array:24 [
  "pii" => "S2173511510700397"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(10)70039-7"
  "estado" => "S300"
  "fechaPublicacion" => "2010-03-01"
  "aid" => "70039"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2010"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "cor"
  "cita" => "Rev Port Pneumol. 2010;16:321-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 15290
    "formatos" => array:3 [
      "EPUB" => 266
      "HTML" => 9845
      "PDF" => 5179
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511510700403"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70040-3"
    "estado" => "S300"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "70040"
    "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;16:331-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4189
      "formatos" => array:3 [
        "EPUB" => 234
        "HTML" => 2349
        "PDF" => 1606
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
      "titulo" => "Tumor de c&#233;lulas gigantes de f&#233;mur distal com met&#225;stases pulmonares"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "331"
          "paginaFinal" => "337"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Giant cell tumour of distal femur with pulmonary metastases"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Nicolas S&#46; Lazaretti, Viviane Weiller Dallagasperina, Rodrigo Ughini Villaroel, Luis Alberto Schlittler"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Nicolas S&#46;"
              "apellidos" => "Lazaretti"
            ]
            1 => array:2 [
              "nombre" => "Viviane"
              "apellidos" => "Weiller Dallagasperina"
            ]
            2 => array:2 [
              "nombre" => "Rodrigo"
              "apellidos" => "Ughini Villaroel"
            ]
            3 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Alberto Schlittler"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700403?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700403/v1_201305151526/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511510700385"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70038-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "70038"
    "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;16:315-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3884
      "formatos" => array:3 [
        "EPUB" => 229
        "HTML" => 2079
        "PDF" => 1576
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
      "titulo" => "Pertussis ainda mata"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "315"
          "paginaFinal" => "320"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pertussis keeps on killing"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joana Freitas, Susana Gama de Sousa, Cristina Miguel, Paula Fonseca"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Freitas"
            ]
            1 => array:2 [
              "nombre" => "Susana Gama"
              "apellidos" => "de Sousa"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Miguel"
            ]
            3 => array:2 [
              "nombre" => "Paula"
              "apellidos" => "Fonseca"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700385?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700385/v1_201305151526/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
    "titulo" => "Enfisema subcut&#226;neo maci&#231;o &#8211; Tratamento com drenos subcut&#226;neos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "321"
        "paginaFinal" => "329"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Maria Sucena, Fernando Coelho, Teresa Almeida, Ant&#243;nio Gouveia, Venceslau Dr&#46; Hespanhol"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Maria"
            "apellidos" => "Sucena"
            "email" => array:1 [
              0 => "maria&#46;sucena&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Coelho"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Teresa"
            "apellidos" => "Almeida"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Ant&#243;nio"
            "apellidos" => "Gouveia"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Venceslau"
            "apellidos" => "Dr&#46; Hespanhol"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">5</span>"
                "identificador" => "aff0025"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">6</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:6 [
          0 => array:3 [
            "entidad" => "Assistente Hospitalar de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">1</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Interno do Internato Complementar de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">2</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Assistente Hospitalar de Cirurgia Geral&#44; Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto&#46; Dr&#46; Amadeu Pimenta"
            "etiqueta" => "<span class="elsevierStyleSup">3</span>"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Assistente Hospitalar Graduado de Cirurgia Geral&#44; Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto Dr&#46; Amadeu Pimenta"
            "etiqueta" => "<span class="elsevierStyleSup">4</span>"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Chefe de Servi&#231;o de Pneumologia&#44; Director do Servi&#231;o de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">5</span>"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto Director&#58; Prof"
            "etiqueta" => "<span class="elsevierStyleSup">6</span>"
            "identificador" => "aff0030"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Alameda Prof&#46; Hern&#226;ni Monteiro 4200 &#8211; Porto&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Massive subcutaneous emphysema &#8211; Management using subcutaneous drains"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-07-09"
