array:24 [
  "pii" => "S0210569116302625"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2016.11.008"
  "estado" => "S300"
  "fechaPublicacion" => "2017-04-01"
  "aid" => "1010"
  "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2017;41:197"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2403
    "formatos" => array:3 [
      "EPUB" => 164
      "HTML" => 1192
      "PDF" => 1047
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572717300553"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2016.11.006"
      "estado" => "S300"
      "fechaPublicacion" => "2017-04-01"
      "aid" => "1010"
      "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 0
      "subdocumento" => "cor"
      "cita" => "Med Intensiva. 2017;41:197"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1425
        "formatos" => array:3 [
          "EPUB" => 153
          "HTML" => 686
          "PDF" => 586
        ]
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
        "titulo" => "Lung ultrasound and echocardiography&#58; A useful duet"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "197"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Ecograf&#237;a pulmonar y ecocardiograf&#237;a&#58; un d&#250;o &#250;til"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "P&#46; Blanco"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Blanco"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0210569116302625"
          "doi" => "10.1016/j.medin.2016.11.008"
          "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/S0210569116302625?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300553?idApp=WMIE"
      "url" => "/21735727/0000004100000003/v1_201704120039/S2173572717300553/v1_201704120039/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0210569117300244"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2016.12.008"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1023"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2017;41:198"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2237
      "formatos" => array:3 [
        "EPUB" => 156
        "HTML" => 1086
        "PDF" => 995
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Diastolic dysfunction in the critically ill patient&#46; Response from the authors"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "198"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Disfunci&#243;n diast&#243;lica en el paciente cr&#237;tico&#46; Respuesta de los autores"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Carlos Su&#225;rez, P&#46; L&#243;pez, J&#46; Mancebo, L&#46; Zapata"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "J&#46; Carlos"
              "apellidos" => "Su&#225;rez"
            ]
            1 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "L&#243;pez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Mancebo"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Zapata"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572717300565"
        "doi" => "10.1016/j.medine.2016.12.001"
        "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/S2173572717300565?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117300244?idApp=WMIE"
    "url" => "/02105691/0000004100000003/v1_201703290106/S0210569117300244/v1_201703290106/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569116300031"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2016.02.011"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "906"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2017;41:193-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5917
      "formatos" => array:3 [
        "EPUB" => 191
        "HTML" => 4232
        "PDF" => 1494
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
      "titulo" => "Sedaci&#243;n cooperativa&#58; opci&#243;n para el manejo de la agitaci&#243;n en el traumatismo craneoencef&#225;lico moderado"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "193"
          "paginaFinal" => "196"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cooperative sedation&#58; An option for the management of agitation in moderate traumatic brain injury"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 3191
              "Ancho" => 2538
              "Tamanyo" => 362740
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Protocolo para la utilizaci&#243;n de dexmedetomidina&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46;A&#46; Godoy, K&#46; Tolosa, S&#46; Lubillo-Montenegro, F&#46; Murillo-Cabezas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "D&#46;A&#46;"
              "apellidos" => "Godoy"
            ]
            1 => array:2 [
              "nombre" => "K&#46;"
              "apellidos" => "Tolosa"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Lubillo-Montenegro"
            ]
            3 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Murillo-Cabezas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572717300358"
        "doi" => "10.1016/j.medine.2017.03.002"
