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"apellidos" => "Lucas-Hernández" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Miguel Servet, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Complicación durante una traqueostomía: ligadura de la arteria carótida interna" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 1400 "Tamanyo" => 97687 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT axial cervical slices showing the cervical tumour displacing the airway structures.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 78-year-old woman with a history of stage IV non-Hodgkin follicular B lymphoma with tumour progression. The patient was referred to the Emergency Department for dyspnoea, where she was diagnosed with vocal cord paralysis (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and an emergency tracheostomy was performed. In the operating room, intubation was performed under conscious sedation using fibrobronchoscopy and a number 6 endotracheal tube due to difficult airway. The procedure was uneventful. The surgical procedure was difficult, and the left internal carotid artery was sectioned due to the displacement of anatomical structures. Urgent massive transfusion was needed, the artery was ligated and the tracheostomy was performed. Non-invasive postoperative cerebral oximetry monitoring showed levels of between 60% and 75%, with no abnormalities (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). Due to the significant collateral circulation with reperfusion distal to the mass, the patient recovered from the event with no neurological sequelae, as evidenced by cerebral CT (no signs of ischaemia or clinical symptoms).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Peña-de Buen N, Viguera-Fernández L, Peña-Calvo P, Lucas-Hernández A. Complicación durante una traqueostomía: ligadura de la arteria carótida interna. Rev Esp Anestesiol Reanim. 2018;65:241–242.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 600 "Ancho" => 1400 "Tamanyo" => 97687 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">CT axial cervical slices showing the cervical tumour displacing the airway structures.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 700 "Ancho" => 700 "Tamanyo" => 84509 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">3D CT after the tracheostomy, showing the ligated left internal carotid artery with no vascularisation.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006500000004/v1_201804240407/S234119291830026X/v1_201804240407/en/main.assets" "Apartado" => array:4 [ "identificador" => "74156" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the mont" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006500000004/v1_201804240407/S234119291830026X/v1_201804240407/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119291830026X?idApp=UINPBA00004N" ]
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Complication during tracheostomy: Internal carotid artery ligation
Complicación durante una traqueostomía: ligadura de la arteria carótida interna
N. Peña-de Buen
, L. Viguera-Fernández, P. Peña-Calvo, A. Lucas-Hernández
Corresponding author
Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Miguel Servet, Zaragoza, Spain