    "fechaAceptado" => "2009-09-08"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec160712"
          "palabras" => array:3 [
            0 => "Enfisema subcut&#226;neo"
            1 => "dreno subcut&#226;neo"
            2 => "tratamento"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec160713"
          "palabras" => array:3 [
            0 => "Subcutaneous emphysema"
            1 => "subcutaneous drain"
            2 => "management"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O enfisema subcut&#226;neo &#233; uma complica&#231;&#227;o relativamente comum na sequ&#234;ncia de t&#233;cnicas invasivas&#44; procedimentos cir&#250;rgicos e algumas patologias m&#233;dicas&#46; Na maior parte dos casos apenas causa sintomatologia <span class="elsevierStyleItalic">minor</span> e o tratamento &#233; habitualmente conservador&#46; Mesmo quando grave&#44; raramente tem consequ&#234;ncias patofisiol&#243;gicas significativas&#44; apesar de ser extremamente desconfort&#225;vel para o doente&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores descrevem um caso cl&#237;nico de enfisema subcut&#226;neo maci&#231;o&#44; de r&#225;pida instala&#231;&#227;o&#44; ap&#243;s sa&#237;da acidental de tubo de drenagem tor&#225;cica&#44; em doente com pneumot&#243;rax espont&#226;neo secund&#225;rio e f&#237;stula broncopleural&#46; O enfisema foi tratado atrav&#233;s da coloca&#231;&#227;o&#44; sob anestesia local&#44; de dois drenos subcut&#226;neos na parede anterossuperior do t&#243;rax&#44; conectados a sacos de drenagem&#46; Ap&#243;s a coloca&#231;&#227;o dos drenos subcut&#226;neos verificou-se uma franca melhoria cl&#237;nica do doente&#44; com descompress&#227;o eficaz do enfisema subcut&#226;neo&#46; No presente caso cl&#237;nico&#44; a t&#233;cnica de drenagem do enfisema maci&#231;o mostrou-se simples&#44; segura e eficaz&#44; permitindo o al&#237;vio sintom&#225;tico imediato&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Massive subcutaneous emphysema is a relatively common complication in invasive techniques&#44; surgical practice and some medical conditions&#46; Subcutaneous emphysema is usually treated conservatively and may only cause minimal symptoms&#46; Even when it is severe&#44; subcutaneous emphysema rarely has pathophysiologic consequences&#44; but it is extremely uncomfortable for the patient&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors report a case of massive and rapid developing subcutaneous emphysema following chest tube displacement in a patient with spontaneous se- condary pneumothorax and large air leak&#46; The emphysema was treated with two subcutaneous drains&#44; inserted using local anesthesia&#44; on both sides of the chest &#40;antero-superior thoracic wall&#41;&#44; connected to drainage bags&#46; The drains produced a dramatic clinical improvement and provided effective decompression of the subcutaneous emphysema&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In this clinical case&#44; the technique of drainage of severe subcutaneous emphysema using subcutaneous drains was safe&#44; easy and effective&#44; affording immediate symptom relief&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:25 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Upper airway obstruction as a result of massive subcutaneous emphysema following accidental removal of an intercostals drain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "D&#46;J&#46; Williams"
                            1 => "S&#46;I&#46; Jaggar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/bja/aei039"
                      "Revista" => array:7 [
                        "tituloSerie" => "British Journal of Anaesthesia"
                        "fecha" => "2005"
                        "volumen" => "94"
                        "numero" => "3"
                        "paginaInicial" => "390"
                        "paginaFinal" => "392"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15579486"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simple construction of a subcutaneos catheter for treatment of severe subcut&#226;neos emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Beck"
                            1 => "S&#46; Heitman"
                            2 => "C&#46; Mody"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2002"
                        "volumen" => "121"
                        "paginaInicial" => "647"
                        "paginaFinal" => "649"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11834684"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of life-threatening subcutaneous emphysema using subcutaneous penrose drains and colostomy bags"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46; Matsushita"
                            1 => "A&#46;T&#46; Huynh"
                            2 => "T&#46; Singh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Heart Lung and Circulation"
                        "fecha" => "2007"
                        "volumen" => "16"
                        "paginaInicial" => "469"
                        "paginaFinal" => "471"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumatic chest wall compression&#58; a cause of respiratory failure from massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;E&#46; Eveloff"
                            1 => "W&#46;E&#46; Donat"
                            2 => "R&#46; Aisenberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "1021"
                        "paginaFinal" => "1023"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2009754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two unexpected deaths from pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46; Peatfield"
                            1 => "P&#46; Edwards"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1979"
