Images in Intensive Medicine
Alveolar hemorrhage due to cardiac massage
Hemorragia alveolar tras resucitación cardiopulmonar
Adjuntos de la Unidad de Cuidados Intensivos del Hospital Universitario Fundación Jiménez Díaz de Madrid, Spain
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Huelva. Spain. 2013–2018.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Martin-Villen, F. Cabeza-Cabeza, J.J. Egea-Guerrero" "autores" => array:3 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Martin-Villen" ] 1 => array:2 [ "nombre" => "F." "apellidos" => "Cabeza-Cabeza" ] 2 => array:2 [ "nombre" => "J.J." "apellidos" => "Egea-Guerrero" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119302025" "doi" => "10.1016/j.medin.2019.07.016" "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/S0210569119302025?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302322?idApp=WMIE" "url" => "/21735727/0000004400000001/v2_202001222215/S2173572719302322/v2_202001222215/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Alveolar hemorrhage due to cardiac massage" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "64" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Á. Vidal, N. Arias, J.A. Rubio" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Á." "apellidos" => "Vidal" "email" => array:1 [ 0 => "anxelavidal@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Arias" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Rubio" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Adjuntos de la Unidad de Cuidados Intensivos del Hospital Universitario Fundación Jiménez Díaz de Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hemorragia alveolar tras resucitación cardiopulmonar" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 479 "Ancho" => 1410 "Tamanyo" => 85775 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 20-year-old woman without any past medical issues suffered cardio-respiratory arrest in the street. Resuscitation maneuvers were performed for 40<span class="elsevierStyleHsp" style=""></span>min, regaining normal cardiac function. During resuscitation, the patient was intubated using direct laryngoscopy, and airway was clear and unobstructed. Ten minutes after the intubation, however, a large quantity of foamy, serohemorragic fluid emerged from the endotracheal tube.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A CT scan was obtained immediately after arrival to the hospital, showing areas of ground-glass opacification and bilateral alveolar infiltrates (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). Given the results, urgent fibrobronchoscopy was performed, revealing bilateral alveolar hemorrhage in pulmonary bases, whilst the bronchial tree was clear. Autoimmune studies were negative. The patient showed good oxygenation and CO<span class="elsevierStyleInf">2</span> exchange. Twelve days after the cardio-respiratory arrest, a coronary angio-CT was obtained, which ruled out coronary disease as a cause for the arrest. The patient was subsequently diagnosed with wide QT syndrome. In the coronary angio-CT scan, pulmonary parenchyma was normal, with no signs of active hemorrhage or residual blood (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). In the light of these findings, the alveolar hemorrhage was attributed to the cardiac massage received during the cardio-respiratory arrest.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 479 "Ancho" => 1410 "Tamanyo" => 85775 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004400000001/v2_202001222215/S2173572719302462/v2_202001222215/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/21735727/0000004400000001/v2_202001222215/S2173572719302462/v2_202001222215/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572719302462?idApp=WMIE" ]
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