        "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/S2173572717300358?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116300031?idApp=WMIE"
    "url" => "/02105691/0000004100000003/v1_201703290106/S0210569116300031/v1_201703290106/es/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Lung ultrasound and echocardiography&#58; A useful duet"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "197"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "P&#46; Blanco"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "P&#46;"
            "apellidos" => "Blanco"
            "email" => array:1 [
              0 => "ohtusabes&#64;gmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Intensive Care Unit&#44; Cl&#237;nica Cruz Azul&#44; Necochea&#44; Argentina"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Ecograf&#237;a pulmonar y ecocardiograf&#237;a&#58; un d&#250;o &#250;til"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I read the thoroughly written article of Su&#225;rez et al&#46; regarding the evaluation of diastolic function and dysfunction in the critically ill patient&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> Intensivists will greatly benefit from applying these concepts to the individual patient at the bedside&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">From a practical perspective&#44; it is interesting to note that evaluating the diastolic dysfunction or&#44; in clearer words based on clinical importance&#44; determining the elevation of left ventricle filling pressures &#40;left atrial pressure in practice&#41;&#44; many times involve many gray or confounding circumstances that preclude its correct diagnosis&#46; For example&#44; this is the case for young patients with supernormal mitral inflow patterns&#44; normal LA volumes despite high LV filling pressures as seen in some patients&#44; acute or chronic severe mitral or aortic valvulopathy&#44; tachyarrhythmia and bradyarrhythmia&#44; improper insonation windows or an incorrect technique&#44; just to mention the most common scenarios&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In all cases&#44; integrating the lung ultrasound to the echocardiogram to complete the evaluation of filling pressures needs to be considered&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> This is simply based on determining the presence and amount of B lines as an indicator of extravascular lung water status &#40;lung edema&#41; and pleural effusions as an indicator of sodium and water retention &#40;hypervolemia&#41;&#46; This does not require sophisticated software or a prolonged learning curve<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> and is performed in a few minutes with the same phased-array transducer and the preset values used when performing the echocardiogram&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> Besides adding data regarding the status of filling pressures&#44; this is also really interesting when planning therapeutic approaches&#46; For example&#44; a patient with pleural effusions and diffuse B lines in context of high filling pressures is best managed adding diuretics to treatment in contrast to the typical patient with acute hypertensive cardiogenic pulmonary edema crisis&#44; that most of the times is not hypervolemic &#40;e&#46;g&#46; usually lacks pleural effusions&#41; and is predominantly best managed with afterload reduction such as nitrates and&#47;or positive pressure ventilation&#46; This concept can also be applied to a tailored approach of the ultrafiltration volumes in critically ill patients undergoing hemodialysis&#44; reducing or increasing volumes based on the degree of B lines and pleural effusions&#46; In other cases&#44; such as septic patients&#44; when filling pressures are in doubt through transthoracic echocardiogram and predicting fluid responsiveness is not clear &#40;as usually happens in the trenches&#41;&#44; the variation in the number of B lines after a mini-fluid challenge is a useful bedside parameter to guide further fluid therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although B lines and pleural effusions are also seen in pure non-cardiogenic pulmonary edema &#40;i&#46;e&#46; low or normal LV filling pressures&#41; as well as in other conditions such as interstitial lung diseases&#44; their presence&#44; correlating with the whole clinical picture and a focused echocardiogram&#44; allows for the practical intensivist to approach the diagnosis and treatment of filling pressures easily and more accurately&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diastolic dysfunction in the critically ill patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;C&#46; Su&#225;rez"
                            1 => "P&#46; L&#243;pez"
                            2 => "L&#46; Mancebo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2016.06.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2016"
                        "volumen" => "40"
                        "paginaInicial" => "499"