                        "volumen" => "17"
                        "paginaInicial" => "356"
                        "paginaFinal" => "358"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Upper airway obstruction caused by massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46; Gibney"
                            1 => "B&#46; Finnegan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1984"
                        "volumen" => "10"
                        "paginaInicial" => "43"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6421917"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumomediastinum presenting as acute airway obstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "V&#46; Caraballo"
                            1 => "R&#46; Barish"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Emergency Med"
                        "fecha" => "1996"
                        "volumen" => "14"
                        "paginaInicial" => "159"
                        "paginaFinal" => "163"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Emphysema and pneumothorax after percutaneous tracheostomy &#8211; case reports and an anatomic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "B&#46;G&#46; Fikkers"
                            1 => "J&#46;A&#46; Veen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "125"
                        "paginaInicial" => "1805"
                        "paginaFinal" => "1814"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15136394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Gomes MJ&#44; Sotto-Mayor R&#46; Tratado de Pneumologia&#46; 1&#46;&#170; edi&#231;&#227;o&#46; Editora Permanyer&#46; 2003&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Subcutaneous and mediastinal emphysema associated with hypersensitivity pneumonitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "Y&#46; Ichikawa"
                            1 => "N&#46; Tokunaga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "759"
                        "paginaFinal" => "761"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1995241"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic tension pneumomediastinum mimicking cardiac tamponade"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;H&#46; Beg"
                            1 => "Reyazuddin"
                            2 => "M&#46;M&#46; Ansari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1988"
                        "volumen" => "43"
                        "paginaInicial" => "576"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3212757"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute ventilatory failure from massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Conetta"
                            1 => "A&#46;A&#46; Barman"
                            2 => "C&#46; Iakovou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "104"
                        "paginaInicial" => "978"
                        "paginaFinal" => "980"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8365332"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pacemaker malfunction due to subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Giroud"
                            1 => "J&#46;J&#46; Goy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Cardiol"
                        "fecha" => "1990"
                        "volumen" => "26"
                        "paginaInicial" => "234"
                        "paginaFinal" => "236"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2303305"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pacemaker malfunction due to subcutaneous emphysema&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46; Santomauro"
                            1 => "S&#46; Ferraro"
                            2 => "G&#46; Maddalena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Angiology"
                        "fecha" => "1992"
                        "volumen" => "43"
                        "paginaInicial" => "873"
                        "paginaFinal" => "876"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1476276"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tension subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46; Tonnesen"
                            1 => "W&#46; Wagner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anestheology"
                        "fecha" => "1985"
                        "volumen" => "62"
                        "paginaInicial" => "90"
                        "paginaFinal" => "92"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial hypertension secondary to tension subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46; Coelho"
                            1 => "A&#46; Tonnensen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1985"
                        "volumen" => "13"
                        "paginaInicial" => "512"
                        "paginaFinal" => "513"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3838928"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relief of tension subcutaneous emphysema using a large bore subcutaneous drain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "M&#46; Kelly"
                            1 => "J&#46; McGuigan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anasthesia"
                        "fecha" => "1995"
                        "volumen" => "50"
                        "paginaInicial" => "1077"
                        "paginaFinal" => "1079"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ventilation with one hundred percent oxygen for life threatening mediastinal and subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "T&#46; Oneill"
                            1 => "M&#46; Johnson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1979"
                        "volumen" => "76"
