array:24 [
  "pii" => "S2173511510700099"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(10)70009-9"
  "estado" => "S300"
  "fechaPublicacion" => "2010-11-01"
  "aid" => "70009"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2010;16:912-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1492
    "formatos" => array:3 [
      "EPUB" => 185
      "HTML" => 742
      "PDF" => 565
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511510700105"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70010-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-11-01"
    "aid" => "70010"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Pneumol. 2010;16:917-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1514
      "formatos" => array:3 [
        "EPUB" => 210
        "HTML" => 640
        "PDF" => 664
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Bronchoscopic hemostatic tamponade with oxidized regenerated cellulose for major hemoptysis control&#58; two case reports"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "917"
          "paginaFinal" => "920"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Tamponamento hemost&#225;tico por broncoscopia com aplica&#231;&#227;o de celulose oxidada regenerada no controlo de hemoptises graves &#8211; a prop&#243;sito de dois casos clinicos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46;C&#46; Nogueira, S&#46; Ferreira, A&#46; Oliveira, S&#46; Neves, D&#46;S&#46; Ferreira, J&#46; Almeida, J&#46; Moura e S&#225;"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "C&#46;C&#46;"
              "apellidos" => "Nogueira"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Ferreira"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Oliveira"
            ]
            3 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Neves"
            ]
            4 => array:2 [
              "nombre" => "D&#46;S&#46;"
              "apellidos" => "Ferreira"
            ]
            5 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Almeida"
            ]
            6 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Moura e S&#225;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700105?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700105/v1_201305151537/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511510700087"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70008-7"
    "estado" => "S300"
    "fechaPublicacion" => "2010-11-01"
    "aid" => "70008"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "rev"
    "cita" => "Rev Port Pneumol. 2010;16:907-11"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1394
      "formatos" => array:3 [
        "EPUB" => 214
        "HTML" => 604
        "PDF" => 576
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "H1N1 infection and acute respiratory failure&#58; Can we give non-invasive ventilation a chance&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "907"
          "paginaFinal" => "911"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Infec&#269;&#227;o pelo H1N1 e insufi ci&#234;ncia respirat&#243;ria aguda&#58; ser&#225; que podemos dar a ventila&#269;&#227;o n&#227;o-invasiva uma oportunidade&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jo&#227;o Carlos Winck, Miguel Gon&#231;alves"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Jo&#227;o Carlos"
              "apellidos" => "Winck"
            ]
            1 => array:2 [
              "nombre" => "Miguel"
              "apellidos" => "Gon&#231;alves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700087?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700087/v1_201305151537/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Series</span>"
    "titulo" => "High frequency chest wall oscillation plus Mechanical In-Exsufflation in Duchenne muscular dystrophy with respiratory complications related to pandemic Influenza A&#47;H1N1"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "912"
        "paginaFinal" => "916"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "G&#46; Crescimanno, O&#46; Marrone"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "G&#46;"
            "apellidos" => "Crescimanno"
            "email" => array:1 [
              0 => "grazia&#46;crescimanno&#64;ibim&#46;cnr&#46;it"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "O&#46;"
            "apellidos" => "Marrone"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Italian National Research Council&#44; Institute of Biomedicine and Molecular Immunology&#44; Palermo&#44; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "First Unit of Pneumology&#44; &#8216;V&#46; Cervello&#8217; Hospital&#44; Palermo&#44; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Oscila&#231;&#227;o de alta freq&#252;&#234;ncia da parede tor&#225;cica associado a in-exsufla&#231;&#227;o mec&#226;nica na distrofia muscular de Duchenne com complica&#231;&#245;es respirat&#243;rias relacionadas com o v&#237;rus pand&#233;mico da gripe A&#47;H1N1"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2010-05-21"
    "fechaAceptado" => "2010-06-23"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec161169"
          "palabras" => array:4 [
            0 => "Duchenne muscular dystrophy"
            1 => "High frequency chest wall oscillation"
            2 => "Pandemic H1N1 influenza"
