Andrea Fuentealba - Academia.edu (original) (raw)

Papers by Andrea Fuentealba

Research paper thumbnail of An Overview of Extracorporeal Membrane Oxygenation

Research paper thumbnail of Análisis del rol de los exámenes de imagen en el Régimen de Garantías Explícitas en salud en Chile

Revista Chilena de Radiología, Dec 1, 2019

Analysis of the Role of Imaging Exams in the Regime of Explicit Health Guarantees in Chile Resume... more Analysis of the Role of Imaging Exams in the Regime of Explicit Health Guarantees in Chile Resumen: Objetivo: Describir la participación de los exámenes de imagen en el Régimen de Garantías Explícitas en Salud en Chile y analizar el papel de los radiólogos en este campo. Materiales y métodos: todas las patologías incluidas en el Programa de garantías explícitas en salud, cuentan con una guía de práctica clínica (GC) y un listado de prestaciones específicas (LP). Ambos fueron analizados respecto a la cantidad y la modalidad de los exámenes de imagen recomendados, la presencia de radiólogos dentro de los paneles de expertos y la concordancia entre las recomendaciones de las guías y los Listados de Prestaciones. Resultados: 60 GC (67%) y 55 LP (69%) incluyen pruebas de imagen dentro de sus prestaciones garantizadas. 7 GC (8%) recomiendan pruebas de imágenes no cubiertas en su listado de prestaciones respectivos y 5 pruebas de imágenes del LP (6%) no están incluídas en las guías clínicas. La participación de un radiólogo en el panel de expertos se asoció con la ausencia de discrepancias en las pruebas de imagen entre GC y LP (p = 0,007). Discusión: el diagnóstico por imágenes juega un papel importante dentro del Programa de garantías explícitas y se asocia al aumento de los costos de atención médica. Algunos casos de discordancia entre las guías clínicas y los Listados de Prestaciones representan costos económicos y sociales significativos que podrían reducirse al incluir radiólogos en los paneles de expertos, así como optimizar el uso de recursos y reducir la exposición de los pacientes a la radiación ionizante.

Research paper thumbnail of Segmental Arterial Mediolysis: Do you remember what to search for?

Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search f... more Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search for?" by: "A. Fuentealba1, D. Ramirez2, N. Rossel1, P. Almarza1, A. Pizarro1, M. CASTRO1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of Chest x-ray in acute nontraumatic disease, is it a reliable diagnostic tool?

Poster: "ECR 2016 / B-0851 / Chest x-ray in acute nontraumatic disease, is it a reliable dia... more Poster: "ECR 2016 / B-0851 / Chest x-ray in acute nontraumatic disease, is it a reliable diagnostic tool?" by: "A. Fuentealba, D. Ramirez, J. P. Duran, N. Rossel, R. ARIS, S. Aguirre, A. Pizarro, M. CASTRO; Santiago/CL"

Research paper thumbnail of Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings

Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real d... more Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings" by: "A. Fuentealba, N. Rossel, P. Sepulveda, D. Ramirez, J. P. Duran, G. P. Zamboni, M. CASTRO; Santiago/CL"

Research paper thumbnail of Müller Weiss Syndrome: a forgotten cause of mid foot pain. A multimodality pictorial review

Poster: "ECR 2017 / C-1894 / Muller Weiss Syndrome: a forgotten cause of mid foot pain. A mu... more Poster: "ECR 2017 / C-1894 / Muller Weiss Syndrome: a forgotten cause of mid foot pain. A multimodality pictorial review." by: "A. Fuentealba, S. Butron, J. Drewes, N. Rossel, J. P. Duran, A. J. Provoste Soto, M. CASTRO; Santiago/CL"

Research paper thumbnail of Spontaneous Abdominal Hematomas: A Practical Approach

Poster: "ECR 2018 / C-3141 / Spontaneous Abdominal Hematomas: A Practical Approach" by:... more Poster: "ECR 2018 / C-3141 / Spontaneous Abdominal Hematomas: A Practical Approach" by: "D. Ramirez1, A. Fuentealba2, B. Rodriguez2, P. Almarza2, A. Pizarro2, D. I. Herquinigo2, M. CASTRO2; 1Santiago, METROPOLITANA/CL, 2Santiago/CL"

Research paper thumbnail of Perfusion parameters exhibit markedly different recover y time courses throughout resuscitation in a cohort of septic shock sur vivors