                        "paginaInicial" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/477449"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Palliation of severe subutaneous emphysema with use of a trocartype chest tube as a subcutaneous drain &#40;letter&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Y&#46; Terada"
                            1 => "S&#46; Matsunobe"
                            2 => "T&#46; Nemoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "103"
                        "paginaInicial" => "323"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417924"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive spontaneous subcutaneous emphysema&#58; acute management with infraclavicular &#8220;blow holes&#8221;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;B&#46; Herlan"
                            1 => "R&#46;J&#46; Landreneau"
                            2 => "P&#46;F&#46; Ferson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1992"
                        "volumen" => "102"
                        "paginaInicial" => "503"
                        "paginaFinal" => "505"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1340766"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tracheostomy as a solution for subcut&#226;neos emphysema and pneumomediastino with Sever respiratory failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;A&#46; Lopez"
                            1 => "T&#46; Cordero"
                            2 => "F&#46; Delgado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Otorrinolaringol Esp"
                        "fecha" => "1997"
                        "volumen" => "48"
                        "paginaInicial" => "677"
                        "paginaFinal" => "681"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9528142"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;V&#46; Pecora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "104"
                        "paginaInicial" => "655"
                        "paginaFinal" => "656"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8339684"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efficacy of microdrainage in severe subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "F&#46; Leo"
                            1 => "P&#46; Solli"
                            2 => "G&#46; Veronesi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2002"
                        "volumen" => "122"
                        "paginaInicial" => "1498"
                        "paginaFinal" => "1499"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12377896"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simple method of palliation for gross subcutaneous surgical emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "K&#46;K&#46; Nair"
                            1 => "E&#46; Neville"
                            2 => "P&#46; Rajesh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J R Coll Surg Edinb"
                        "fecha" => "1989"
                        "volumen" => "34"
                        "paginaInicial" => "163"
                        "paginaFinal" => "164"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2478700"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The use of subcutaneous drains to manage subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;M&#46; Sherif"
                            1 => "D&#46;A&#46; Ott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Tex Heart Inst J"
                        "fecha" => "1999"
                        "volumen" => "26"
                        "paginaInicial" => "129"
                        "paginaFinal" => "131"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10397436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700397/v1_201305151526/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9550"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Report&#47;Caso Cl&#237;nico"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001600000002/v1_201305151526/S2173511510700397/v1_201305151526/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700397?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Caso Clínico
Enfisema subcutâneo maciço – Tratamento com drenos subcutâneos
Massive subcutaneous emphysema – Management using subcutaneous drains
Maria Sucena1,
Corresponding author
maria.sucena@hotmail.com

Alameda Prof. Hernâni Monteiro 4200 – Porto.
, Fernando Coelho2, Teresa Almeida3, António Gouveia4, Venceslau Dr. Hespanhol5,6
1 Assistente Hospitalar de Pneumologia
2 Interno do Internato Complementar de Pneumologia
3 Assistente Hospitalar de Cirurgia Geral, Serviço de Pneumologia do Hospital de S. João EPE, Porto. Dr. Amadeu Pimenta
4 Assistente Hospitalar Graduado de Cirurgia Geral, Serviço de Pneumologia do Hospital de S. João EPE, Porto Dr. Amadeu Pimenta
5 Chefe de Serviço de Pneumologia, Director do Serviço de Pneumologia
6 Serviço de Pneumologia do Hospital de S. João EPE, Porto Director: Prof
Read
7443
Times
was read the article
4502
Total PDF
2941
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173511510700397"
  "issn" => "21735115"
  "doi" => "10.1016/S2173-5115(10)70039-7"
  "estado" => "S300"
  "fechaPublicacion" => "2010-03-01"
  "aid" => "70039"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2010"
  "documento" => "simple-article"
  "crossmark" => 0
  "licencia" => "http://www.elsevier.com/open-access/userlicense/1.0/"
  "subdocumento" => "cor"
  "cita" => "Rev Port Pneumol. 2010;16:321-9"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 15290
    "formatos" => array:3 [
      "EPUB" => 266
      "HTML" => 9845
      "PDF" => 5179
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173511510700403"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70040-3"