                        "paginaFinal" => "510"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27569679"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary edema assessed by ultrasound&#58; impact in cardiology and intensive care practice"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;A&#46; Blanco"
                            1 => "T&#46;F&#46; Cianciulli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/echo.13182"
                      "Revista" => array:6 [
                        "tituloSerie" => "Echocardiography"
                        "fecha" => "2016"
                        "volumen" => "33"
                        "paginaInicial" => "778"
                        "paginaFinal" => "787"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26841270"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "International evidence-based recommendations for point-of-care lung ultrasound"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Volpicelli"
                            1 => "M&#46; Elbarbary"
                            2 => "M&#46; Blaivas"
                            3 => "D&#46;A&#46; Lichtenstein"
                            4 => "G&#46; Mathis"
                            5 => "A&#46;W&#46; Kirkpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-012-2513-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2012"
                        "volumen" => "38"
                        "paginaInicial" => "577"
                        "paginaFinal" => "591"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22392031"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound in the critically ill"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;A&#46; Lichtestein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2110-5820-4-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intensive Care"
                        "fecha" => "2014"
                        "volumen" => "4"
                        "paginaInicial" => "1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24401163"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673606683979"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack275566"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">This work has not been presented at any conferences&#46; This work has not been supported by any grants&#46; The author would like to thank Mrs&#46; Julieta Vigna for the language guidance&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004100000003/v1_201703290106/S0210569116302625/v1_201703290106/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "18743"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al Director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004100000003/v1_201703290106/S0210569116302625/v1_201703290106/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116302625?idApp=WMIE"
]
Compartir
Información de la revista

Estadísticas

Siga este enlace para acceder al texto completo del artículo

Letter to the Editor
Lung ultrasound and echocardiography: A useful duet
Ecografía pulmonar y ecocardiografía: un dúo útil
P. Blanco
Intensive Care Unit, Clínica Cruz Azul, Necochea, Argentina
Leído
6959
Veces
se ha leído el artículo
3403
Total PDF
3556
Total HTML
Compartir estadísticas
 array:24 [
  "pii" => "S0210569116302625"
  "issn" => "02105691"
  "doi" => "10.1016/j.medin.2016.11.008"
  "estado" => "S300"
  "fechaPublicacion" => "2017-04-01"
  "aid" => "1010"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
  "copyrightAnyo" => "2016"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2017;41:197"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 2403
    "formatos" => array:3 [
      "EPUB" => 164
      "HTML" => 1192
      "PDF" => 1047
    ]
  ]
  "Traduccion" => array:1 [
    "en" => array:19 [
      "pii" => "S2173572717300553"
      "issn" => "21735727"
      "doi" => "10.1016/j.medine.2016.11.006"
      "estado" => "S300"
      "fechaPublicacion" => "2017-04-01"
      "aid" => "1010"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 0
      "subdocumento" => "cor"
      "cita" => "Med Intensiva. 2017;41:197"
      "abierto" => array:3 [
        "ES" => true
        "ES2" => true
        "LATM" => true
      ]
      "gratuito" => true
      "lecturas" => array:2 [
        "total" => 1425
        "formatos" => array:3 [
          "EPUB" => 153
          "HTML" => 686
          "PDF" => 586
        ]
      ]
      "en" => array:10 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
        "titulo" => "Lung ultrasound and echocardiography&#58; A useful duet"
        "tienePdf" => "en"
        "tieneTextoCompleto" => "en"
        "paginas" => array:1 [
          0 => array:1 [
            "paginaInicial" => "197"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "es" => array:1 [
            "titulo" => "Ecograf&#237;a pulmonar y ecocardiograf&#237;a&#58; un d&#250;o &#250;til"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "en" => true
        ]
        "contienePdf" => array:1 [
          "en" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "P&#46; Blanco"