Objectives Several parameters have been used to monitor perfusion status or as potential resuscit... more Objectives Several parameters have been used to monitor perfusion status or as potential resuscitation goals in septic shock under the assumption that they are flow-responsive. However, little is known about the specific recovery time course of individual parameters a fact that appears as relevant to select the most appropriate target at different time-points. We assessed the recovery time course for hemodynamic, peripheral, metabolic and microcirculatory parameters during early intensive care unit based resuscitation. Design A prospective observational clinical study. Setting A 16-bed mixed intensive care unit in a university hospital Patients Thirty-five septic shock patients with hyperlactatemia, mechanical ventilation and less than 2 h of evolution were originally included but final analysis was performed only in the 31 hospital-survivors. Interventions Patients were evaluated with a multimodal perfusion monitoring protocol. Measurements and main results Macrohemodynamic, metabolic, peripheral, and sublingual microcirculatory perfusion parameters were evaluated at baseline, 2, 6 and 24 after starting intensive care unit-based resuscitation. Some variables such as central venous oxygen saturation, central venousarterial pCO 2 gradient, capillary refill time, thenar tissue oxygen saturation were already normal in more than 70% of survivors after 6 six hours of resuscitation. Lactate presented a much slower recovery trend, decreasing significantly at 6 h compared to baseline ((2.7 [2.2-3.9] vs. 4.0 [3.0-4.9] mmol/l p<0.01), but with only 48% of patients achieving normality at 24 h. Sublingual microcirculatory parameters exhibited the slowest recovery rate with persistent moderate derangements still present in almost 80% of patients at 24 h (proportion of perfused vessels 77% [68-84], and microvascular flow index 2.2 [2.0-2.5]). Conclusions Perfusion parameters exhibit markedly different recovery rates in response to early resuscitation in septic shock surviving patients. The recovery time course of microcirculatory abnormalities in survivors seems to be the slowest among all perfusion parameters.

Research paper thumbnail of Peripheral perfusion is correlated to metabolic perfusion parameters and microvascular reactivity but not with hepatosplanchnic or microcirculatory flow parameters in hyperdynamic septic shock

Research paper thumbnail of RESEARCH Open Access Relationship of systemic, hepatosplanchnic

and microcirculatory perfusion parameters with time and central-to-peripheral temperature differe... more and microcirculatory perfusion parameters with time and central-to-peripheral temperature difference, thenar tissue oxygen saturation (StO2) and its recovery slope after a vascular occlusion test, sublingual microcirculatory assessment, gastric tonometry (pCO2 gap), and plasma

Research paper thumbnail of doi:10.1155/2012/536852 Clinical Study Persistent Sepsis-Induced Hypotension without Hyperlactatemia: A Distinct Clinical and Physiological Profile

Copyright © 2012 Glenn Hernandez et al. This is an open access article distributed under the Crea... more Copyright © 2012 Glenn Hernandez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite being subjected to a massive circulatory stress. Maintenance of normal lactate levels during septic shock is of great clinical and physiological interest. Our aim was to describe the clinical, hemodynamic, perfusion, and microcirculatory profiles associated to the absence of hyperlactatemia during septic shock resuscitation. Methods. We conducted an observational study in septic shock patients undergoing resuscitation. Serial clinical, hemodynamic, and perfusion parameters were registered. A single sublingual microcirculatory assessment was

Research paper thumbnail of Radiografía de tórax en urgencia no traumática, es una herramienta diagnóstica útil

Research paper thumbnail of Clinical Study Persistent Sepsis-Induced Hypotension without Hyperlactatemia: A Distinct Clinical and Physiological Profile within the Spectrum of Septic Shock

Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite bein... more Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite being subjected to a massive circulatory stress. Maintenance of normal lactate levels during septic shock is of great clinical and physiological interest. Our aim was to describe the clinical, hemodynamic, perfusion, and microcirculatory profiles associated to the absence of hyperlactatemia during septic shock resuscitation. Methods. We conducted an observational study in septic shock patients undergoing resuscitation. Serial clinical, hemodynamic, and perfusion parameters were registered. A single sublingual microcirculatory assessment was performed in a subgroup. Patients evolving with versus without hyperlactatemia were compared. Results. 124 septic shock patients were included. Patients without hyperlactatemia exhibited lower severity scores and mortality. They also presented higher platelet counts and required less intensive treatment. Microcirculation was assessed in 45 patients. Patie...

