As Nossas Leituras
Suplemento de oxigénio necessário em voluntários saudáveis quando submetidos a broncoscopia com lavado broncoalveolar
Andrew J. Ghio, Mary Ann Bassett, Debra Levin, Tracey Montilla
Read
4864
Timeswas read the article
1802
Total PDF
3062
Total HTML
Share statistics
array:24 [ "pii" => "S087321591530372X" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30372-X" "estado" => "S350" "fechaPublicacion" => "2007-07-01" "aid" => "12" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "copyrightAnyo" => "2007" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2007;13:637-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2120 "formatos" => array:3 [ "EPUB" => 218 "HTML" => 1285 "PDF" => 617 ] ] "itemSiguiente" => array:19 [ "pii" => "S0873215915303731" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30373-1" "estado" => "S350" "fechaPublicacion" => "2007-07-01" "aid" => "13" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2007;13:639-41" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2165 "formatos" => array:3 [ "EPUB" => 226 "HTML" => 1284 "PDF" => 655 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">As Nossas Leituras</span>" "titulo" => "Terapêutica clínica – Insulina inalada para a diabetes mellitus" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "639" "paginaFinal" => "641" ] ] "contieneResumen" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Graham T. McMahon, Ronald A. Arky" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Graham T." "apellidos" => "McMahon" ] 1 => array:2 [ "nombre" => "Ronald A." "apellidos" => "Arky" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915303731?idApp=UINPBA00004E" "url" => "/08732159/0000001300000004/v1_201509151514/S0873215915303731/v1_201509151514/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0873215915303718" "issn" => "08732159" "doi" => "10.1016/S0873-2159(15)30371-8" "estado" => "S350" "fechaPublicacion" => "2007-07-01" "aid" => "11" "copyright" => "Sociedade Portuguesa de Pneumologia/SPP" "documento" => "simple-article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "fla" "cita" => "Rev Port Pneumol. 2007;13:633-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2156 "formatos" => array:3 [ "EPUB" => 223 "HTML" => 1305 "PDF" => 628 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">As Nossas Leituras</span>" "titulo" => "DPOC associada a um aumento de mortalidade em doentes com pneumonia adquirida na comunidade" "tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => "pt" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "633" "paginaFinal" => "636" ] ] "contieneResumen" => array:1 [ "pt" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.I. Restrepo, E.M. Mortensen, J.A. Pugh, A. Anzueto" "autores" => array:4 [ 0 => array:2 [ "nombre" => "M.I." "apellidos" => "Restrepo" ] 1 => array:2 [ "nombre" => "E.M." "apellidos" => "Mortensen" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Pugh" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Anzueto" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215915303718?idApp=UINPBA00004E" "url" => "/08732159/0000001300000004/v1_201509151514/S0873215915303718/v1_201509151514/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">As Nossas Leituras</span>" "titulo" => "Suplemento de oxigénio necessário em voluntários saudáveis quando submetidos a broncoscopia com lavado broncoalveolar" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "637" "paginaFinal" => "638" ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Andrew J. Ghio, Mary Ann Bassett, Debra Levin, Tracey Montilla" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Andrew J." "apellidos" => "Ghio" ] 1 => array:2 [ "nombre" => "Mary Ann" "apellidos" => "Bassett" ] 2 => array:2 [ "nombre" => "Debra" "apellidos" => "Levin" ] 3 => array:2 [ "nombre" => "Tracey" "apellidos" => "Montilla" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A hipoxemia pode complicar a broncoscopia, limitando a utilidade e realização da técnica.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">As causas mais frequentes de hipoxemia durante a broncoscopia são a doença pulmonar subjacente, a obstrução das vias aéreas, o pneumotórax, a hemorragia secundária e a biópsia pulmonar transbrônquica ou outro procedimento broncoscópico, a sedação exagerada e o broncoespasmo.