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array:24 [ "pii" => "S2531043722001234" "issn" => "25310437" "doi" => "10.1016/j.pulmoe.2022.05.002" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "1753" "copyright" => "Sociedade Portuguesa de Pneumologia" "copyrightAnyo" => "2022" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Pulmonol. 2022;28:489" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "itemSiguiente" => array:19 [ "pii" => "S2531043722001155" "issn" => "25310437" "doi" => "10.1016/j.pulmoe.2022.04.008" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "1747" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Pulmonol. 2022;28:490-1" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Photo</span>" "titulo" => "Late onset pulmonary vein stump thrombus seven years after left upper lobectomy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "490" "paginaFinal" => "491" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0001" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2494 "Ancho" => 2500 "Tamanyo" => 360876 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0001" "detalle" => "Fig " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">A, Axial contrast-enhanced CT image (mediastinal window), obtained 5 years after the left upper lobectomy, shows a patent left superior pulmonary vein stump (arrow). B, Axial contrast-enhanced CT image (mediastinal window), obtained 7 years after the left upper lobectomy, shows a filling defect within the left superior pulmonary vein stump (arrow). C, Axial fused PET/CT image (obtained 3 days after B) demonstrates lack of FDG uptake at the level of the left superior pulmonary vein stump (arrow), suggesting a non-tumor thrombus. D, Axial contrast-enhanced CT image (mediastinal window), obtained 3 months after B, shows resolution of the left superior pulmonary vein stump thrombus (arrow).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Gorospe, O. Ajuria-Illarramendi, G.M. Muñoz-Molina, R.M. Mirambeaux-Villalona" "autores" => array:4 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Gorospe" ] 1 => array:2 [ "nombre" => "O." "apellidos" => "Ajuria-Illarramendi" ] 2 => array:2 [ "nombre" => "G.M." "apellidos" => "Muñoz-Molina" ] 3 => array:2 [ "nombre" => "R.M." "apellidos" => "Mirambeaux-Villalona" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2531043722001155?idApp=UINPBA00004E" "url" => "/25310437/0000002800000006/v1_202211020651/S2531043722001155/v1_202211020651/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2531043722000733" "issn" => "25310437" "doi" => "10.1016/j.pulmoe.2022.03.001" "estado" => "S300" "fechaPublicacion" => "2022-11-01" "aid" => "1726" "copyright" => "Sociedade Portuguesa de Pneumologia" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "cor" "cita" => "Pulmonol. 2022;28:487-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Multiple system atrophy: Inspiratory sighs as a key polysomnographic sign to early diagnosis?" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "487" "paginaFinal" => "488" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0001" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2390 "Ancho" => 2126 "Tamanyo" => 1257434 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "alt0001" "detalle" => "Fig " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">Examples of inspiratory sighs (black arrows), during N2 (A) and N3 (B) sleep. None of the sighs are associated to respiratory events.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.N. Caldeira, J. Moita, A.C. Brás" "autores" => array:3 [ 0 => array:2 [ "nombre" => "J.N." "apellidos" => "Caldeira" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Moita" ] 2 => array:2 [ "nombre" => "A.C." "apellidos" => "Brás" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2531043722000733?idApp=UINPBA00004E" "url" => "/25310437/0000002800000006/v1_202211020651/S2531043722000733/v1_202211020651/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "High-flow oxygen therapy in palliative care: A reality in a near future?" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "489" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Carqueijó" "autores" => array:1 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Carqueijó" "email" => array:1 [ 0 => "acinomcarqueijo@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pulmonology/Medicine Department, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal" "identificador" => "aff0001" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0001a" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003a"><span class="elsevierStyleItalic"><span class="elsevierStyleBold">Dear Editor</span></span></span><p id="para0001" class="elsevierStylePara elsevierViewall">Duarte, et al. in the article review “High flow oxygen therapy in palliative care: A reality in a near future?” argue that High Flow Oxygen (HFO) is a reasonable palliative treatment in end-of-life patients.<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> This is a fact and I also share their opinion, since it makes it possible for people to communicate and feed themselves without an increased physical effort.