    "estado" => "S300"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "70040"
    "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;16:331-7"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 4189
      "formatos" => array:3 [
        "EPUB" => 234
        "HTML" => 2349
        "PDF" => 1606
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
      "titulo" => "Tumor de c&#233;lulas gigantes de f&#233;mur distal com met&#225;stases pulmonares"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "331"
          "paginaFinal" => "337"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Giant cell tumour of distal femur with pulmonary metastases"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Nicolas S&#46; Lazaretti, Viviane Weiller Dallagasperina, Rodrigo Ughini Villaroel, Luis Alberto Schlittler"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Nicolas S&#46;"
              "apellidos" => "Lazaretti"
            ]
            1 => array:2 [
              "nombre" => "Viviane"
              "apellidos" => "Weiller Dallagasperina"
            ]
            2 => array:2 [
              "nombre" => "Rodrigo"
              "apellidos" => "Ughini Villaroel"
            ]
            3 => array:2 [
              "nombre" => "Luis"
              "apellidos" => "Alberto Schlittler"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700403?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700403/v1_201305151526/pt/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2173511510700385"
    "issn" => "21735115"
    "doi" => "10.1016/S2173-5115(10)70038-5"
    "estado" => "S300"
    "fechaPublicacion" => "2010-03-01"
    "aid" => "70038"
    "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;16:315-20"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 3884
      "formatos" => array:3 [
        "EPUB" => 229
        "HTML" => 2079
        "PDF" => 1576
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
      "titulo" => "Pertussis ainda mata"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "315"
          "paginaFinal" => "320"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Pertussis keeps on killing"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Joana Freitas, Susana Gama de Sousa, Cristina Miguel, Paula Fonseca"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Joana"
              "apellidos" => "Freitas"
            ]
            1 => array:2 [
              "nombre" => "Susana Gama"
              "apellidos" => "de Sousa"
            ]
            2 => array:2 [
              "nombre" => "Cristina"
              "apellidos" => "Miguel"
            ]
            3 => array:2 [
              "nombre" => "Paula"
              "apellidos" => "Fonseca"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700385?idApp=UINPBA00004E"
    "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700385/v1_201305151526/pt/main.assets"
  ]
  "pt" => array:15 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Caso Cl&#237;nico</span>"
    "titulo" => "Enfisema subcut&#226;neo maci&#231;o &#8211; Tratamento com drenos subcut&#226;neos"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "321"
        "paginaFinal" => "329"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Maria Sucena, Fernando Coelho, Teresa Almeida, Ant&#243;nio Gouveia, Venceslau Dr&#46; Hespanhol"
        "autores" => array:5 [
          0 => array:4 [
            "nombre" => "Maria"
            "apellidos" => "Sucena"
            "email" => array:1 [
              0 => "maria&#46;sucena&#64;hotmail&#46;com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">1</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Fernando"
            "apellidos" => "Coelho"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">2</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Teresa"
            "apellidos" => "Almeida"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">3</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Ant&#243;nio"
            "apellidos" => "Gouveia"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">4</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "Venceslau"
            "apellidos" => "Dr&#46; Hespanhol"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">5</span>"
                "identificador" => "aff0025"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">6</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:6 [
          0 => array:3 [
            "entidad" => "Assistente Hospitalar de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">1</span>"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Interno do Internato Complementar de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">2</span>"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Assistente Hospitalar de Cirurgia Geral&#44; Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto&#46; Dr&#46; Amadeu Pimenta"
            "etiqueta" => "<span class="elsevierStyleSup">3</span>"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Assistente Hospitalar Graduado de Cirurgia Geral&#44; Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto Dr&#46; Amadeu Pimenta"
            "etiqueta" => "<span class="elsevierStyleSup">4</span>"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Chefe de Servi&#231;o de Pneumologia&#44; Director do Servi&#231;o de Pneumologia"
            "etiqueta" => "<span class="elsevierStyleSup">5</span>"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Servi&#231;o de Pneumologia do Hospital de S&#46; Jo&#227;o EPE&#44; Porto Director&#58; Prof"
            "etiqueta" => "<span class="elsevierStyleSup">6</span>"
            "identificador" => "aff0030"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Alameda Prof&#46; Hern&#226;ni Monteiro 4200 &#8211; Porto&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Massive subcutaneous emphysema &#8211; Management using subcutaneous drains"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2009-07-09"
