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The importance of the ecographic assessment prior to the performance of a percutaneous traqueostomy
La importancia de la valoración ecográfica previa a la realización de una traqueostomía percutánea
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Coco, S. Esquivel Ramírez, Y. González Marín, F. Gª-Montoto Pérez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "L.F." "apellidos" => "Coco" "email" => array:1 [ 0 => "laufuecoc@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Esquivel Ramírez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Y." "apellidos" => "González Marín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "F." "apellidos" => "Gª-Montoto Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Hospital Universitario de Cáceres, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Universitario Virgen de Valme, Sevilla, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La importancia de la valoración ecográfica previa a la realización de una traqueostomía percutánea" ] ] "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" => 759 "Ancho" => 2085 "Tamanyo" => 182467 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sagittal view, pre-tracheostomy neck ultrasound. A) A longitudinal structure (*) anterior to the trachea is observed. B) Doppler mode image.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Our patient was a 50-year-old man with hypothyroidism and depressive disorder. He was admitted to the Intensive Care Unit (ICU) due to multiple trauma with severe head injury and fractures of the tibia-fibula and humerus.</p><p id="par0010" class="elsevierStylePara elsevierViewall">After prolonged respiratory weaning, we decided to assess the feasibility of performing percutaneous tracheostomy (PT). We performed an ultrasound examination of the neck to visualize the position of the tracheal rings and rule out the existence of anatomical anomalies.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The scan showed the presence of a large calibre vessel (2−3 cm in diameter) anterior to the trachea at the level of the first and third tracheal rings (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>). A large anterior jugular vein was identified during the surgical tracheostomy (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Although the complication rate of PT is low, pre-surgical ultrasound evaluation of the puncture site can prevent potentially serious complications.</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: Coco LF, Esquivel Ramírez S, González Marín Y, Gª-Montoto Pérez F. La importancia de la valoración ecográfica previa a la realización de una traqueostomía percutánea. Rev Esp Anestesiol Reanim. 2022. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.redar.2020.11.007">https://doi.org/10.1016/j.redar.2020.11.007</span></p>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 738 "Ancho" => 2085 "Tamanyo" => 165256 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial view, pre-tracheostomy neck ultrasound. A) A large collapsible vascular structure (*) is observed anterior to the trachea (#). b) Doppler mode, showing blood flow inside the vessel.</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" => 759 "Ancho" => 2085 "Tamanyo" => 182467 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Sagittal view, pre-tracheostomy neck ultrasound. A) A longitudinal structure (*) anterior to the trachea is observed. B) Doppler mode image.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1119 "Ancho" => 1501 "Tamanyo" => 278667 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Intraoperative image. After horizontal incision and dissection of the skin and subcutaneous tissue, a large calibre jugular vein is observed anterior to the trachea.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006900000003/v1_202204280534/S2341192922000427/v1_202204280534/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/23411929/0000006900000003/v1_202204280534/S2341192922000427/v1_202204280534/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922000427?idApp=UINPBA00004N" ]
