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Barotrauma y ventilación mecánica en pacientes críticos COVID-19 COVID-19危重患者气压创伤与机械通气
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/99457
M. A. Bolívar-Rodríguez, Juan Carlos Martínez-Nava, Adrián Pamanes-Lozano, M. A. Cázarez-Aguilar, Víctor Elier Quiroga-Arias, Andrea Bolívar-Corona
{"title":"Barotrauma y ventilación mecánica en pacientes críticos COVID-19","authors":"M. A. Bolívar-Rodríguez, Juan Carlos Martínez-Nava, Adrián Pamanes-Lozano, M. A. Cázarez-Aguilar, Víctor Elier Quiroga-Arias, Andrea Bolívar-Corona","doi":"10.35366/99457","DOIUrl":"https://doi.org/10.35366/99457","url":null,"abstract":". Manifestations of SARS-CoV-2 pneumonia can rapidly progress to acute respiratory failure and acute respiratory distress syndrome that should receive timely ventilatory support invasive mechanical ventilation. Barotrauma is a complication that should be considered in this type of patient due to the risk of worsening the clinical course, increasing mortality risk. The mechanism of how barotrauma occurs in COVID-19 patient is related to lung damage associated with mechanical ventilation and structural changes caused by COVID-19 complications. Worldwide evidence on therapeutic management on barotrauma in COVID-19 patient is limited. Clinical evolution should be monitored due to the possibility of cardiovascular and respiratory complications, which must be resolved in a timely manner. The objective of this review is to inform about the current knowledge described in literature of this complication in COVID-19 patients, its incidence, pathophysiology, diagnosis, treatment and prognosis. Conclusions: Barotrauma presentation frequency increases in COVID-19 infected patients. Clinical manifestations can be nonspecific, so the diagnosis should have high suspicion. There is little evidence to date of pulmonary","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130987605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Síndrome de fuga aérea torácica por enfermedad de injerto contra huésped posterior a trasplante alogénico de médula ósea 同种异体骨髓移植后移植物抗宿主病引起的胸腔漏气综合征
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/100993
Manuel Solano-Genesta, Yunuen García-Valadez, Martha Georgina Álvarez-González, Cristina Alejandra Luna-González, Alexandra Díaz-Alba, Jorge Jiménez-Tornero, Johana Jazer Garnica-Vázquez, Leonor Rojas, Luis Alberto García-González, Francisco José Anaya-Gómez, Jesús Márquez-Barajas, Felipe de Jesús Contreras-Rodríguez, Raúl Enrique Montero-Ureña
{"title":"Síndrome de fuga aérea torácica por enfermedad de injerto contra huésped posterior a trasplante alogénico de médula ósea","authors":"Manuel Solano-Genesta, Yunuen García-Valadez, Martha Georgina Álvarez-González, Cristina Alejandra Luna-González, Alexandra Díaz-Alba, Jorge Jiménez-Tornero, Johana Jazer Garnica-Vázquez, Leonor Rojas, Luis Alberto García-González, Francisco José Anaya-Gómez, Jesús Márquez-Barajas, Felipe de Jesús Contreras-Rodríguez, Raúl Enrique Montero-Ureña","doi":"10.35366/100993","DOIUrl":"https://doi.org/10.35366/100993","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130664830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quiste tímico inusual de mediastino posterior en un paciente con neurofibromatosis 神经纤维瘤患者不寻常的后纵隔胸腺囊肿
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/96652
Eric Narciso-Dircio, L. D. Valencia-Sánchez, Juan Carlos Vázquez-Minero