    "fechaAceptado" => "2009-09-08"
    "PalabrasClave" => array:2 [
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec160712"
          "palabras" => array:3 [
            0 => "Enfisema subcut&#226;neo"
            1 => "dreno subcut&#226;neo"
            2 => "tratamento"
          ]
        ]
      ]
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key-words"
          "identificador" => "xpalclavsec160713"
          "palabras" => array:3 [
            0 => "Subcutaneous emphysema"
            1 => "subcutaneous drain"
            2 => "management"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "pt" => array:2 [
        "titulo" => "Resumo"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">O enfisema subcut&#226;neo &#233; uma complica&#231;&#227;o relativamente comum na sequ&#234;ncia de t&#233;cnicas invasivas&#44; procedimentos cir&#250;rgicos e algumas patologias m&#233;dicas&#46; Na maior parte dos casos apenas causa sintomatologia <span class="elsevierStyleItalic">minor</span> e o tratamento &#233; habitualmente conservador&#46; Mesmo quando grave&#44; raramente tem consequ&#234;ncias patofisiol&#243;gicas significativas&#44; apesar de ser extremamente desconfort&#225;vel para o doente&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Os autores descrevem um caso cl&#237;nico de enfisema subcut&#226;neo maci&#231;o&#44; de r&#225;pida instala&#231;&#227;o&#44; ap&#243;s sa&#237;da acidental de tubo de drenagem tor&#225;cica&#44; em doente com pneumot&#243;rax espont&#226;neo secund&#225;rio e f&#237;stula broncopleural&#46; O enfisema foi tratado atrav&#233;s da coloca&#231;&#227;o&#44; sob anestesia local&#44; de dois drenos subcut&#226;neos na parede anterossuperior do t&#243;rax&#44; conectados a sacos de drenagem&#46; Ap&#243;s a coloca&#231;&#227;o dos drenos subcut&#226;neos verificou-se uma franca melhoria cl&#237;nica do doente&#44; com descompress&#227;o eficaz do enfisema subcut&#226;neo&#46; No presente caso cl&#237;nico&#44; a t&#233;cnica de drenagem do enfisema maci&#231;o mostrou-se simples&#44; segura e eficaz&#44; permitindo o al&#237;vio sintom&#225;tico imediato&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Abstract"
        "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Massive subcutaneous emphysema is a relatively common complication in invasive techniques&#44; surgical practice and some medical conditions&#46; Subcutaneous emphysema is usually treated conservatively and may only cause minimal symptoms&#46; Even when it is severe&#44; subcutaneous emphysema rarely has pathophysiologic consequences&#44; but it is extremely uncomfortable for the patient&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The authors report a case of massive and rapid developing subcutaneous emphysema following chest tube displacement in a patient with spontaneous se- condary pneumothorax and large air leak&#46; The emphysema was treated with two subcutaneous drains&#44; inserted using local anesthesia&#44; on both sides of the chest &#40;antero-superior thoracic wall&#41;&#44; connected to drainage bags&#46; The drains produced a dramatic clinical improvement and provided effective decompression of the subcutaneous emphysema&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">In this clinical case&#44; the technique of drainage of severe subcutaneous emphysema using subcutaneous drains was safe&#44; easy and effective&#44; affording immediate symptom relief&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "Bibliografia"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:25 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Upper airway obstruction as a result of massive subcutaneous emphysema following accidental removal of an intercostals drain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "D&#46;J&#46; Williams"
                            1 => "S&#46;I&#46; Jaggar"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/bja/aei039"
                      "Revista" => array:7 [
                        "tituloSerie" => "British Journal of Anaesthesia"
                        "fecha" => "2005"
                        "volumen" => "94"
                        "numero" => "3"
                        "paginaInicial" => "390"
                        "paginaFinal" => "392"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15579486"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simple construction of a subcutaneos catheter for treatment of severe subcut&#226;neos emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Beck"
                            1 => "S&#46; Heitman"
                            2 => "C&#46; Mody"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2002"
                        "volumen" => "121"
                        "paginaInicial" => "647"
                        "paginaFinal" => "649"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11834684"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of life-threatening subcutaneous emphysema using subcutaneous penrose drains and colostomy bags"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "T&#46; Matsushita"
                            1 => "A&#46;T&#46; Huynh"
                            2 => "T&#46; Singh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Heart Lung and Circulation"
                        "fecha" => "2007"
                        "volumen" => "16"
                        "paginaInicial" => "469"
                        "paginaFinal" => "471"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumatic chest wall compression&#58; a cause of respiratory failure from massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "S&#46;E&#46; Eveloff"
                            1 => "W&#46;E&#46; Donat"