            "autores" => array:1 [
              0 => array:2 [
                "nombre" => "P&#46;"
                "apellidos" => "Blanco"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "en"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S0210569116302625"
          "doi" => "10.1016/j.medin.2016.11.008"
          "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/S0210569116302625?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572717300553?idApp=WMIE"
      "url" => "/21735727/0000004100000003/v1_201704120039/S2173572717300553/v1_201704120039/en/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S0210569117300244"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2016.12.008"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "1023"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2017;41:198"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 2237
      "formatos" => array:3 [
        "EPUB" => 156
        "HTML" => 1086
        "PDF" => 995
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Diastolic dysfunction in the critically ill patient&#46; Response from the authors"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:1 [
          "paginaInicial" => "198"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Disfunci&#243;n diast&#243;lica en el paciente cr&#237;tico&#46; Respuesta de los autores"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46; Carlos Su&#225;rez, P&#46; L&#243;pez, J&#46; Mancebo, L&#46; Zapata"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "J&#46; Carlos"
              "apellidos" => "Su&#225;rez"
            ]
            1 => array:2 [
              "nombre" => "P&#46;"
              "apellidos" => "L&#243;pez"
            ]
            2 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Mancebo"
            ]
            3 => array:2 [
              "nombre" => "L&#46;"
              "apellidos" => "Zapata"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572717300565"
        "doi" => "10.1016/j.medine.2016.12.001"
        "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/S2173572717300565?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117300244?idApp=WMIE"
    "url" => "/02105691/0000004100000003/v1_201703290106/S0210569117300244/v1_201703290106/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S0210569116300031"
    "issn" => "02105691"
    "doi" => "10.1016/j.medin.2016.02.011"
    "estado" => "S300"
    "fechaPublicacion" => "2017-04-01"
    "aid" => "906"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "crp"
    "cita" => "Med Intensiva. 2017;41:193-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 5917
      "formatos" => array:3 [
        "EPUB" => 191
        "HTML" => 4232
        "PDF" => 1494
      ]
    ]
    "es" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta cient&#237;fica</span>"
      "titulo" => "Sedaci&#243;n cooperativa&#58; opci&#243;n para el manejo de la agitaci&#243;n en el traumatismo craneoencef&#225;lico moderado"
      "tienePdf" => "es"
      "tieneTextoCompleto" => "es"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "193"
          "paginaFinal" => "196"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Cooperative sedation&#58; An option for the management of agitation in moderate traumatic brain injury"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "es" => true
      ]
      "contienePdf" => array:1 [
        "es" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 3191
              "Ancho" => 2538
              "Tamanyo" => 362740
            ]
          ]
          "descripcion" => array:1 [
            "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Protocolo para la utilizaci&#243;n de dexmedetomidina&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "D&#46;A&#46; Godoy, K&#46; Tolosa, S&#46; Lubillo-Montenegro, F&#46; Murillo-Cabezas"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "D&#46;A&#46;"
              "apellidos" => "Godoy"
            ]
            1 => array:2 [
              "nombre" => "K&#46;"
              "apellidos" => "Tolosa"
            ]
            2 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Lubillo-Montenegro"
            ]
            3 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Murillo-Cabezas"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173572717300358"
        "doi" => "10.1016/j.medine.2017.03.002"
        "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/S2173572717300358?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116300031?idApp=WMIE"
    "url" => "/02105691/0000004100000003/v1_201703290106/S0210569116300031/v1_201703290106/es/main.assets"
  ]
  "en" => array:13 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "Lung ultrasound and echocardiography&#58; A useful duet"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#44;"
    "paginas" => array:1 [
      0 => array:1 [
        "paginaInicial" => "197"
      ]
    ]
    "autores" => array:1 [
      0 => array:3 [
        "autoresLista" => "P&#46; Blanco"
        "autores" => array:1 [