{"title":"Quiste tímico inusual de mediastino posterior en un paciente con neurofibromatosis","authors":"Eric Narciso-Dircio, L. D. Valencia-Sánchez, Juan Carlos Vázquez-Minero","doi":"10.35366/96652","DOIUrl":"https://doi.org/10.35366/96652","url":null,"abstract":". Thymus tumors are the most frequent in the anterior mediastinum. Congenital mediastinal cysts occur 3 to 6%. Their posterior location is extremely rare, and therefore the clinic that accompanies them; however, it should be considered among the differential diagnoses, as is the case in the case presented below in a patient with a history of neurofibromatosis in a reference institute. This is a 53-year-old woman with a posterior mediastinal cyst, undergoing thoracotomy resection, which in the definitive pathology study was a thymic cyst, with good results and with follow-up without recurrence.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127013545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fisiología respiratoria: flujo nasal, hiposmia y SARS-CoV-2 呼吸生理学:鼻流、少血和SARS-CoV-2
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/100998
Esteban Vergara-de la Rosa, Jose Galvez-Olortegui
{"title":"Fisiología respiratoria: flujo nasal, hiposmia y SARS-CoV-2","authors":"Esteban Vergara-de la Rosa, Jose Galvez-Olortegui","doi":"10.35366/100998","DOIUrl":"https://doi.org/10.35366/100998","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"259 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122928011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflexiones sobre la práctica actual de la medicina 对当前医学实践的反思
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/108499
Antonio Soda-Merhy
{"title":"Reflexiones sobre la práctica actual de la medicina","authors":"Antonio Soda-Merhy","doi":"10.35366/108499","DOIUrl":"https://doi.org/10.35366/108499","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"430 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115933508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilidad de la biopsia pulmonar transtorácica con aguja de Tru-cut y de Chiba en el mismo paciente, guiadas por TC para el diagnóstico de tumoración pulmonar periférica 在ct引导下，trucut和千叶经胸肺活检在同一患者诊断外周肺肿瘤中的应用
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/NT192A
E. Camacho, Martha Edith Cancino Marentes, César Rodríguez Cruz, César Aguilar Zaragoza, Yesenia Romero Casillas, Priscilla Gutiérrez de la Cruz
{"title":"Utilidad de la biopsia pulmonar transtorácica con aguja de Tru-cut y de Chiba en el mismo paciente, guiadas por TC para el diagnóstico de tumoración pulmonar periférica","authors":"E. Camacho, Martha Edith Cancino Marentes, César Rodríguez Cruz, César Aguilar Zaragoza, Yesenia Romero Casillas, Priscilla Gutiérrez de la Cruz","doi":"10.35366/NT192A","DOIUrl":"https://doi.org/10.35366/NT192A","url":null,"abstract":"La biopsia pulmonar transtoracica con aguja fina tipo Chiba o gruesa y cortante tipo Tru-cut, guiadas mediante tomografia computada de torax, son empleadas para el diagnostico de lesion pulmonar periferica. Objetivo: Comparar la certeza diagnostica de la biopsia pulmonar transtoracica, con ambas agujas en el mismo paciente, y evaluar si la combinacion mejora la certeza diagnostica sin aumentar las complicaciones. Material y metodos: De abril del 2013 a abril del 2016 en un hospital de segundo nivel de atencion se estudiaron 49 pacientes adultos con lesion pulmonar periferica, con guia de tomografia computada, se tomaron biopsias con aguja de Chiba, seguida de Tru-cut, las cuales fueron analizadas por dos patologos distintos. Resultados: Se eliminaron 2 pacientes por no tener resultados completos. De los 47 estudiados, 34 (72%) fueron del genero masculino y 13 (28%) del femenino, edad de 42 a 86 y media 68.9 anos. Con la tecnica de Chiba se diagnostico el 95% de los pacientes; 41 malignos, 4 benignos y 2 falsos negativos que requirieron cirugia menor en quirofano (toracoscopia y minitoracotomia) para su diagnostico. Con la de Tru-cut el 87%: 38 malignos, 9 negativos a malignidad: 9 benignos (en 2 de ellos fueron malignos con Chiba) y 5 falsos negativos (3 diagnosticados con Chiba y las 2 de cirugia menor); y 4 patologias benignas (2 infecciosas, 1 hamartoma y 1 atelectasia pulmonar). Las estirpes