                            2 => "R&#46; Aisenberg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "1021"
                        "paginaFinal" => "1023"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2009754"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two unexpected deaths from pneumothorax"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46; Peatfield"
                            1 => "P&#46; Edwards"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Lancet"
                        "fecha" => "1979"
                        "volumen" => "17"
                        "paginaInicial" => "356"
                        "paginaFinal" => "358"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Upper airway obstruction caused by massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "R&#46; Gibney"
                            1 => "B&#46; Finnegan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Intensive Care Med"
                        "fecha" => "1984"
                        "volumen" => "10"
                        "paginaInicial" => "43"
                        "paginaFinal" => "44"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6421917"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pneumomediastinum presenting as acute airway obstruction"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "V&#46; Caraballo"
                            1 => "R&#46; Barish"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J Emergency Med"
                        "fecha" => "1996"
                        "volumen" => "14"
                        "paginaInicial" => "159"
                        "paginaFinal" => "163"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Emphysema and pneumothorax after percutaneous tracheostomy &#8211; case reports and an anatomic study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "B&#46;G&#46; Fikkers"
                            1 => "J&#46;A&#46; Veen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "125"
                        "paginaInicial" => "1805"
                        "paginaFinal" => "1814"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15136394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Gomes MJ&#44; Sotto-Mayor R&#46; Tratado de Pneumologia&#46; 1&#46;&#170; edi&#231;&#227;o&#46; Editora Permanyer&#46; 2003&#46;"
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Subcutaneous and mediastinal emphysema associated with hypersensitivity pneumonitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "Y&#46; Ichikawa"
                            1 => "N&#46; Tokunaga"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "759"
                        "paginaFinal" => "761"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1995241"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Traumatic tension pneumomediastinum mimicking cardiac tamponade"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;H&#46; Beg"
                            1 => "Reyazuddin"
                            2 => "M&#46;M&#46; Ansari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1988"
                        "volumen" => "43"
                        "paginaInicial" => "576"
                        "paginaFinal" => "577"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3212757"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Acute ventilatory failure from massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "R&#46; Conetta"
                            1 => "A&#46;A&#46; Barman"
                            2 => "C&#46; Iakovou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "104"
                        "paginaInicial" => "978"
                        "paginaFinal" => "980"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8365332"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pacemaker malfunction due to subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "D&#46; Giroud"
                            1 => "J&#46;J&#46; Goy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Cardiol"
                        "fecha" => "1990"
                        "volumen" => "26"
                        "paginaInicial" => "234"
                        "paginaFinal" => "236"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2303305"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pacemaker malfunction due to subcutaneous emphysema&#58; a case report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "M&#46; Santomauro"
                            1 => "S&#46; Ferraro"
                            2 => "G&#46; Maddalena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Angiology"
                        "fecha" => "1992"
                        "volumen" => "43"
                        "paginaInicial" => "873"
                        "paginaFinal" => "876"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1476276"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tension subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "A&#46; Tonnesen"
                            1 => "W&#46; Wagner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anestheology"
                        "fecha" => "1985"
                        "volumen" => "62"
                        "paginaInicial" => "90"
                        "paginaFinal" => "92"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intracranial hypertension secondary to tension subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "J&#46; Coelho"
                            1 => "A&#46; Tonnensen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Crit Care Med"
                        "fecha" => "1985"
                        "volumen" => "13"
                        "paginaInicial" => "512"
                        "paginaFinal" => "513"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3838928"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Relief of tension subcutaneous emphysema using a large bore subcutaneous drain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "M&#46; Kelly"