          0 => array:3 [
            "nombre" => "P&#46;"
            "apellidos" => "Blanco"
            "email" => array:1 [
              0 => "ohtusabes&#64;gmail&#46;com"
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:2 [
            "entidad" => "Intensive Care Unit&#44; Cl&#237;nica Cruz Azul&#44; Necochea&#44; Argentina"
            "identificador" => "aff0005"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Ecograf&#237;a pulmonar y ecocardiograf&#237;a&#58; un d&#250;o &#250;til"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I read the thoroughly written article of Su&#225;rez et al&#46; regarding the evaluation of diastolic function and dysfunction in the critically ill patient&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> Intensivists will greatly benefit from applying these concepts to the individual patient at the bedside&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">From a practical perspective&#44; it is interesting to note that evaluating the diastolic dysfunction or&#44; in clearer words based on clinical importance&#44; determining the elevation of left ventricle filling pressures &#40;left atrial pressure in practice&#41;&#44; many times involve many gray or confounding circumstances that preclude its correct diagnosis&#46; For example&#44; this is the case for young patients with supernormal mitral inflow patterns&#44; normal LA volumes despite high LV filling pressures as seen in some patients&#44; acute or chronic severe mitral or aortic valvulopathy&#44; tachyarrhythmia and bradyarrhythmia&#44; improper insonation windows or an incorrect technique&#44; just to mention the most common scenarios&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">In all cases&#44; integrating the lung ultrasound to the echocardiogram to complete the evaluation of filling pressures needs to be considered&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> This is simply based on determining the presence and amount of B lines as an indicator of extravascular lung water status &#40;lung edema&#41; and pleural effusions as an indicator of sodium and water retention &#40;hypervolemia&#41;&#46; This does not require sophisticated software or a prolonged learning curve<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> and is performed in a few minutes with the same phased-array transducer and the preset values used when performing the echocardiogram&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> Besides adding data regarding the status of filling pressures&#44; this is also really interesting when planning therapeutic approaches&#46; For example&#44; a patient with pleural effusions and diffuse B lines in context of high filling pressures is best managed adding diuretics to treatment in contrast to the typical patient with acute hypertensive cardiogenic pulmonary edema crisis&#44; that most of the times is not hypervolemic &#40;e&#46;g&#46; usually lacks pleural effusions&#41; and is predominantly best managed with afterload reduction such as nitrates and&#47;or positive pressure ventilation&#46; This concept can also be applied to a tailored approach of the ultrafiltration volumes in critically ill patients undergoing hemodialysis&#44; reducing or increasing volumes based on the degree of B lines and pleural effusions&#46; In other cases&#44; such as septic patients&#44; when filling pressures are in doubt through transthoracic echocardiogram and predicting fluid responsiveness is not clear &#40;as usually happens in the trenches&#41;&#44; the variation in the number of B lines after a mini-fluid challenge is a useful bedside parameter to guide further fluid therapy&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Although B lines and pleural effusions are also seen in pure non-cardiogenic pulmonary edema &#40;i&#46;e&#46; low or normal LV filling pressures&#41; as well as in other conditions such as interstitial lung diseases&#44; their presence&#44; correlating with the whole clinical picture and a focused echocardiogram&#44; allows for the practical intensivist to approach the diagnosis and treatment of filling pressures easily and more accurately&#46;</p></span>"
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:4 [
            0 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diastolic dysfunction in the critically ill patient"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;C&#46; Su&#225;rez"
                            1 => "P&#46; L&#243;pez"
                            2 => "L&#46; Mancebo"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2016.06.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2016"
                        "volumen" => "40"
                        "paginaInicial" => "499"
                        "paginaFinal" => "510"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27569679"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pulmonary edema assessed by ultrasound&#58; impact in cardiology and intensive care practice"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "P&#46;A&#46; Blanco"