Research paper thumbnail of Doppler Ultrasound in Chronic Venous Disease of the Lower Limb: a guide for Dummys to Remain in the Desirable Path

Poster: "ECR 2018 / C-3166 / Doppler Ultrasound in Chronic Venous Disease of the Lower Limb:... more Poster: "ECR 2018 / C-3166 / Doppler Ultrasound in Chronic Venous Disease of the Lower Limb: a guide for Dummys to Remain in the Desirable Path" by: "A. Fuentealba1, D. Ramirez2, J. P. Duran1, G. P. Zamboni1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings

Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real d... more Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings" by: "A. Fuentealba, N. Rossel, P. Sepulveda, D. Ramirez, J. P. Duran, G. P. Zamboni, M. CASTRO; Santiago/CL"

Research paper thumbnail of Segmental Arterial Mediolysis: Do you remember what to search for?

Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search f... more Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search for?" by: "A. Fuentealba1, D. Ramirez2, N. Rossel1, P. Almarza1, A. Pizarro1, M. CASTRO1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of How i supposed to breath with no air? Central airway lesions: the good, the bad and the ugly

Poster: "ECR 2017 / C-1514 / How i supposed to breath with no air? Central airway lesions: t... more Poster: "ECR 2017 / C-1514 / How i supposed to breath with no air? Central airway lesions: the good, the bad and the ugly." by: "A. Fuentealba, N. Rossel, D. Ramirez, E. Mendez, M. CASTRO; Santiago/CL"

Research paper thumbnail of Soporte vital extracorpóreo en adultos con insuficiencia respiratoria aguda refractaria

RESUMO Introdução: O suporte de vida extracorpórea (ECLS) é usado com sucesso em neonatos com ins... more RESUMO Introdução: O suporte de vida extracorpórea (ECLS) é usado com sucesso em neonatos com insufi ciência respiratória aguda (IRA). As difi culdades técnicas, custos e resultados decepcionantes confi naram a esta técnica como última estratégia em adultos. Nosso objetivo é relatar nossa experiência com ECLS em adultos. Métodos: Foram analisados pacientes adultos tratados com ECLS entre 2002 e 2012. Foram recolhidas as variáveis demográfi cas e cardiopulmonares. Os dados são expressos em mediana (desvio padrão). As diferenças entre os pacientes com IRA isolada e com síndrome cardiopulmonar por Hantavírus foi analisada com o teste U de Mann Whitney e foi considerou um valor estatisticamente signifi cativo p < 0.05. Resultados: Quinze pacientes receberam ECLS. Cinco veno-arteriais (VA), 7 veno-venosas (V-V) e trêis asssistências pulmonares extracorpóreas sem bomba (P-ELA). Se descrevem variáveis demográficas, cardiopulmonar, diagnóstico, tempo no ECLS e os resultados. Os dias de v...

Research paper thumbnail of What The Heck With The Neck: A practical approach to neck diseases

Poster: "ECR 2019 / C-3639 / What The Heck With The Neck: A practical approach to neck disea... more Poster: "ECR 2019 / C-3639 / What The Heck With The Neck: A practical approach to neck diseases" by: "D. Ramirez1, A. Fuentealba2, P. Almarza2, B. Rodriguez2, F. J. Cerda3, M. CASTRO2; 1Santiago, METROPOLITANA/CL, 2Santiago/CL, 3Providencia, Re/CL"

Research paper thumbnail of How brain death looks like? A multimodality pictorial review

Poster: "ECR 2017 / C-1738 / How brain death looks like? A multimodality pictorial review.&q... more Poster: "ECR 2017 / C-1738 / How brain death looks like? A multimodality pictorial review." by: "A. SALAS ZULETA1, A. Fuentealba2, D. Ramirez2, N. Rossel2, H. Dellien2; 1Santiago, rm/CL, 2Santiago/CL"

Research paper thumbnail of An Overview of Extracorporeal Membrane Oxygenation

Research paper thumbnail of Análisis del rol de los exámenes de imagen en el Régimen de Garantías Explícitas en salud en Chile