                            1 => "J&#46; McGuigan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Anasthesia"
                        "fecha" => "1995"
                        "volumen" => "50"
                        "paginaInicial" => "1077"
                        "paginaFinal" => "1079"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Ventilation with one hundred percent oxygen for life threatening mediastinal and subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:2 [
                            0 => "T&#46; Oneill"
                            1 => "M&#46; Johnson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1979"
                        "volumen" => "76"
                        "paginaInicial" => "492"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/477449"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Palliation of severe subutaneous emphysema with use of a trocartype chest tube as a subcutaneous drain &#40;letter&#41;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Y&#46; Terada"
                            1 => "S&#46; Matsunobe"
                            2 => "T&#46; Nemoto"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "103"
                        "paginaInicial" => "323"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8417924"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Massive spontaneous subcutaneous emphysema&#58; acute management with infraclavicular &#8220;blow holes&#8221;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46;B&#46; Herlan"
                            1 => "R&#46;J&#46; Landreneau"
                            2 => "P&#46;F&#46; Ferson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1992"
                        "volumen" => "102"
                        "paginaInicial" => "503"
                        "paginaFinal" => "505"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1340766"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tracheostomy as a solution for subcut&#226;neos emphysema and pneumomediastino with Sever respiratory failure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46;A&#46; Lopez"
                            1 => "T&#46; Cordero"
                            2 => "F&#46; Delgado"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Acta Otorrinolaringol Esp"
                        "fecha" => "1997"
                        "volumen" => "48"
                        "paginaInicial" => "677"
                        "paginaFinal" => "681"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9528142"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of massive subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;V&#46; Pecora"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1993"
                        "volumen" => "104"
                        "paginaInicial" => "655"
                        "paginaFinal" => "656"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8339684"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Efficacy of microdrainage in severe subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "F&#46; Leo"
                            1 => "P&#46; Solli"
                            2 => "G&#46; Veronesi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2002"
                        "volumen" => "122"
                        "paginaInicial" => "1498"
                        "paginaFinal" => "1499"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12377896"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Simple method of palliation for gross subcutaneous surgical emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "K&#46;K&#46; Nair"
                            1 => "E&#46; Neville"
                            2 => "P&#46; Rajesh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J R Coll Surg Edinb"
                        "fecha" => "1989"
                        "volumen" => "34"
                        "paginaInicial" => "163"
                        "paginaFinal" => "164"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2478700"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The use of subcutaneous drains to manage subcutaneous emphysema"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;M&#46; Sherif"
                            1 => "D&#46;A&#46; Ott"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Tex Heart Inst J"
                        "fecha" => "1999"
                        "volumen" => "26"
                        "paginaInicial" => "129"
                        "paginaFinal" => "131"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10397436"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "pt"
  "url" => "/21735115/0000001600000002/v1_201305151526/S2173511510700397/v1_201305151526/pt/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9550"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Case Report&#47;Caso Cl&#237;nico"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/21735115/0000001600000002/v1_201305151526/S2173511510700397/v1_201305151526/pt/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511510700397?idApp=UINPBA00004E"
]
Article information
ISSN: 21735115
Original language: Portuguese
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 31 48 79
2024 October 330 293 623
2024 September 427 336 763
2024 August 262 262 524
2024 July 289 197 486
2024 June 272 190 462
2024 May 225 208 433
2024 April 153 197 350
2024 March 121 236 357
2024 February 99 161 260
2024 January 75 138 213
2023 December 140 271 411
2023 November 74 258 332
2023 October 87 338 425
2023 September 56 298 354
2023 August 69 315 384
2023 July 70 194 264
2023 June 45 189 234
2023 May 65 232 297
2023 April 51 141 192
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?