            3 => "Atelectasis"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec161168"
          "palabras" => array:4 [
            0 => "Distrofia muscular de Duchenne"
            1 => "Oscila&#231;&#227;o tor&#225;cica de alta frequ&#234;ncia"
            2 => "Pandemia de gripe H1N1"
            3 => "Atelectasia"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Two young boys with Duchenne muscular dystrophy&#44; who had contracted 2009 pandemic influenza A&#47;H1N1 &#40;pH1N1&#41;&#44; had been treated with antibiotics and steroids without significant improvement&#46; One of them showed severe scoliosis&#46; After hospitalization chest CT scan revealed extensive pulmonary bilateral segmental atelectasis&#46; Their clinical and radiological findings rapidly improved when a sequential respiratory physiotherapy protocol was adopted that consisted of the application of multiple sessions of high-frequency chest wall oscillations each one followed by mechanically assisted coughing manoeuvres&#46; The protocol was well tolerated&#44; effective&#44; easy to apply and special positioning was not required&#46; Fifteen days after treatment initiation both patients clinically recovered&#46; This treatment can be very helpful for neuromuscular patients&#44; particularly when scoliosis prevents conventional respiratory physiotherapy&#46;</p>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Duas crian&#231;as do sexo masculino com distrofia muscular de Duchenne que contra&#237;ram o v&#237;rus da gripe pand&#233;mica A&#47;H1N1&#40;pH1N1&#41; de 2009 foram tratados com antibi&#243;ticos e ester&#243;ides sem melhoria significativa&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Um deles revelou escoliose severa&#46; Depois da hospitaliza&#231;&#227;o&#44; um TAC ao peito revelou uma atelectasia pulmonar segmentar bilateral extensa&#46; Os seus resultados cl&#237;nicos e radiol&#243;gicos melhoraram rapidamente quando foi adoptado um tratamento de fisioterapia respirat&#243;ria sequencial&#44; consistente na aplica&#231;&#227;o de m&#250;ltiplas sess&#245;es de oscila&#231;&#245;es tor&#225;cicas de alta frequ&#234;ncia&#44; cada uma seguida por exerc&#237;cios de tosse mecanicamente assistidos&#46; O tratamento foi bem tolerado&#44; eficaz e f&#225;cil de aplicar&#44; sendo que n&#227;o foi necess&#225;rio um posicionamento especial&#46; Quinze dias depois do in&#237;cio do tratamento&#44; ambos os pacientes se encontravam clinicamente recuperados&#46; Este tratamento pode ser muito &#250;til em pacientes com doen&#231;as neuromusculares&#44; particularmente quando a escoliose impede a fisioterapia respirat&#243;ria convencional&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:11 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of upper respiratory tract infection in patients with neuromuscular disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Poponick"
                            1 => "I&#46; Jacobs"
                            2 => "G&#46; Supinski"
                            3 => "A&#46;F&#46; Di Marco"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.156.2.9611029"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "156"
                        "paginaInicial" => "659"
                        "paginaFinal" => "664"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9279255"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complications of seasonal and pandemic influenza"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;B&#46; Rothberg"
                            1 => "S&#46;D&#46; Haessler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "38"
                        "paginaInicial" => "91"
                        "paginaFinal" => "97"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mechanical insufflation-exsufflation improves outcomes for neuromuscular disease patients with respiratory tract infections"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "A&#46; Vianello"
                            1 => "A&#46; Corrado"
                            2 => "G&#46; Arcaro"
                            3 => "F&#46; Gallan"
                            4 => "C&#46; Ori"
                            5 => "M&#46; Minuzzo"
                            6 => "M&#46; Bevilacqua"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Phys Med Rehabil"
                        "fecha" => "2005"
                        "volumen" => "84"
                        "paginaInicial" => "83"
                        "paginaFinal" => "88"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15668554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respiratory care of the patient with Duchenne muscular dystrophy&#58; ATS consensus statement"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "American Thoracic Society"
                          "etal" => false
                          "autores" => array:15 [
                            0 => "J&#46;D&#46; Finder"
                            1 => "D&#46; Birnkrant"
                            2 => "J&#46; Carl"
                            3 => "H&#46;J&#46; Farber"
                            4 => "D&#46; Gozal"
                            5 => "S&#46;T&#46; Iannaccone"
                            6 => "T&#46; Kovesi"
                            7 => "R&#46;M&#46; Kravitz"
                            8 => "H&#46; Panitch"
                            9 => "C&#46; Schramm"
