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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Lung pulse visualized through pleural effusion as a diagnostic sign of complete ...
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Vol. 67. Issue 7.
Pages 400-403 (August - September 2020)
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Vol. 67. Issue 7.
Pages 400-403 (August - September 2020)
Case report
Lung pulse visualized through pleural effusion as a diagnostic sign of complete obstructive atelectasis of the left lung in a critical patient with respiratory failure
Pulso pulmonar visualizado a través de derrame pleural como signo diagnóstico de atelectasia obstructiva completa del pulmón izquierdo en paciente crítico con insuficiencia respiratoria
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J.M. Nieves Alonso
Corresponding author
jesusmna@gmail.com

Corresponding author.
, R.M. Méndez Hernández, F. Ramasco Rueda, A. Planas Roca
Servicio de Anestesiología y Reanimación, Hospital Universitario de La Princesa, Madrid, Spain
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Abstract

Complete obstructive atelectasis occurs when mucous or a foreign body obstruct one of the main bronchi. Several different signs on lung ultrasound have been associated with this entity. We describe the case of a patient admitted to the postoperative critical care unit in whom lung ultrasound led to a diagnosis of obstructive atelectasis, and the presence of pleural effusion provided direct vision of the pulmonary pulse, a sign that has only previously been described by interpreting ultrasound artefacts.

Keywords:
Lung ultrasound
Atelectasis
Critical patient
Critical care
Lung pulse
Direct lung pulse
Resumen

La atelectasia obstructiva completa del pulmón es producida por un bloqueo de la conducción del aire a nivel de uno de los bronquios principales por secreciones o cuerpos extraños. Varios signos ecográficos pulmonares se han correlacionado con esta entidad. Describimos el caso de una paciente ingresada en unidad de cuidados críticos posquirúrgicos en el que la ecografía pulmonar llevó al diagnóstico de esta complicación y en el que la presencia de derrame pleural permitió la visualización directa del pulso pulmonar, signo que previamente solo ha sido descrito mediante interpretación de artefactos ecográficos.

Palabras clave:
Ecografía pulmonar
Atelectasia
Paciente crítico
Cuidados críticos
Pulso pulmonar
Pulso pulmonar directo

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