{"title":"La variabilidad asistencial en la ELA: una cuestión pendiente","authors":"Marta Corral-Blanco, J. Sayas-Catalán","doi":"10.24875/rpr.m22000001","DOIUrl":"https://doi.org/10.24875/rpr.m22000001","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45165428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Raboso-Moreno, Javier de Miguel-Díez, G. Sánchez-Muñoz
{"title":"Micobacterias no tuberculosas. Selección bibliográfica","authors":"Beatriz Raboso-Moreno, Javier de Miguel-Díez, G. Sánchez-Muñoz","doi":"10.24875/rpr.m22000004","DOIUrl":"https://doi.org/10.24875/rpr.m22000004","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42294918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristina Matesanz-López, M. T. Río-Ramírez, Araceli Abad-Fernández
{"title":"Evaluación diafragmática mediante ecografía: repaso de una técnica imprescindible para el neumólogo","authors":"Cristina Matesanz-López, M. T. Río-Ramírez, Araceli Abad-Fernández","doi":"10.24875/rpr.22000002","DOIUrl":"https://doi.org/10.24875/rpr.22000002","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45325921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"SARS-CoV-2 en pediatría: abordaje de la transmisión, fisiopatología e hipótesis de presentación clínica","authors":"JL Estela Zape, I.L. Zarama Tobar, LC Vázquez Henao, D. Arturo-Terranova","doi":"10.54701/rpr.2022.02.03","DOIUrl":"https://doi.org/10.54701/rpr.2022.02.03","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70885094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Torres Arroyo, AJ Nistal Rodríguez, L. Rodríguez Conde, EB de Higes, Á. Ramos Pinedo, M. Izquierdo Patrón
Objective. To describe the characteristics of the patients admitted to an intermediate respiratory care unit (UCRI) created as a result of the pandemic, to analyze the factors associated with survival and therapeutic ceiling. Material and method. Descriptive observational study, includes all cases with SARS-CoV-2 pneumonia that required admission to UCRI. Variables analyzed: clinical, analytical, therapeutic, survival, respiratory support and oximetric evolution. A univariate analysis was performed for the differences according to therapeutic ceiling and survival at 90 days, for the evolution of SpO2/FiO2 over time, mixed linear models were adjusted. Results. 37 patients participated. The 46% of them were not candidates for critical care. Characteristics significantly associated with the order of non-intubation: older age (p = 0.001), higher Charlson index (p = 0.003), COPD (p = 0.014) or cancer (p = 0.033). Overall survival in UCRI 58%, according to the therapeutic ceiling in non-intubable patients, survival was 41%, while in intubable it was 89%. The variables associated with mortality were older age (p = 0.012), higher charlson index (p = 0.030), higher value of reactive protein C (p = 0.045), lower number of lymphocytes (p = 0.019) and treatment with lopinovir/ritonavir (p = 0.006). The mean SpO2/FiO2 at the beginning of non-invasive respiratory support (SRNI) was 112 (SD: 23), 81% suffered from moderate-severe distress. The lower the initial SpO2/FiO2, the worse the prognosis (p <0.001), the use of NIRS progressively improves the SpO2/FiO2 with the greater number of hours of use (p = 0.006). Conclusions. SRNI in UCRI is safe, improves oxygenation and offers therapeutic options in non-intubable patients.
{"title":"Uso del soporte respiratorio no invasivo en pacientes con distrés moderado-severo por SARS-CoV-2. Experiencia en un hospital de segundo nivel","authors":"I. Torres Arroyo, AJ Nistal Rodríguez, L. Rodríguez Conde, EB de Higes, Á. Ramos Pinedo, M. Izquierdo Patrón","doi":"10.54701/rpr.2022.02.02","DOIUrl":"https://doi.org/10.54701/rpr.2022.02.02","url":null,"abstract":"Objective. To describe the characteristics of the patients admitted to an intermediate respiratory care unit (UCRI) created as a result of the pandemic, to analyze the factors associated with survival and therapeutic ceiling. Material and method. Descriptive observational study, includes all cases with SARS-CoV-2 pneumonia that required admission to UCRI. Variables analyzed: clinical, analytical, therapeutic, survival, respiratory support and oximetric evolution. A univariate analysis was performed for the differences according to therapeutic ceiling and survival at 90 days, for the evolution of SpO2/FiO2 over time, mixed linear models were adjusted. Results. 37 patients participated. The 46% of them were not candidates for critical care. Characteristics significantly associated with the order of non-intubation: older age (p = 0.001), higher Charlson index (p = 0.003), COPD (p = 0.014) or cancer (p = 0.033). Overall survival in UCRI 58%, according to the therapeutic ceiling in non-intubable patients, survival was 41%, while in intubable it was 89%. The variables associated with mortality were older age (p = 0.012), higher charlson index (p = 0.030), higher value of reactive protein C (p = 0.045), lower number of lymphocytes (p = 0.019) and treatment with lopinovir/ritonavir (p = 0.006). The mean SpO2/FiO2 at the beginning of non-invasive respiratory support (SRNI) was 112 (SD: 23), 81% suffered from moderate-severe distress. The lower the initial SpO2/FiO2, the worse the prognosis (p <0.001), the use of NIRS progressively improves the SpO2/FiO2 with the greater number of hours of use (p = 0.006). Conclusions. SRNI in UCRI is safe, improves oxygenation and offers therapeutic options in non-intubable patients.","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70885081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Qué hemos aprendido (y desaprendido) de la pandemia","authors":"L. Puente Maestú","doi":"10.54701/rpr.2022.02.01","DOIUrl":"https://doi.org/10.54701/rpr.2022.02.01","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70885042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Garrido Márquez, C. Martínez Martínez, Á. Moyano Portillo
{"title":"Afectación pulmonar en la enfermedad de Rendu-Osler-Weber: diagnóstico radiológico","authors":"I. Garrido Márquez, C. Martínez Martínez, Á. Moyano Portillo","doi":"10.54701/rpr.2022.01.08","DOIUrl":"https://doi.org/10.54701/rpr.2022.01.08","url":null,"abstract":"","PeriodicalId":37742,"journal":{"name":"Revista de Patologia Respiratoria","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70885031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}