Image of the month
Atypical presentation of a pneumothorax after eco-guided venous jugular channeling
Presentación atípica de neumotórax tras canalización venosa yugular ecoguiada
S. Martín-Santiago
, R. García-López, J.A. Reinaldo Lapuerta
Corresponding author
Área de Anestesiología y Reanimación, Agencia Sanitaria Hospital Costa del Sol, Marbella, Málaga, Spain
Read
5
Timeswas read the article
2
Total PDF
3
Total HTML
Share statistics
array:24 [ "pii" => "S2341192919300290" "issn" => "23411929" "doi" => "10.1016/j.redare.2018.11.011" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "989" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2018" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2019;66:174-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0034935618302330" "issn" => "00349356" "doi" => "10.1016/j.redar.2018.11.006" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "989" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2019;66:174-5" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 212 "formatos" => array:2 [ "HTML" => 143 "PDF" => 69 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen del mes</span>" "titulo" => "Presentación atípica de neumotórax tras canalización venosa yugular ecoguiada" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "174" "paginaFinal" => "175" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Atypical presentation of a pneumothorax after ultrasound-guided venous jugular cannulation" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura A" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 389 "Ancho" => 1255 "Tamanyo" => 83056 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A) Radiografía de tórax de control, post-colocación de la vía venosa central: Catéter normo posicionado (flecha), sin evidencia de complicaciones. B) Radiografía de tórax, 4 días tras la canalización de la vía venosa central: Se aprecia ausencia de la trama vascular en la base pulmonar derecha (*). C) TC de tórax sin contraste, 9 días tras la canalización de la vía venosa central: Se evidencia neumotórax derecho de predominio basal con atelectasia basal asociada (*). Grosor máximo de la cámara de neumotórax a nivel anteroinferior menor de 4<span class="elsevierStyleHsp" style=""></span>cm.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "S. Martín-Santiago, R. García-López, J.A. Reinaldo Lapuerta" "autores" => array:3 [ 0 => array:2 [ "nombre" => "S." "apellidos" => "Martín-Santiago" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "García-López" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Reinaldo Lapuerta" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341192919300290" "doi" => "10.1016/j.redare.2018.11.011" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919300290?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935618302330?idApp=UINPBA00004N" "url" => "/00349356/0000006600000003/v1_201902210632/S0034935618302330/v1_201902210632/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341192919300332" "issn" => "23411929" "doi" => "10.1016/j.redare.2019.02.001" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1011" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "err" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2019;66:176" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Erratum</span>" "titulo" => "Erratum to: “APACHE II score for critically ill patients with a solid tumor: A reclassification study”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "176" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fe de errores de: “Escala APACHE II para pacientes críticos con cáncer sólido. Estudio de reclasificación”" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => " F.D.Martos-Benítez, I. Cordero-Escobar, A. Soto-García, I. Betancourt-Plaza, I. González-Martínez" "autores" => array:5 [ 0 => array:1 [ "apellidos" => "F.D.Martos-Benítez" ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Cordero-Escobar" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Soto-García" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Betancourt-Plaza" ] 4 => array:2 [ "nombre" => "I." "apellidos" => "González-Martínez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935619300313" "doi" => "10.1016/j.redar.2019.02.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935619300313?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919300332?idApp=UINPBA00004N" "url" => "/23411929/0000006600000003/v1_201903070610/S2341192919300332/v1_201903070610/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341192919300307" "issn" => "23411929" "doi" => "10.1016/j.redare.2018.12.001" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "988" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2019;66:172-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Intervention to reduce pain in patients with superficial and intermediate second degree burns" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "172" "paginaFinal" => "173" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "A propósito de una intervención para disminuir el dolor a pacientes con quemaduras de segundo grado intermedio-superficiales" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "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" => 864 "Ancho" => 905 "Tamanyo" => 80243 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Enzymatic debridement with Nexobrid<span class="elsevierStyleSup">®</span> in a patient with infraclavicular catheter (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.