                            10 => "M&#46; Schroth"
                            11 => "G&#46; Sharma"
                            12 => "L&#46; Sievers"
                            13 => "J&#46;M&#46; Silvestri"
                            14 => "L&#46; Sterni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/rccm.200307-885ST"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2004"
                        "volumen" => "170"
                        "paginaInicial" => "456"
                        "paginaFinal" => "465"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302625"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The evidence for secretion clearance techniques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;R&#46; Hess"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Care"
                        "fecha" => "2001"
                        "volumen" => "46"
                        "paginaInicial" => "1276"
                        "paginaFinal" => "1293"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11679147"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The yield of flexible fiberoptic bronchoscopy in paediatric intensive care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Bar-Zohar"
                            1 => "Y&#46; Sivan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.4.1353"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "1353"
                        "paginaFinal" => "1359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15486403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute lobar atelectasis&#58; a prospective comparison of fiberoptic bronchoscopy and respiratory therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;J&#46; Marini"
                            1 => "D&#46;J&#46; Pierson"
                            2 => "L&#46;D&#46; Hudson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1979.119.6.971"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1979"
                        "volumen" => "119"
                        "paginaInicial" => "971"
                        "paginaFinal" => "978"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/453712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of atelectasis&#58; where is the evidence&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;B&#46; Schindler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/cc3766"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care"
                        "fecha" => "2005"
                        "volumen" => "9"
                        "paginaInicial" => "341"
                        "paginaFinal" => "342"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16137380"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "high-frequency chest wall oscillation therapy in amyotrophic lateral sclerosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;E&#46; Jackson"
                            1 => "D&#46;H&#46; Moore"
                            2 => "P&#46; Kittrell"
                            3 => "E&#46; Ensrud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Clin Neuromusc Dis"
                        "fecha" => "2006"
                        "volumen" => "8"
                        "paginaInicial" => "60"
                        "paginaFinal" => "64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute hypoxemia in a child with neurologic impairment associated with high-frequency chest-wall compression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;D&#46; Willis"
                            1 => "R&#46;H&#46; Warren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Care"
                        "fecha" => "2007"
                        "volumen" => "52"
                        "paginaInicial" => "1027"
                        "paginaFinal" => "1029"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17650359"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of mechanical insufflation-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Winck"
                            1 => "M&#46;R&#46; Gon&#231;alves"
                            2 => "C&#46; Louren&#231;o"
                            3 => "P&#46; Viana"
                            4 => "J&#46; Almeida"
                            5 => "J&#46;R&#46; Bach"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.3.774"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "774"
                        "paginaFinal" => "780"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15364756"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700099/v1_201305151537/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9676"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Case series"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001600000006/v1_201305151537/S2173511510700099/v1_201305151537/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700099?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case Series
High frequency chest wall oscillation plus Mechanical In-Exsufflation in Duchenne muscular dystrophy with respiratory complications related to pandemic Influenza A/H1N1
Oscilação de alta freqüência da parede torácica associado a in-exsuflação mecânica na distrofia muscular de Duchenne com complicações respiratórias relacionadas com o vírus pandémico da gripe A/H1N1
G. Crescimannoa,b,
Corresponding author
grazia.crescimanno@ibim.cnr.it

Corresponding author.