</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Os autores decidiram testar o postulado de que a broncoscopia com lavado broncoalveolar precisa de oxigénio suplementar em voluntários saudáveis submetidos ao exame.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall">Todos os voluntários demonstraram não ter sintomas respiratórios e que o exame objectivo e a avaliação da função pulmonar eram normais. A broncofibroscopia foi realizada sem sedação e não foram efectuadas biópsias. Antes da broncoscopia, foi colocada uma sonda nasal na narina oposta à do bron cofibroscópio. Seis voluntários foram submetidos a oxigenioterapia a 2<span class="elsevierStyleHsp" style=""></span>L/min e seis voluntários não foram sujeitos a oxigenioterapia. Depois de iniciar a técnica, assim que a saturação fosse igual ou inferior a 90% aumentava-se o suplemento de O <span class="elsevierStyleInf">2</span>. Os autores verificaram que todos os voluntários não submetidos a oxigenioterapia necessitaram de suplemento de oxigénio na mesma fase do procedimento técnico, em contraste com os voluntários que iniciaram a broncoscopia com O <span class="elsevierStyleInf">2</span>, que não revelaram nunca hipoxemia. A dessaturação de O<span class="elsevierStyleInf">2</span> nos voluntários que efectuaram a broncoscopia sem O<span class="elsevierStyleInf">2</span> a hipoxemia começou sempre quando se iniciou o lavado broncoalveolar.</p><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">Os autores, perante a análise deste grupo, concluíram que a administração de O<span class="elsevierStyleInf">2</span> suplementar nos doentes submetidos a broncoscopia deve ser uma regra, pois pode minimizar as complicações relacionadas, particularmente com a hipoxemia.</p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0010">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "American Thoracic Society, 2000" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diagnostic standards and classification of tuberculosis in adults and children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "American Thoracic Society" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm.161.4.16141" "Revista" => array:6 [ "tituloSerie" => "Am J Respir Crit Care Med" "fecha" => "2000" "volumen" => "161" "paginaInicial" => "1376" "paginaFinal" => "1395" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10764337" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bb0010" "etiqueta" => "Baughman, 1994" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Use of bronchoscopy in the diagnosis of diagnosis of infection in the immunocompromized host" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.P. Baughman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1994" "volumen" => "49" "paginaInicial" => "3" "paginaFinal" => "7" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8153937" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bb0015" "etiqueta" => "Bell et al., 2003" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of induced sputum in the diagnosis of pulmonary tuberculosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D. Bell" 1 => "V. Leckie" 2 => "M. McHendrick" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Infect" "fecha" => "2003" "volumen" => "47" "paginaInicial" => "317" "paginaFinal" => "321" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14556756" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bb0020" "etiqueta" => "Dickson et al., 2003" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Comparison of bronchoscopy and gastric washing in the investigation of smear-negative pulmonary tuberculosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "S. Dickson" 1 => "A. Brent" 2 => "R. Davidason" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1086/379716" "Revista" => array:6 [ "tituloSerie" => "Clin Infect Dis" "fecha" => "2003" "volumen" => "37" "paginaInicial" => "1649" "paginaFinal" => "1653" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14689347" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bb0025" "etiqueta" => "Eisenach et al., 1991" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Detection of mycobacterium tuberculosis in sputum samples using a polymerase chain