Punción-aspiración transesofágica guiada por ecobroncoscopio

Aportación de la ecobroncoscopia al diagnóstico del cáncer de pulmón

[Respiratory muscle aids during an episode of aspiration in a patient with Duchenne muscular dystrophy].

We report the case of a Duchenne muscular dystrophy patient with good bulbar function but severely decreased forced vital capacity (9%) and spontaneous peak cough flow (PCF) (2.35 L/s). The patient needed continuous noninvasive ventilation (NIV) consisting of a volumetric ventilator with a nighttime nasal mask and a daytime mouthpiece. He also required application of manually assisted coughing techniques by insufflation with a resuscitation bag and chest thrust (manually assisted PCF after maximum insufflation capacity of 4.33 L/s). An episode of serious food aspiration was resolved by his main caregiver through NIV and manually assisted coughing. Bronchoscopy under sedation using NIV with …

Endobronchial ultrasound in the diagnosis of lung cancer.

Changes in lung-cancer mortality trends in Spain

Several changes in smoking patterns over the past decades in Spain can be expected to result in a shift in lung-cancer mortality rates. We examined time trends in lung-cancer mortality from 1973-1997 using a log-linear Poisson age-period-cohort model. The standardized lung-cancer mortality rate for men almost doubled, from 31.4 per 100,000 in 1973 to 58.6 in 1997, with an average annual increase of 2.7%. Mortality increased for male generations born until 1952 as a consequence of the increasing cigarette smoking in successive birth cohorts. However, the slight downward trend observed for the 2 youngest generations suggests a more favorable outcome of the lung-cancer epidemic among Spanish m…

Morphology, anatomy and germination response of heteromorphic achenes of Anthemis chrysantha J. Gay (Asteraceae), a critically endangered species

[EN] This study demonstrates that Anthemis chrysantha, a 'Critically Endangered' annual plant, produces two morphs of achenes: white and dark achenes, which differ in size, mass, anatomy and germination behaviour. Fresh white achenes germinated at all temperatures assayed from 10 to 25 degrees C in both continuous darkness and 12-h photoperiod, ranging between 24% at 25 degrees C in darkness and 89% at 12/20 degrees C in light, whereas fresh dark achenes did not germinate under any temperature or light conditions. To identify differences in dormancy type between the two morphs, germination of dry-stored achenes, and achenes stratified at 5 or 25 degrees C for 2 months were tested in both da…

Transesophageal Endobronchial Ultrasound-Guided Fine-Needle Aspiration

Mortalidad por cáncer de pulmón en España

Ayudas a los músculos respiratorios durante un episodio de aspiración en un enfermo con distrofia muscular de Duchenne

Presentamos el caso de un enfermo afectado de distrofia muscular de Duchenne con buena funcion bulbar, pero con disminucion importante de la capacidad vital forzada (9%) y del pico de flujo de tos espontaneo (2,35 l/s) que le obligaba a mantener ventilacion no invasiva (VNI) continua (ventilador volumetrico, mascarilla nasal nocturna y pieza bucal en vigilia) y a utilizar ayudas manuales para la tos mediante insuflaciones con ambu y compresion toracica espiratoria (pico de flujo de tos asistida tras maxima capacidad de insuflacion de 4,33 l/s). El paciente presento una aspiracion importante de material digestivo que se resolvio gracias a la asociacion de las ayudas manuales para la tos prop…

The beginning of the tobacco-related lung-cancer epidemic among Spanish women

Pseudomembranous invasive tracheobronchial aspergillosis.

Invasive aspergillus tracheobronchitis is a rare infectious complication in severely immunocompromised patients who are generally neutropenic with haematological diseases, AIDS, or after solid organ transplantation. However, a few cases have been reported with no apparent severe compromise in the host defences.1 Aspergillus tracheobronchitis varies from localised tracheobronchitis …

[Lung cancer mortality in Spain].