Images in Intensive Medicine
Endobronchial treatment of persistent pneumothorax in acute respiratory distress syndrome
Tratamiento endobronquial de neumotórax persistente en síndrome de dificultad respiratoria aguda
J. Tejero Aranguren
, F. Ruiz Ferrón, M. Colmenero Ruiz
Corresponding author
Servicio de Medicina Intensiva, Hospital Universitario San Cecilio, Granada, Spain
Read
3383
Timeswas read the article
1578
Total PDF
1805
Total HTML
Share statistics
array:24 [ "pii" => "S2173572719301389" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.06.011" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1309" "copyright" => "The Author(s)" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:516" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2 "HTML" => 2 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S0210569119300324" "issn" => "02105691" "doi" => "10.1016/j.medin.2019.01.005" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1309" "copyright" => "The Author(s)" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:516" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1700 "formatos" => array:3 [ "EPUB" => 175 "HTML" => 1131 "PDF" => 394 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imágenes en Medicina Intensiva</span>" "titulo" => "Tratamiento endobronquial de neumotórax persistente en síndrome de dificultad respiratoria aguda" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "516" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Endobronchial treatment of persistent pneumothorax in acute respiratory distress syndrome" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 497 "Ancho" => 755 "Tamanyo" => 37089 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Tejero Aranguren, F. Ruiz Ferrón, M. Colmenero Ruiz" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Tejero Aranguren" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Ruiz Ferrón" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Colmenero Ruiz" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572719301389" "doi" => "10.1016/j.medine.2019.06.011" "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/S2173572719301389?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119300324?idApp=WMIE" "url" => "/02105691/0000004300000008/v1_201910220814/S0210569119300324/v1_201910220814/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572719301377" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.06.010" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1308" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2019;43:517-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 10 "formatos" => array:2 [ "HTML" => 8 "PDF" => 2 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Pulmonary vein stenosis after valve replacement surgery" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "517" "paginaFinal" => "518" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estenosis de vena pulmonar tras cirugía de reemplazo valvular" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 663 "Ancho" => 900 "Tamanyo" => 153682 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Computed tomography scan reconstruction with contrast: collapse of the right pulmonary vein close to the junction of the right atrium (white arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Sevilla Martínez, A. Fernández Carmona, S. Silvente Fernández" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Sevilla Martínez" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Fernández Carmona" ] 2 => array:2 [ "nombre" => "S." "apellidos" => "Silvente Fernández" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119300312" "doi" => "10.1016/j.medin.2019.01.004" "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/S0210569119300312?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301377?idApp=WMIE" "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301377/v1_201910261026/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173572719301468" "issn" => "21735727" "doi" => "10.1016/j.medine.2019.01.009" "estado" => "S300" "fechaPublicacion" => "2019-11-01" "aid" => "1312" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2019;43:514-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2 "HTML" => 2 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to “Materials engineering, mechanical power, protective ventilation and a parachute”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "514" "paginaFinal" => "515" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a «Ingeniería de materiales, <span class="elsevierStyleItalic">mechanical power</span>, ventilación protectora y una de paracaídas»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "V. Modesto i Alapont, M. Aguar Carrascosa, A. Medina" "autores" => array:3 [ 0 => array:2 [ "nombre" => "V." "apellidos" => "Modesto i Alapont" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Aguar Carrascosa" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Medina" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119300385" "doi" => "10.1016/j.medin.2019.01.007" "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/S0210569119300385?