</p><p id="para0002" class="elsevierStylePara elsevierViewall">The authors also mention that this type of oxygen therapy has the benefit of producing fewer skin lesions. From my experience, it is true that it does not cause pressure ulcers, especially on the nasal bridge (even with the application of protective padding) and the whole feeling of claustrophobia,<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> as is often the case with non-invasive ventilation (NIV). However, HFO causes internal injuries in the nasal septum and a tamponing sensation with continued and prolonged use. There are visible effects reported by patients undergoing HFO in the pneumology service where I work. I emphasize that when this happens, patients remove the nasal cannula for a moment and try to clean it to diminish this nasal tamponade sensation, which eventually results in epistaxis. I should add that we always prefer a nasal catheter that is silicone-coated and as rigid as possible, in order to provide the best comfort for the patient.</p><p id="para0003" class="elsevierStylePara elsevierViewall">I think it's important to analyze the benefits and drawbacks of this type of oxygen therapy recently used because, despite all the benefits it has, it is translates into discomfort. In the authors opinion, HFO is a reasonable palliative treatment in end-of-life patients, however this ends up being counterproductive since it cause injury and, consecutively, suffering in patients.</p><p id="para0004" class="elsevierStylePara elsevierViewall">For end of life patients I do not believe, in most cases, it is the best option, and there is also no evidence that it has advantages over opioids and anxiolytics. As the authors says, dyspnea is the most prevalent symptom, and can be quite debilitating at all levels. The most important thing is the symptomatic relief of dyspnea, emphasizing that the use of oxygen therapy does not represent an improvement in survival in people with advanced disease.<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a></p><p id="para0005" class="elsevierStylePara elsevierViewall">There is still an urgent need to look at the person suffering from an incurable disease in advanced and/or progressive stages, in order to promote well-being and quality of life.<a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a> Prevention and relief of pain are indispensable, not the removal of one type of pain in order to offer another. Symptomatic treatment continues to make more sense than inappropriate and excessive use of oxygen therapy.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a></p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0001a" "titulo" => "Dear Editor" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2022-02-14" "fechaAceptado" => "2022-05-19" "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "cebibsec1" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0001" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High-flow oxygen therapy in palliative care: a reality in a near future?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.C. Duarte" 1 => "O. Santos" 2 => "C. Lousada" 3 => "P. Reis-Pina" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.pulmoe.2021.08.003" "Revista" => array:7 [ "tituloSerie" => "Pulmonology" "fecha" => "2021" "volumen" => "27" "numero" => "6" "paginaInicial" => "479" "paginaFinal" => "480" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34538613" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0002" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Complications of noninvasive ventilation in acute care" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "P. Gay" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Respir Care" "fecha" => "2009" "volumen" => "54" "numero" => "2" "paginaInicial" => "246" "paginaFinal" => "257" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19173756" "web" => "Medline" ] ] ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "http://rc.rcjournal.com/content/54/2/246/tab-pdf" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0003" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Autonomy and dyspnea in palliative care: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M. Martins" 1 => "E. Campôa" 2 => "M. Ferreira" 3 => "P. Reis-Pina" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.pulmoe.2019.05.005" "Revista" => array:7 [ "tituloSerie" => "Pulmonology" "fecha" => "2020" "volumen" => "26" "numero" => "2" "paginaInicial" => "105" "paginaFinal" => "107" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31160236" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0004" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Cuidados paliativos - conheça-os melhor" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "I.G. Neto" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "fecha" => "2020" "paginaInicial" => "13" "paginaFinal" => "40" "editorial" => "Fundação Francisco Manuel dos Santos" "editorialLocalizacion" => "Lisboa" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0005" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Oxigenoterapia na doença avançada: conhece a evidência?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "L. Frade" 1 => "N. Carreira" 2 => "V. Tosatto" 3 => "S. Marote" 4 => "I.G. Neto" ] ] ] ] ] "host" => array:2 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Intern" "fecha" => "2019" "volumen" => "26" "numero" => "4" "paginaInicial" => "320" "paginaFinal" => "325" ] ] 1 => array:1 [ "WWW" => array:1 [ "link" => "https://www.spmi.pt/revista/vol26/vol26_n4_2019_320_325.pdf" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/25310437/0000002800000006/v1_202211020651/S2531043722001234/v1_202211020651/en/main.assets" "Apartado" => array:4 [ "identificador" => "86736" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/25310437/0000002800000006/v1_202211020651/S2531043722001234/v1_202211020651/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2531043722001234?idApp=UINPBA00004E" ]
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