Á. Luengo-Pastor, R. Guerrero-Domínguez, E.C. Navarro-Suárez, C. Rasero-Moreno" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.Á." "apellidos" => "Luengo-Pastor" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Guerrero-Domínguez" ] 2 => array:2 [ "nombre" => "E.C." "apellidos" => "Navarro-Suárez" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Rasero-Moreno" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935618302329" "doi" => "10.1016/j.redar.2018.12.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935618302329?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919300307?idApp=UINPBA00004N" "url" => "/23411929/0000006600000003/v1_201903070610/S2341192919300307/v1_201903070610/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Atypical presentation of a pneumothorax after eco-guided venous jugular channeling" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "174" "paginaFinal" => "175" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Martín-Santiago, R. García-López, J.A. Reinaldo Lapuerta" "autores" => array:3 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Martín-Santiago" "email" => array:1 [ 0 => "sheyla_ms92@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "R." "apellidos" => "García-López" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Reinaldo Lapuerta" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Área de Anestesiología y Reanimación, Agencia Sanitaria Hospital Costa del Sol, Marbella, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Presentación atípica de neumotórax tras canalización venosa yugular ecoguiada" ] ] "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" => 389 "Ancho" => 1255 "Tamanyo" => 83089 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Follow-up chest radiograph, post-placement of the central venous line: Normally positioned catheter (arrow), without evidence of complications. (B) Chest radiograph, 4 days after central venous cannulation, showing the absence of the vasculataure in the right lung base (*). (B) Chest radiograph, 9 days after central venous cannulation, showing predominantly right basal pneumothorax associated atelectasis (*). Maximum depth of the anterior inferior area of pneumothorax is less than 4<span class="elsevierStyleHsp" style=""></span>cm.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 77-year-old woman, ASA III, with no known respiratory disease and a history of Crohn's disease, presents with ileal abscess and enteral intolerance. A central line is requested for the start of parenteral nutrition.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The right internal jugular vein was cannulated using an ultrasound-guided Seldinger technique without apparent difficulty and without clinical or radiographic signs of complication (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A, black arrow). After 48<span class="elsevierStyleHsp" style=""></span>h, the patient exhibited respiratory symptoms (wheezing), which worsened the following day, with dyspnoea, cough and fever. A chest X-ray requested to study this clinical picture was reported to be normal; however, a right basal pneumothorax had been overlooked. One week after venous cannulation, an abdominal-pelvic CT scan was performed due to the patient's digestive pathology, and right basal pneumothorax was observed in the uppermost slices (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C, asterisk). After reviewing the previous radiograph, the previously undetected pneumothorax was observed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> B, asterisk). Over the next few days, the patient was diagnosed serologically with influenza A 2. Evolution of pneumothorax was favourable with conservative treatment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">It is impossible to know whether the pneumothorax occurred during placement of the central line, or whether it was due to the respiratory comorbidity of the patient. Nevertheless, we must always be mindful of the need for correct diagnosis and proper management.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martín-Santiago S, García-López R, Reinaldo Lapuerta JA. Presentación atípica de neumotórax tras canalización venosa yugular ecoguiada. Rev Esp Anestesiol Reanim. 2019;66:174–175.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 389 "Ancho" => 1255 "Tamanyo" => 83089 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Follow-up chest radiograph, post-placement of the central venous line: Normally positioned catheter (arrow), without evidence of complications. (B) Chest radiograph, 4 days after central venous cannulation, showing the absence of the vasculataure in the right lung base (*). (B) Chest radiograph, 9 days after central venous cannulation, showing predominantly right basal pneumothorax associated atelectasis (*). Maximum depth of the anterior inferior area of pneumothorax is less than 4<span class="elsevierStyleHsp" style=""></span>cm.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006600000003/v1_201903070610/S2341192919300290/v1_201903070610/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006600000003/v1_201903070610/S2341192919300290/v1_201903070610/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919300290?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 3 | 2 | 5 |