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301468?idApp=WMIE" "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301468/v1_201910261026/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Endobronchial treatment of persistent pneumothorax in acute respiratory distress syndrome" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "516" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Tejero Aranguren, F. Ruiz Ferrón, M. Colmenero Ruiz" "autores" => array:3 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Tejero Aranguren" "email" => array:1 [ 0 => "juliatejero@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Ruiz Ferrón" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Colmenero Ruiz" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario San Cecilio, Granada, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento endobronquial de neumotórax persistente en síndrome de dificultad respiratoria aguda" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 478 "Ancho" => 755 "Tamanyo" => 55237 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Fifty-four-year-old male with esophageal squamous cell carcinoma who underwent a total transhiatal esophagectomy with cervical esophagogastric anastomosis and right thoracotomy. Thirteen (13) days after the surgery, the patient showed anastomosis dehiscence complicated with refractory hypoxemia due to acute respiratory distress syndrome that required ICU admission and mechanical ventilation support. Due to difficulties weaning from mechanical ventilation, after thirty (30) days the patient developed one right pneumothorax that required chest drain (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Yet despite the use of pressure-controlled ventilation (BIPAP 15<span class="elsevierStyleHsp" style=""></span>cmH<span class="elsevierStyleInf">2</span>O, without PEEP), there was a persistent continuous pleural effusion, deep sedation, and change to a larger caliber drain with different levels of aspiration. Since weaning from mechanical ventilation was not possible and given the patient's clinical situation, thoracic surgery was ruled out. One fiberoptic bronchoscopy was performed with one occlusion balloon catheter that confirmed the presence of pleural effusion associated with the right upper lobe of the lung that led to an endobronchial occlusion procedure with valves in the three (3) bronchi of such lobe (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Eventually, this intervention allowed weaning from mechanical ventilation and removing the chest tube.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0010" class="elsevierStylePara elsevierViewall">The authors received no funding whatsoever while conducting this study.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Tejero Aranguren J, Ruiz Ferrón F, Colmenero Ruiz M. Tratamiento endobronquial de neumotórax persistente en síndrome de dificultad respiratoria aguda. Med Intensiva. 2019;43:516.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 497 "Ancho" => 755 "Tamanyo" => 37121 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 478 "Ancho" => 755 "Tamanyo" => 55237 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004300000008/v1_201910261026/S2173572719301389/v1_201910261026/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/21735727/0000004300000008/v1_201910261026/S2173572719301389/v1_201910261026/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719301389?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 6 | 9 |
| 2024 October | 42 | 42 | 84 |
| 2024 September | 47 | 27 | 74 |
| 2024 August | 57 | 42 | 99 |
| 2024 July | 36 | 25 | 61 |
| 2024 June | 61 | 44 | 105 |
| 2024 May | 52 | 32 | 84 |
| 2024 April | 42 | 37 | 79 |
| 2024 March | 32 | 24 | 56 |
| 2024 February | 31 | 34 | 65 |
| 2024 January | 27 | 28 | 55 |
| 2023 December | 30 | 52 | 82 |
| 2023 November | 27 | 38 | 65 |
| 2023 October | 23 | 29 | 52 |
| 2023 September | 29 | 34 | 63 |
| 2023 August | 25 | 28 | 53 |
| 2023 July | 23 | 29 | 52 |
| 2023 June | 29 | 24 | 53 |
| 2023 May | 31 | 43 | 74 |
| 2023 April | 31 | 19 | 50 |
| 2023 March | 26 | 23 | 49 |
| 2023 February | 30 | 28 | 58 |
| 2023 January | 22 | 11 | 33 |
| 2022 December | 43 | 34 | 77 |
| 2022 November | 40 | 33 | 73 |
| 2022 October | 41 | 31 | 72 |
| 2022 September | 39 | 31 | 70 |
| 2022 August | 40 | 38 | 78 |
| 2022 July | 35 | 30 | 65 |
| 2022 June | 27 | 17 | 44 |
| 2022 May | 38 | 30 | 68 |
| 2022 April | 33 | 28 | 61 |
| 2022 March | 38 | 48 | 86 |
| 2022 February | 36 | 29 | 65 |
| 2022 January | 25 | 31 | 56 |
| 2021 December | 45 | 34 | 79 |
| 2021 November | 39 | 30 | 69 |
| 2021 October | 45 | 61 | 106 |
| 2021 September | 26 | 24 | 50 |
| 2021 August | 23 | 31 | 54 |
| 2021 July | 23 | 32 | 55 |
| 2021 June | 34 | 26 | 60 |
| 2021 May | 35 | 44 | 79 |
| 2021 April | 65 | 84 | 149 |
| 2021 March | 44 | 27 | 71 |
| 2021 February | 44 | 19 | 63 |
| 2021 January | 38 | 13 | 51 |
| 2020 December | 35 | 17 | 52 |
| 2020 November | 21 | 13 | 34 |
| 2020 October | 13 | 7 | 20 |
| 2020 July | 14 | 5 | 19 |
| 2020 June | 16 | 11 | 27 |
| 2020 May | 19 | 6 | 25 |
| 2020 April | 21 | 10 | 31 |
| 2020 March | 11 | 3 | 14 |
| 2020 February | 2 | 2 | 4 |
| 2020 January | 1 | 0 | 1 |
Show all
