Archivos de bronconeumología
-
Fiberoptic bronchoscopy is at present an indispensable technique in pediatric pulmonology. Sixty-nine such procedures were performed at our center between April 1993 and November 1994 on children under 14 years-old. We used an Olympus BF-3C20 fiberoptic bronchoscope, after providing sedation with diazepam or midazolam, sometimes accompanied by fentanyl and atropine. ⋯ The endoscopic findings were upper airways disease (8.6%), bronchial disease (52.17%), extrinsic bronchial compression (4.34%) and normal (13.04%). Samples were taken in 52.17%. No important complications occurred but there were slight decreases in oxygen saturation.
-
Arch. Bronconeumol. · Oct 1995
Review Case Reports[Tracheal rupture secondary to intubation or tracheostomy].
This article describes our experience with 3 cases of iatrogenic rupture of the trachea (2 cases secondary to orotracheal intubation and 1 to tracheostomy), all of which required surgery. We discuss the indications for surgical treatment and the technique of choice, and review the literature. Based on our experience we advise early intervention and direct suture of the lesion; if mechanical support ventilation is needed, we advise using a tube with low-pressure pulmonary tamponade.
-
Arch. Bronconeumol. · Aug 1995
Comparative Study[Lung resection surgery in patients with functional limits].
To determine whether there exists in our area concordance between forced expiratory volume in one second (FEV1) estimated before surgery by ventilation/perfusion scintigraphy and real values after surgery in patients undergoing pneumonectomy and lobectomy. Prospective descriptive study. We studied 15 patients undergoing pneumonectomy (M/F 14:1, age 62 +/- 7.5 years) and 11 undergoing lobectomy (M/F 11:0 age 66 +/- 3.5 years) in the thoracic surgery unit of Hospital de Cruces between 1 March 1990 and 1 March 1993. ⋯ Correlation was statistically insignificant in lobectomy patients (0.28 by the method of Ali and 0.35 by Wernly's; p = 0.19 and 0.13, respectively). Ventilation scintigraphy offers an acceptably reliable prediction of FEV1 after lung resection. The reliability of measurements estimated by scintigraphy in lobectomized patients is not acceptable.