histologicas mas frecuentes con ambas tecnicas fueron epidermoide y adenocarcinoma. Las causas benignas fueron hamartoma, infecciosa y atelectasia pulmonar. Chiba reporto sensibilidad 0.95, especificidad 1, VPP1, VPN 0.66, falsos negativos 0.04. Mientras que la de Tru-cut fue de 0.89, 1.1, 0.44 y 0.11, respectivamente. Con ninguna tecnica hubo falsos positivos. La principal complicacion fue neumotorax. Conclusiones: La aguja de Chiba fue discretamente superior que Tru-cut en","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116023487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mujer de 91 años con obstrucción esofágica por divertículo de Zenker 91岁女性，Zenker憩室食管梗阻
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/nt194f
Rodrigo Barbosa-Villaça, Raister Roseake Maia Santos-Carvalho, Renata Gizani-de Moura Leite, Vitorino Modesto-Santos
{"title":"Mujer de 91 años con obstrucción esofágica por divertículo de Zenker","authors":"Rodrigo Barbosa-Villaça, Raister Roseake Maia Santos-Carvalho, Renata Gizani-de Moura Leite, Vitorino Modesto-Santos","doi":"10.35366/nt194f","DOIUrl":"https://doi.org/10.35366/nt194f","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116796959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La neumología en tiempos de COVID COVID - 19时期的肺炎学
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/102475
Jesús Vázquez-Cortés
{"title":"La neumología en tiempos de COVID","authors":"Jesús Vázquez-Cortés","doi":"10.35366/102475","DOIUrl":"https://doi.org/10.35366/102475","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125387429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dr. Richard W Light, in memoriam. A un año de su partida 纪念理查德·W·莱特博士。A un año de su partida
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/111096
J. L. Sandoval-Gutiérrez
{"title":"Dr. Richard W Light, in memoriam. A un año de su partida","authors":"J. L. Sandoval-Gutiérrez","doi":"10.35366/111096","DOIUrl":"https://doi.org/10.35366/111096","url":null,"abstract":"","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121224466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prueba cardiopulmonar de ejercicio. Recomendaciones y procedimiento 心肺运动测试。建议及程序
NCT Neumología y Cirugía de Tórax Pub Date : 1900-01-01 DOI: 10.35366/NTS192K
Silvia Cid-Juárez, José Luis Miguel-Reyes, Arturo Cortés-Telles, Laura Gochicoa-Rangel, Uri Mora-Romero, Mónica Silva-Cerón, Luis Torre-Bouscoulet
{"title":"Prueba cardiopulmonar de ejercicio. Recomendaciones y procedimiento","authors":"Silvia Cid-Juárez, José Luis Miguel-Reyes, Arturo Cortés-Telles, Laura Gochicoa-Rangel, Uri Mora-Romero, Mónica Silva-Cerón, Luis Torre-Bouscoulet","doi":"10.35366/NTS192K","DOIUrl":"https://doi.org/10.35366/NTS192K","url":null,"abstract":"Cardiopulmonary exercise testing (CPET) makes it possible to evaluate, simultaneously, the physiological integration of the cardiovascular, respiratory, metabolic, musculoskeletal and neurosensory systems during exercise. CPET provides a physiological response profi le that is useful for diagnosis and follow-up of patients in diverse clinical scenarios. Technological advances have facilitated the performance and interpretation of this test; however, in Mexico it is still little-utilized, in part because it is not widely-known. The objectives of this document are, fi rst, to present a general view of the practical aspects of CPET to pneumologists and the medical community as a whole, and, second, to describe the standard procedure for successful test performance. Finally, the text elucidates basic aspects of the interpretation of test results.","PeriodicalId":246416,"journal":{"name":"NCT Neumología y Cirugía de Tórax","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116378945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
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