, O. Marronea
a Italian National Research Council, Institute of Biomedicine and Molecular Immunology, Palermo, Italy
b First Unit of Pneumology, ‘V. Cervello’ Hospital, Palermo, Italy
Read
924
Times
was read the article
550
Total PDF
374
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173511510700099"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(10)70009-9"
  "estado" => "S300"
  "fechaPublicacion" => "2010-11-01"
  "aid" => "70009"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2010"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "fla"
  "cita" => "Rev Port Pneumol. 2010;16:912-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1492
    "formatos" => array:3 [
      "EPUB" => 185
      "HTML" => 742
      "PDF" => 565
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511510700105"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70010-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-11-01"
    "aid" => "70010"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Pneumol. 2010;16:917-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1514
      "formatos" => array:3 [
        "EPUB" => 210
        "HTML" => 640
        "PDF" => 664
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
      "titulo" => "Bronchoscopic hemostatic tamponade with oxidized regenerated cellulose for major hemoptysis control&#58; two case reports"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "917"
          "paginaFinal" => "920"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Tamponamento hemost&#225;tico por broncoscopia com aplica&#231;&#227;o de celulose oxidada regenerada no controlo de hemoptises graves &#8211; a prop&#243;sito de dois casos clinicos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "C&#46;C&#46; Nogueira, S&#46; Ferreira, A&#46; Oliveira, S&#46; Neves, D&#46;S&#46; Ferreira, J&#46; Almeida, J&#46; Moura e S&#225;"
          "autores" => array:7 [
            0 => array:2 [
              "nombre" => "C&#46;C&#46;"
              "apellidos" => "Nogueira"
            ]
            1 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Ferreira"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Oliveira"
            ]
            3 => array:2 [
              "nombre" => "S&#46;"
              "apellidos" => "Neves"
            ]
            4 => array:2 [
              "nombre" => "D&#46;S&#46;"
              "apellidos" => "Ferreira"
            ]
            5 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Almeida"
            ]
            6 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Moura e S&#225;"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700105?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700105/v1_201305151537/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511510700087"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70008-7"
    "estado" => "S300"
    "fechaPublicacion" => "2010-11-01"
    "aid" => "70008"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
    "subdocumento" => "rev"
    "cita" => "Rev Port Pneumol. 2010;16:907-11"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1394
      "formatos" => array:3 [
        "EPUB" => 214
        "HTML" => 604
        "PDF" => 576
      ]
    ]
    "en" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "H1N1 infection and acute respiratory failure&#58; Can we give non-invasive ventilation a chance&#63;"
      "tienePdf" => "en"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "pt"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "907"
          "paginaFinal" => "911"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "pt" => array:1 [
          "titulo" => "Infec&#269;&#227;o pelo H1N1 e insufi ci&#234;ncia respirat&#243;ria aguda&#58; ser&#225; que podemos dar a ventila&#269;&#227;o n&#227;o-invasiva uma oportunidade&#63;"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Jo&#227;o Carlos Winck, Miguel Gon&#231;alves"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "Jo&#227;o Carlos"
              "apellidos" => "Winck"
            ]
            1 => array:2 [
              "nombre" => "Miguel"
              "apellidos" => "Gon&#231;alves"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700087?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700087/v1_201305151537/en/main.assets"
  ]
  "en" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case Series</span>"
    "titulo" => "High frequency chest wall oscillation plus Mechanical In-Exsufflation in Duchenne muscular dystrophy with respiratory complications related to pandemic Influenza A&#47;H1N1"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "912"
        "paginaFinal" => "916"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "G&#46; Crescimanno, O&#46; Marrone"
        "autores" => array:2 [
          0 => array:4 [
            "nombre" => "G&#46;"
            "apellidos" => "Crescimanno"
            "email" => array:1 [
              0 => "grazia&#46;crescimanno&#64;ibim&#46;cnr&#46;it"
            ]
            "referencia" => array:3 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
              2 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "O&#46;"
            "apellidos" => "Marrone"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:2 [
          0 => array:3 [
            "entidad" => "Italian National Research Council&#44; Institute of Biomedicine and Molecular Immunology&#44; Palermo&#44; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">a</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "First Unit of Pneumology&#44; &#8216;V&#46; Cervello&#8217; Hospital&#44; Palermo&#44; Italy"
            "etiqueta" => "<span class="elsevierStyleSup">b</span>"
            "identificador" => "aff0010"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#42;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Oscila&#231;&#227;o de alta freq&#252;&#234;ncia da parede tor&#225;cica associado a in-exsufla&#231;&#227;o mec&#226;nica na distrofia muscular de Duchenne com complica&#231;&#245;es respirat&#243;rias relacionadas com o v&#237;rus pand&#233;mico da gripe A&#47;H1N1"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2010-05-21"
