Image of the month
Tension chylothorax in the late postoperative period of left-sided pneumonectomy
Quilotórax a tensión en postoperatorio tardío de neumonectomía izquierda
L.F. Coco
, J.M. Redondo Enríquez, G. Pardo Romero, A. Barba Orejudo
Corresponding author
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital San Pedro de Alcántara, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain
Read
Not available
Timeswas read the article
Total PDF
Total HTML
Share statistics
array:24 [ "pii" => "S234119291930174X" "issn" => "23411929" "doi" => "10.1016/j.redare.2019.07.011" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1060" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "copyrightAnyo" => "2019" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2020;67:49-50" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0034935619301513" "issn" => "00349356" "doi" => "10.1016/j.redar.2019.07.010" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1060" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Anestesiol Reanim. 2020;67:49-50" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 47 "formatos" => array:2 [ "HTML" => 21 "PDF" => 26 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen del mes</span>" "titulo" => "Quilotórax a tensión en postoperatorio tardío de neumonectomía izquierda" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "50" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tension chylothorax in the late postoperative period of left-sided pneumonectomy" ] ] "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" => 710 "Ancho" => 900 "Tamanyo" => 41241 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Radiografía posteroanterior de tórax realizada con aparato de radiología portátil. Se observa completa opacidad del hemitórax izquierdo con desplazamiento de estructuras mediastínicas y corazón hacia la derecha. *Quilotórax a tensión izquierdo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. F. Coco, J.M. Redondo Enríquez, G. Pardo Romero, A. Barba Orejudo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "F. Coco" ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Redondo Enríquez" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Pardo Romero" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Barba Orejudo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S234119291930174X" "doi" => "10.1016/j.redare.2019.07.011" "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/S234119291930174X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935619301513?idApp=UINPBA00004N" "url" => "/00349356/0000006700000001/v2_202001231002/S0034935619301513/v2_202001231002/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341192919301775" "issn" => "23411929" "doi" => "10.1016/j.redare.2019.09.002" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1069" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2020;67:51-2" "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">Image of the month</span>" "titulo" => "Malposition of the endotracheal tube in patient with facial trauma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "51" "paginaFinal" => "52" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Malposicion del tubo endotraqueal en paciente con traumatismo facial" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 418 "Ancho" => 1305 "Tamanyo" => 65356 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cervical CT without contrast, sagittal section. A) Dilatation of the oesophageal airway due to air hyperpressure B) Endotracheal tube with tip impacted in the anterior commissure of the glottis, without progressing to the subglottic plane (blue arrow). C) Ventilation through the Murphy hole (red arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A.G. Pizarro Calderón, M. Alonso Mateos, A. Burgos Santamaría, P. Aznar García" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A.G." "apellidos" => "Pizarro Calderón" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Alonso Mateos" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Burgos Santamaría" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Aznar García" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935619301859" "doi" => "10.1016/j.redar.2019.09.003" "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/S0034935619301859?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919301775?idApp=UINPBA00004N" "url" => "/23411929/0000006700000001/v1_202001310725/S2341192919301775/v1_202001310725/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341192919301787" "issn" => "23411929" "doi" => "10.1016/j.redare.2019.10.002" "estado" => "S300" "fechaPublicacion" => "2020-01-01" "aid" => "1071" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2020;67:44-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>" "titulo" => "Quadratus lumborum block. New approach for a chronic hip pain. Cases report" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "44" "paginaFinal" => "48" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Bloqueo del cuadrado lumbar: nueva vía de abordaje para el dolor crónico de cadera. Serie de casos" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1801 "Ancho" => 2166 "Tamanyo" => 304862 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Anteroposterior approach and ultrasound image of the QL2 block (Aguja: needle; AL: local anaesthetic; LT: <span class="elsevierStyleItalic">latissimus dorsi</span> muscle ; MOE: external oblique muscle; MOI: internal oblique muscle; QL: quadratus lumborum muscle; T: transverse abdomen muscle).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.T. Fernández Martín, S. López Álvarez, E. Ortigosa Solorzano" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.T." "apellidos" => "Fernández Martín" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "López Álvarez" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Ortigosa Solorzano" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935619301872" "doi" => "10.1016/j.redar.2019.10.001" "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/S0034935619301872?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192919301787?idApp=UINPBA00004N" "url" => "/23411929/0000006700000001/v1_202001310725/S2341192919301787/v1_202001310725/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Tension chylothorax in the late postoperative period of left-sided pneumonectomy" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "49" "paginaFinal" => "50" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "L.F. Coco, J.M. Redondo Enríquez, G. Pardo Romero, A. Barba Orejudo" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L.F." "apellidos" => "Coco" "email" => array:1 [ 0 => "laufuecoc@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.M." "apellidos" => "Redondo Enríquez" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Pardo Romero" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Barba Orejudo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital San Pedro de Alcántara, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Quilotórax a tensión en postoperatorio tardío de neumonectomía izquierda" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 710 "Ancho" => 900 "Tamanyo" => 40122 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posteroanterior chest radiograph performed with a portable device, showing a completely opaque left hemithorax with displacement of mediastinal structures and heart to the right. *Left tension chylothorax.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old woman, weight 66 kg, height 157 cm, ASA physical status II, former smoker, underwent left pneumonectomy for adenocarcinoma in the lower left lobe.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Following surgery, which was uneventful, the patient was transferred to the ICU, and from there to the hospital ward.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Fory-eight hours later, she presented severe hypotension refractory to fluid therapy and vasopressors, followed by respiratory failure. She was transferred to the ICU. On admission, she had sinus tachycardia at 120–130 bpm, marked peripheral cyanosis and severe arterial hypotension (mean blood pressure <55 mmHg). Etomidate and succinylcholine were administered, the patient was intubated, and intravenous infusion of norepinephrine was started. An urgent chest radiograph (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) showed complete occupation of the left hemithorax with mediastinal displacement. Thoracentesis was performed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A) and a drainage catheter was inserted (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>B), which yielded a cloudy liquid. The study and analysis of the sample confirmed the suspicion of chylothorax (leukocytes 1922 leu/μl, prodominantly polymorphonuclear, triglycerides 825 mg/dl and cholesterol 83 mg/dl). The patient made good progress.</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: Coco LB, Redondo Enríquez JM, Pardo Romero G, Barba Orejudo A. Quilotórax a tensión en postoperatorio tardío de neumonectomía izquierda. Rev Esp Anestesiol Reanim. 2020;67:49–50.</p>" ] ] "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 710 "Ancho" => 900 "Tamanyo" => 40122 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Posteroanterior chest radiograph performed with a portable device, showing a completely opaque left hemithorax with displacement of mediastinal structures and heart to the right. *Left tension chylothorax.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 868 "Ancho" => 1250 "Tamanyo" => 130244 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A) Image of the drain showing the creamy, yellowish appearance of the collection. B) Underwater seal chest drainage system.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006700000001/v1_202001310725/S234119291930174X/v1_202001310725/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/23411929/0000006700000001/v1_202001310725/S234119291930174X/v1_202001310725/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119291930174X?idApp=UINPBA00004N" ]