reaction" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "K.D. Eisenach" 1 => "M.D. Sifford" 2 => "M.D. Cave" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1164/ajrccm/144.5.1160" "Revista" => array:7 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1991" "volumen" => "144" "paginaInicial" => "1160" "paginaFinal" => "1163" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1952448" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0140673600021693" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08732159/0000001300000004/v1_201509151514/S087321591530372X/v1_201509151514/en/main.assets" "Apartado" => array:4 [ "identificador" => "43355" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "As nossas leituras" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001300000004/v1_201509151514/S087321591530372X/v1_201509151514/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591530372X?idApp=UINPBA00004E" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 7 | 13 |
| 2024 October | 42 | 28 | 70 |
| 2024 September | 30 | 27 | 57 |
| 2024 August | 32 | 32 | 64 |
| 2024 July | 35 | 36 | 71 |
| 2024 June | 28 | 20 | 48 |
| 2024 May | 27 | 25 | 52 |
| 2024 April | 34 | 29 | 63 |
| 2024 March | 27 | 15 | 42 |
| 2024 February | 23 | 15 | 38 |
| 2024 January | 15 | 25 | 40 |
| 2023 December | 19 | 18 | 37 |
| 2023 November | 18 | 19 | 37 |
| 2023 October | 33 | 19 | 52 |
| 2023 September | 34 | 28 | 62 |
| 2023 August | 22 | 23 | 45 |
| 2023 July | 21 | 26 | 47 |
| 2023 June | 28 | 8 | 36 |
| 2023 May | 27 | 19 | 46 |
| 2023 April | 20 | 18 | 38 |
| 2023 March | 25 | 21 | 46 |
| 2023 February | 27 | 14 | 41 |
| 2023 January | 21 | 21 | 42 |
| 2022 December | 21 | 19 | 40 |
| 2022 November | 30 | 27 | 57 |
| 2022 October | 19 | 17 | 36 |
| 2022 September | 23 | 23 | 46 |
| 2022 August | 29 | 42 | 71 |
| 2022 July | 22 | 22 | 44 |
| 2022 June | 17 | 21 | 38 |
| 2022 May | 21 | 26 | 47 |
| 2022 April | 17 | 28 | 45 |
| 2022 March | 19 | 26 | 45 |
| 2022 February | 25 | 29 | 54 |
| 2022 January | 39 | 29 | 68 |
| 2021 December | 16 | 20 | 36 |
| 2021 November | 25 | 23 | 48 |
| 2021 October | 29 | 25 | 54 |
| 2021 September | 21 | 23 | 44 |
| 2021 August | 24 | 15 | 39 |
| 2021 July | 19 | 15 | 34 |
| 2021 June | 31 | 23 | 54 |
| 2021 May | 28 | 16 | 44 |
| 2021 April | 76 | 58 | 134 |
| 2021 March | 59 | 9 | 68 |
| 2021 February | 44 | 13 | 57 |
| 2021 January | 33 | 12 | 45 |
| 2020 December | 29 | 4 | 33 |
| 2020 November | 39 | 19 | 58 |
| 2020 October | 31 | 9 | 40 |
| 2020 September | 39 | 15 | 54 |
| 2020 August | 62 | 18 | 80 |
| 2020 July | 59 | 13 | 72 |
| 2020 June | 54 | 14 | 68 |
| 2020 May | 50 | 16 | 66 |
| 2020 April | 63 | 10 | 73 |
| 2020 March | 49 | 11 | 60 |
| 2020 February | 43 | 10 | 53 |
| 2020 January | 54 | 22 | 76 |
| 2019 December | 49 | 15 | 64 |
| 2019 November | 35 | 18 | 53 |
| 2019 October | 60 | 12 | 72 |
| 2019 September | 53 | 14 | 67 |
| 2019 August | 61 | 15 | 76 |
| 2019 July | 45 | 15 | 60 |
| 2019 June | 47 | 8 | 55 |
| 2019 May | 66 | 14 | 80 |
| 2019 April | 48 | 19 | 67 |
| 2019 March | 86 | 10 | 96 |
| 2019 February | 93 | 23 | 116 |
| 2019 January | 73 | 14 | 87 |
| 2018 December | 34 | 8 | 42 |
| 2018 November | 9 | 0 | 9 |
| 2018 October | 35 | 0 | 35 |
| 2018 September | 10 | 6 | 16 |
| 2018 August | 28 | 34 | 62 |
| 2018 July | 16 | 22 | 38 |
| 2018 June | 18 | 16 | 34 |
| 2018 May | 28 | 16 | 44 |
| 2018 April | 31 | 25 | 56 |
| 2018 March | 24 | 32 | 56 |
| 2018 February | 17 | 5 | 22 |
| 2018 January | 18 | 12 | 30 |
| 2017 December | 20 | 20 | 40 |
| 2017 November | 12 | 20 | 32 |
| 2017 October | 14 | 23 | 37 |
| 2017 September | 15 | 20 | 35 |
| 2017 August | 14 | 14 | 28 |
| 2017 July | 16 | 11 | 27 |
| 2017 June | 11 | 14 | 25 |
| 2017 May | 23 | 12 | 35 |
| 2017 April | 6 | 5 | 11 |
| 2017 March | 15 | 8 | 23 |
| 2017 February | 7 | 6 | 13 |
| 2017 January | 13 | 7 | 20 |
| 2016 December | 9 | 8 | 17 |
| 2016 November | 4 | 4 | 8 |
| 2016 October | 8 | 8 | 16 |
| 2016 September | 4 | 4 | 8 |
| 2016 August | 2 | 3 | 5 |
| 2016 July | 4 | 6 | 10 |
| 2016 June | 0 | 3 | 3 |
| 2016 May | 1 | 6 | 7 |
| 2016 April | 2 | 1 | 3 |
| 2016 March | 4 | 7 | 11 |
| 2016 February | 1 | 8 | 9 |
| 2016 January | 8 | 8 | 16 |
| 2015 December | 7 | 3 | 10 |
| 2015 November | 2 | 2 | 4 |
| 2015 October | 3 | 3 | 6 |
Show all