                            1 => "T&#46;F&#46; Cianciulli"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/echo.13182"
                      "Revista" => array:6 [
                        "tituloSerie" => "Echocardiography"
                        "fecha" => "2016"
                        "volumen" => "33"
                        "paginaInicial" => "778"
                        "paginaFinal" => "787"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26841270"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "International evidence-based recommendations for point-of-care lung ultrasound"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Volpicelli"
                            1 => "M&#46; Elbarbary"
                            2 => "M&#46; Blaivas"
                            3 => "D&#46;A&#46; Lichtenstein"
                            4 => "G&#46; Mathis"
                            5 => "A&#46;W&#46; Kirkpatrick"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s00134-012-2513-4"
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "2012"
                        "volumen" => "38"
                        "paginaInicial" => "577"
                        "paginaFinal" => "591"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22392031"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lung ultrasound in the critically ill"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;A&#46; Lichtestein"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/2110-5820-4-1"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intensive Care"
                        "fecha" => "2014"
                        "volumen" => "4"
                        "paginaInicial" => "1"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24401163"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673606683979"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack275566"
        "titulo" => "Acknowledgments"
        "texto" => "<p id="par0025" class="elsevierStylePara elsevierViewall">This work has not been presented at any conferences&#46; This work has not been supported by any grants&#46; The author would like to thank Mrs&#46; Julieta Vigna for the language guidance&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/02105691/0000004100000003/v1_201703290106/S0210569116302625/v1_201703290106/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "18743"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Cartas al Director"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/02105691/0000004100000003/v1_201703290106/S0210569116302625/v1_201703290106/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569116302625?idApp=WMIE"
]
Información del artículo
ISSN: 02105691
Idioma original: Inglés
Datos actualizados diariamente
año/Mes Html Pdf Total
2024 Noviembre 4 6 10
2024 Octubre 42 55 97
2024 Septiembre 40 25 65
2024 Agosto 64 44 108
2024 Julio 30 25 55
2024 Junio 54 55 109
2024 Mayo 42 31 73
2024 Abril 43 47 90
2024 Marzo 56 28 84
2024 Febrero 42 44 86
2024 Enero 40 33 73
2023 Diciembre 38 38 76
2023 Noviembre 37 33 70
2023 Octubre 41 31 72
2023 Septiembre 45 46 91
2023 Agosto 21 24 45
2023 Julio 42 39 81
2023 Junio 29 18 47
2023 Mayo 34 30 64
2023 Abril 30 26 56
2023 Marzo 31 32 63
2023 Febrero 29 37 66
2023 Enero 23 28 51
2022 Diciembre 39 53 92
2022 Noviembre 35 50 85
2022 Octubre 51 55 106
2022 Septiembre 47 51 98
2022 Agosto 38 59 97
2022 Julio 27 43 70
2022 Junio 31 34 65
2022 Mayo 33 59 92
2022 Abril 39 61 100
2022 Marzo 37 82 119
2022 Febrero 37 42 79
2022 Enero 30 55 85
2021 Diciembre 34 56 90
2021 Noviembre 42 61 103
2021 Octubre 51 84 135
2021 Septiembre 38 51 89
2021 Agosto 46 59 105
2021 Julio 34 54 88
2021 Junio 43 43 86
2021 Mayo 75 69 144
2021 Abril 148 83 231
2021 Marzo 109 36 145
2021 Febrero 55 31 86
2021 Enero 61 32 93
2020 Diciembre 33 20 53
2020 Noviembre 40 25 65
2020 Octubre 45 40 85
2020 Septiembre 33 20 53
2020 Agosto 24 23 47
2020 Julio 25 30 55
2020 Junio 28 31 59
2020 Mayo 30 28 58
2020 Abril 32 26 58
2020 Marzo 25 27 52
2020 Febrero 47 31 78
2020 Enero 29 38 67
2019 Diciembre 24 33 57
2019 Noviembre 32 22 54
2019 Octubre 36 35 71
2019 Septiembre 21 27 48
2019 Agosto 37 26 63
2019 Julio 30 30 60
2019 Junio 19 29 48
2019 Mayo 43 90 133
2019 Abril 12 39 51
2019 Marzo 29 54 83
2019 Febrero 28 41 69
2019 Enero 24 33 57
2018 Diciembre 31 65 96
2018 Noviembre 76 92 168
2018 Octubre 70 15 85
2018 Septiembre 39 17 56
2018 Agosto 24 26 50
2018 Julio 26 16 42
2018 Junio 47 15 62
2018 Mayo 23 12 35
2018 Abril 37 13 50
2018 Marzo 47 25 72
2018 Febrero 24 15 39
2018 Enero 63 35 98
2017 Diciembre 48 20 68
2017 Noviembre 29 21 50
2017 Octubre 34 14 48
2017 Septiembre 31 18 49
2017 Agosto 38 14 52
2017 Julio 42 21 63
2017 Junio 22 13 35
2017 Mayo 14 19 33
2017 Abril 24 26 50
2017 Marzo 4 10 14
2017 Febrero 0 5 5
Mostrar todo

Siga este enlace para acceder al texto completo del artículo

Idiomas
Medicina Intensiva
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

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