    "fechaAceptado" => "2010-06-23"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec161169"
          "palabras" => array:4 [
            0 => "Duchenne muscular dystrophy"
            1 => "High frequency chest wall oscillation"
            2 => "Pandemic H1N1 influenza"
            3 => "Atelectasis"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec161168"
          "palabras" => array:4 [
            0 => "Distrofia muscular de Duchenne"
            1 => "Oscila&#231;&#227;o tor&#225;cica de alta frequ&#234;ncia"
            2 => "Pandemia de gripe H1N1"
            3 => "Atelectasia"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Two young boys with Duchenne muscular dystrophy&#44; who had contracted 2009 pandemic influenza A&#47;H1N1 &#40;pH1N1&#41;&#44; had been treated with antibiotics and steroids without significant improvement&#46; One of them showed severe scoliosis&#46; After hospitalization chest CT scan revealed extensive pulmonary bilateral segmental atelectasis&#46; Their clinical and radiological findings rapidly improved when a sequential respiratory physiotherapy protocol was adopted that consisted of the application of multiple sessions of high-frequency chest wall oscillations each one followed by mechanically assisted coughing manoeuvres&#46; The protocol was well tolerated&#44; effective&#44; easy to apply and special positioning was not required&#46; Fifteen days after treatment initiation both patients clinically recovered&#46; This treatment can be very helpful for neuromuscular patients&#44; particularly when scoliosis prevents conventional respiratory physiotherapy&#46;</p>"
      ]
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Duas crian&#231;as do sexo masculino com distrofia muscular de Duchenne que contra&#237;ram o v&#237;rus da gripe pand&#233;mica A&#47;H1N1&#40;pH1N1&#41; de 2009 foram tratados com antibi&#243;ticos e ester&#243;ides sem melhoria significativa&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Um deles revelou escoliose severa&#46; Depois da hospitaliza&#231;&#227;o&#44; um TAC ao peito revelou uma atelectasia pulmonar segmentar bilateral extensa&#46; Os seus resultados cl&#237;nicos e radiol&#243;gicos melhoraram rapidamente quando foi adoptado um tratamento de fisioterapia respirat&#243;ria sequencial&#44; consistente na aplica&#231;&#227;o de m&#250;ltiplas sess&#245;es de oscila&#231;&#245;es tor&#225;cicas de alta frequ&#234;ncia&#44; cada uma seguida por exerc&#237;cios de tosse mecanicamente assistidos&#46; O tratamento foi bem tolerado&#44; eficaz e f&#225;cil de aplicar&#44; sendo que n&#227;o foi necess&#225;rio um posicionamento especial&#46; Quinze dias depois do in&#237;cio do tratamento&#44; ambos os pacientes se encontravam clinicamente recuperados&#46; Este tratamento pode ser muito &#250;til em pacientes com doen&#231;as neuromusculares&#44; particularmente quando a escoliose impede a fisioterapia respirat&#243;ria convencional&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:11 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of upper respiratory tract infection in patients with neuromuscular disease"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;M&#46; Poponick"
                            1 => "I&#46; Jacobs"
                            2 => "G&#46; Supinski"
                            3 => "A&#46;F&#46; Di Marco"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/ajrccm.156.2.9611029"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "1997"
                        "volumen" => "156"
                        "paginaInicial" => "659"
                        "paginaFinal" => "664"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9279255"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Complications of seasonal and pandemic influenza"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46;B&#46; Rothberg"
                            1 => "S&#46;D&#46; Haessler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "2010"
                        "volumen" => "38"
                        "paginaInicial" => "91"
                        "paginaFinal" => "97"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mechanical insufflation-exsufflation improves outcomes for neuromuscular disease patients with respiratory tract infections"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:7 [
                            0 => "A&#46; Vianello"
                            1 => "A&#46; Corrado"
                            2 => "G&#46; Arcaro"
                            3 => "F&#46; Gallan"
                            4 => "C&#46; Ori"
                            5 => "M&#46; Minuzzo"
                            6 => "M&#46; Bevilacqua"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Phys Med Rehabil"
                        "fecha" => "2005"
                        "volumen" => "84"
                        "paginaInicial" => "83"
                        "paginaFinal" => "88"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15668554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Respiratory care of the patient with Duchenne muscular dystrophy&#58; ATS consensus statement"
                      "autores" => array:1 [
                        0 => array:3 [
                          "colaboracion" => "American Thoracic Society"
                          "etal" => false
                          "autores" => array:15 [
                            0 => "J&#46;D&#46; Finder"
                            1 => "D&#46; Birnkrant"
                            2 => "J&#46; Carl"
                            3 => "H&#46;J&#46; Farber"
                            4 => "D&#46; Gozal"
                            5 => "S&#46;T&#46; Iannaccone"
                            6 => "T&#46; Kovesi"
