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Tracheal perforation after total thyroidectomy
Perforación traqueal tras tiroidectomía total
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Reconstrucción coronal oblicua con ventana de partes blandas. Solución de continuidad en la cara lateral derecha de la tráquea cervical (flecha amarilla) con neumomediastino asociado (flecha roja). B)<span class="elsevierStyleHsp" style=""></span>Reconstrucción transversal con ventana de pulmón. Enfisema de partes blandas (flecha verde). C)<span class="elsevierStyleHsp" style=""></span>Perforación traqueal in vivo (*), entreviendo el tubo endotraqueal a su través.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B.E. Serrano de la Cruz, M.R. Santiago, E.H. Martín, P.R. Curado" "autores" => array:4 [ 0 => array:2 [ "nombre" => "B.E." "apellidos" => "Serrano de la Cruz" ] 1 => array:2 [ "nombre" => "M.R." "apellidos" => "Santiago" ] 2 => array:2 [ "nombre" => "E.H." "apellidos" => "Martín" ] 3 => array:2 [ "nombre" => "P.R." 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Cheong" "autores" => array:1 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Cheong" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935623002840" "doi" => "10.1016/j.redar.2023.04.007" "estado" => "S200" "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/S0034935623002840?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192924000015?idApp=UINPBA00004N" "url" => "/23411929/unassign/S2341192924000015/v1_202401301417/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Tracheal perforation after total thyroidectomy" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "B. Estero Serrano de la Cruz, M. Ruano Santiago, E. Herrera Martín, P. Ramos Curado" "autores" => array:4 [ 0 => array:4 [ "nombre" => "B." "apellidos" => "Estero Serrano de la Cruz" "email" => array:1 [ 0 => "belen.estero07@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Ruano Santiago" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "E." "apellidos" => "Herrera Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Ramos Curado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Residente de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario de Valme, Sevilla, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "FEA Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario 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" => "Perforación traqueal tras tiroidectomía total" ] ] "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" => 2229 "Ancho" => 2458 "Tamanyo" => 616853 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Neck and chest contrast-enhanced CT. Oblique coronal reconstruction with soft tissue window. Perforation on the right lateral aspect of the cervical trachea (yellow arrow) with associated pneumomediastinum (red arrow); (B) Transverse CT image with lung reconstruction. Soft tissue emphysema (green arrow); (C) In vivo tracheal perforation (*) revealing endotracheal tube.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 35-year-old woman with a BMI of 30 kg/m<span class="elsevierStyleSup">2</span> and a history of total thyroidectomy and central lymph node dissection. Unanticipated difficult airway (Cormack 3b). Non-traumatic intubation with Airtraq videolaryngoscope and #7 reinforced endotracheal tube on the first attempt. Eight days later, she presented at the emergency room with dyspnoea, haemoptysis and SpO<span class="elsevierStyleInf">2</span> 96% with ventimask 50% 15 l/min. CT showed cervical and mediastinal emphysema due to right cervical tracheal perforation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A and B). Urgent surgery was indicated and the anticipated difficult airway algorithm was followed: awake fibreoptic intubation. The perforation was located at the cervical level, so the tube passed through it without difficulty (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C). It was impossible to suture the perforation because an infection of the former surgical bed had weakened the edges. The patient underwent tracheostomy, and remained in the ICU for 5 days with antibiotic treatment. One month later, the cannula was removal and the wound was left to heal by secondary closure. Residual dysphonia in rehabilitation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2229 "Ancho" => 2458 "Tamanyo" => 616853 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Neck and chest contrast-enhanced CT. Oblique coronal reconstruction with soft tissue window. Perforation on the right lateral aspect of the cervical trachea (yellow arrow) with associated pneumomediastinum (red arrow); (B) Transverse CT image with lung reconstruction. Soft tissue emphysema (green arrow); (C) In vivo tracheal perforation (*) revealing endotracheal tube.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/unassign/S234119292300197X/v1_202401010354/en/main.assets" "Apartado" => null "PDF" => "https://static.elsevier.es/multimedia/23411929/unassign/S234119292300197X/v1_202401010354/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119292300197X?idApp=UINPBA00004N" ]
