultrasound showed systolic flow with no diastolic wave (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Reversion was not achieved with first level measures. After discarding other causes of elevated ICP, a chest X-ray for catheter control (still pending) was obtained, revealing an iatrogenic right-side tension pneumothorax (PT). After evacuating the PT, the pupils normalized, as did middle cerebral arterial flow (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), BIS and ICP.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Arroyo Diez M, Zabalegui Pérez A, Kaminsky G. Desaparición del flujo diastólico cerebral tras una complicación inesperada. Med Intensiva. 2019;43:259.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1199 "Ancho" => 1583 "Tamanyo" => 213040 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transcranial color-coded duplex ultrasound recording. Systolic flow in left middle cerebral artery. Note the absence of diastolic flow (white arrow).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1314 "Ancho" => 1583 "Tamanyo" => 252549 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Transcranial color-coded duplex ultrasound recording. After evacuation of the pneumothorax, the diastolic wave was recovered in the left middle cerebral artery (white arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000004/v2_201905020913/S217357271930058X/v2_201905020913/en/main.assets" "Apartado" => array:4 [ "identificador" => "64602" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Intensive Medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004300000004/v2_201905020913/S217357271930058X/v2_201905020913/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217357271930058X?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 7 | 7 | 14 |
| 2024 October | 43 | 38 | 81 |
| 2024 September | 55 | 27 | 82 |
| 2024 August | 69 | 30 | 99 |
| 2024 July | 50 | 37 | 87 |
| 2024 June | 48 | 44 | 92 |
| 2024 May | 52 | 40 | 92 |
| 2024 April | 64 | 40 | 104 |
| 2024 March | 44 | 24 | 68 |
| 2024 February | 43 | 35 | 78 |
| 2024 January | 58 | 43 | 101 |
| 2023 December | 33 | 37 | 70 |
| 2023 November | 45 | 43 | 88 |
| 2023 October | 38 | 28 | 66 |
| 2023 September | 32 | 37 | 69 |
| 2023 August | 38 | 23 | 61 |
| 2023 July | 43 | 27 | 70 |
| 2023 June | 41 | 16 | 57 |
| 2023 May | 56 | 32 | 88 |
| 2023 April | 50 | 14 | 64 |
| 2023 March | 35 | 30 | 65 |
| 2023 February | 52 | 25 | 77 |
| 2023 January | 41 | 13 | 54 |
| 2022 December | 65 | 34 | 99 |
| 2022 November | 54 | 33 | 87 |
| 2022 October | 70 | 28 | 98 |
| 2022 September | 60 | 31 | 91 |
| 2022 August | 52 | 43 | 95 |
| 2022 July | 43 | 24 | 67 |
| 2022 June | 39 | 25 | 64 |
| 2022 May | 39 | 36 | 75 |
| 2022 April | 46 | 38 | 84 |
| 2022 March | 61 | 50 | 111 |
| 2022 February | 42 | 26 | 68 |
| 2022 January | 47 | 27 | 74 |
| 2021 December | 61 | 35 | 96 |
| 2021 November | 38 | 24 | 62 |
| 2021 October | 65 | 74 | 139 |
| 2021 September | 34 | 25 | 59 |
| 2021 August | 24 | 35 | 59 |
| 2021 July | 27 | 23 | 50 |
| 2021 June | 32 | 18 | 50 |
| 2021 May | 46 | 48 | 94 |
| 2021 April | 120 | 96 | 216 |
| 2021 March | 67 | 32 | 99 |
| 2021 February | 57 | 26 | 83 |
| 2021 January | 46 | 23 | 69 |
| 2020 December | 46 | 14 | 60 |
| 2020 November | 35 | 16 | 51 |
| 2020 October | 43 | 32 | 75 |
| 2020 September | 44 | 28 | 72 |
| 2020 August | 35 | 27 | 62 |
| 2020 July | 45 | 22 | 67 |
| 2020 June | 38 | 19 | 57 |
| 2020 May | 38 | 17 | 55 |
| 2020 April | 39 | 15 | 54 |
| 2020 March | 31 | 13 | 44 |
| 2020 February | 65 | 27 | 92 |
| 2020 January | 36 | 16 | 52 |
| 2019 December | 46 | 26 | 72 |
| 2019 November | 37 | 23 | 60 |
| 2019 October | 38 | 13 | 51 |
| 2019 September | 0 | 0 | 0 |
| 2019 August | 0 | 0 | 0 |
| 2019 May | 0 | 9 | 9 |
| 2019 April | 0 | 2 | 2 |
Show all