                            7 => "R&#46;M&#46; Kravitz"
                            8 => "H&#46; Panitch"
                            9 => "C&#46; Schramm"
                            10 => "M&#46; Schroth"
                            11 => "G&#46; Sharma"
                            12 => "L&#46; Sievers"
                            13 => "J&#46;M&#46; Silvestri"
                            14 => "L&#46; Sterni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/rccm.200307-885ST"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2004"
                        "volumen" => "170"
                        "paginaInicial" => "456"
                        "paginaFinal" => "465"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15302625"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The evidence for secretion clearance techniques"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;R&#46; Hess"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Care"
                        "fecha" => "2001"
                        "volumen" => "46"
                        "paginaInicial" => "1276"
                        "paginaFinal" => "1293"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11679147"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The yield of flexible fiberoptic bronchoscopy in paediatric intensive care patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Bar-Zohar"
                            1 => "Y&#46; Sivan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.4.1353"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "1353"
                        "paginaFinal" => "1359"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15486403"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute lobar atelectasis&#58; a prospective comparison of fiberoptic bronchoscopy and respiratory therapy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;J&#46; Marini"
                            1 => "D&#46;J&#46; Pierson"
                            2 => "L&#46;D&#46; Hudson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/arrd.1979.119.6.971"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Rev Respir Dis"
                        "fecha" => "1979"
                        "volumen" => "119"
                        "paginaInicial" => "971"
                        "paginaFinal" => "978"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/453712"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Treatment of atelectasis&#58; where is the evidence&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46;B&#46; Schindler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1186/cc3766"
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care"
                        "fecha" => "2005"
                        "volumen" => "9"
                        "paginaInicial" => "341"
                        "paginaFinal" => "342"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16137380"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "high-frequency chest wall oscillation therapy in amyotrophic lateral sclerosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46;E&#46; Jackson"
                            1 => "D&#46;H&#46; Moore"
                            2 => "P&#46; Kittrell"
                            3 => "E&#46; Ensrud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Clin Neuromusc Dis"
                        "fecha" => "2006"
                        "volumen" => "8"
                        "paginaInicial" => "60"
                        "paginaFinal" => "64"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute hypoxemia in a child with neurologic impairment associated with high-frequency chest-wall compression"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "L&#46;D&#46; Willis"
                            1 => "R&#46;H&#46; Warren"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Care"
                        "fecha" => "2007"
                        "volumen" => "52"
                        "paginaInicial" => "1027"
                        "paginaFinal" => "1029"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17650359"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of mechanical insufflation-exsufflation on respiratory parameters for patients with chronic airway secretion encumbrance"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "J&#46;C&#46; Winck"
                            1 => "M&#46;R&#46; Gon&#231;alves"
                            2 => "C&#46; Louren&#231;o"
                            3 => "P&#46; Viana"
                            4 => "J&#46; Almeida"
                            5 => "J&#46;R&#46; Bach"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.3.774"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "774"
                        "paginaFinal" => "780"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15364756"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735115/0000001600000006/v1_201305151537/S2173511510700099/v1_201305151537/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9676"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Case series"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001600000006/v1_201305151537/S2173511510700099/v1_201305151537/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700099?idApp=UINPBA00004E"
]
Article information
ISSN: 21735115
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 6 6 12
2024 October 27 36 63
2024 September 33 30 63
2024 August 34 40 74
2024 July 23 33 56
2024 June 20 33 53
2024 May 27 33 60
2024 April 16 30 46
2024 March 25 29 54
2024 February 21 29 50
2024 January 19 31 50
2023 December 9 25 34
2023 November 19 28 47
2023 October 12 30 42
2023 September 14 34 48
2023 August 15 18 33
2023 July 17 38 55
2023 June 10 15 25
2023 May 17 20 37
2023 April 10 12 22
Show all

Follow this link to access the full text of the article

Pulmonology

Are you a health professional able to prescribe or dispense drugs?