Revista Chilena de Radiología, Dec 1, 2019

Analysis of the Role of Imaging Exams in the Regime of Explicit Health Guarantees in Chile Resume... more Analysis of the Role of Imaging Exams in the Regime of Explicit Health Guarantees in Chile Resumen: Objetivo: Describir la participación de los exámenes de imagen en el Régimen de Garantías Explícitas en Salud en Chile y analizar el papel de los radiólogos en este campo. Materiales y métodos: todas las patologías incluidas en el Programa de garantías explícitas en salud, cuentan con una guía de práctica clínica (GC) y un listado de prestaciones específicas (LP). Ambos fueron analizados respecto a la cantidad y la modalidad de los exámenes de imagen recomendados, la presencia de radiólogos dentro de los paneles de expertos y la concordancia entre las recomendaciones de las guías y los Listados de Prestaciones. Resultados: 60 GC (67%) y 55 LP (69%) incluyen pruebas de imagen dentro de sus prestaciones garantizadas. 7 GC (8%) recomiendan pruebas de imágenes no cubiertas en su listado de prestaciones respectivos y 5 pruebas de imágenes del LP (6%) no están incluídas en las guías clínicas. La participación de un radiólogo en el panel de expertos se asoció con la ausencia de discrepancias en las pruebas de imagen entre GC y LP (p = 0,007). Discusión: el diagnóstico por imágenes juega un papel importante dentro del Programa de garantías explícitas y se asocia al aumento de los costos de atención médica. Algunos casos de discordancia entre las guías clínicas y los Listados de Prestaciones representan costos económicos y sociales significativos que podrían reducirse al incluir radiólogos en los paneles de expertos, así como optimizar el uso de recursos y reducir la exposición de los pacientes a la radiación ionizante.

Research paper thumbnail of Segmental Arterial Mediolysis: Do you remember what to search for?

Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search f... more Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search for?" by: "A. Fuentealba1, D. Ramirez2, N. Rossel1, P. Almarza1, A. Pizarro1, M. CASTRO1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of Chest x-ray in acute nontraumatic disease, is it a reliable diagnostic tool?

Poster: "ECR 2016 / B-0851 / Chest x-ray in acute nontraumatic disease, is it a reliable dia... more Poster: "ECR 2016 / B-0851 / Chest x-ray in acute nontraumatic disease, is it a reliable diagnostic tool?" by: "A. Fuentealba, D. Ramirez, J. P. Duran, N. Rossel, R. ARIS, S. Aguirre, A. Pizarro, M. CASTRO; Santiago/CL"

Research paper thumbnail of Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings

Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real d... more Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings" by: "A. Fuentealba, N. Rossel, P. Sepulveda, D. Ramirez, J. P. Duran, G. P. Zamboni, M. CASTRO; Santiago/CL"

Research paper thumbnail of Müller Weiss Syndrome: a forgotten cause of mid foot pain. A multimodality pictorial review

Poster: "ECR 2017 / C-1894 / Muller Weiss Syndrome: a forgotten cause of mid foot pain. A mu... more Poster: "ECR 2017 / C-1894 / Muller Weiss Syndrome: a forgotten cause of mid foot pain. A multimodality pictorial review." by: "A. Fuentealba, S. Butron, J. Drewes, N. Rossel, J. P. Duran, A. J. Provoste Soto, M. CASTRO; Santiago/CL"

Research paper thumbnail of Spontaneous Abdominal Hematomas: A Practical Approach

Poster: "ECR 2018 / C-3141 / Spontaneous Abdominal Hematomas: A Practical Approach" by:... more Poster: "ECR 2018 / C-3141 / Spontaneous Abdominal Hematomas: A Practical Approach" by: "D. Ramirez1, A. Fuentealba2, B. Rodriguez2, P. Almarza2, A. Pizarro2, D. I. Herquinigo2, M. CASTRO2; 1Santiago, METROPOLITANA/CL, 2Santiago/CL"

Research paper thumbnail of Perfusion parameters exhibit markedly different recover y time courses throughout resuscitation in a cohort of septic shock sur vivors

Objectives Several parameters have been used to monitor perfusion status or as potential resuscit... more Objectives Several parameters have been used to monitor perfusion status or as potential resuscitation goals in septic shock under the assumption that they are flow-responsive. However, little is known about the specific recovery time course of individual parameters a fact that appears as relevant to select the most appropriate target at different time-points. We assessed the recovery time course for hemodynamic, peripheral, metabolic and microcirculatory parameters during early intensive care unit based resuscitation. Design A prospective observational clinical study. Setting A 16-bed mixed intensive care unit in a university hospital Patients Thirty-five septic shock patients with hyperlactatemia, mechanical ventilation and less than 2 h of evolution were originally included but final analysis was performed only in the 31 hospital-survivors. Interventions Patients were evaluated with a multimodal perfusion monitoring protocol. Measurements and main results Macrohemodynamic, metabolic, peripheral, and sublingual microcirculatory perfusion parameters were evaluated at baseline, 2, 6 and 24 after starting intensive care unit-based resuscitation. Some variables such as central venous oxygen saturation, central venousarterial pCO 2 gradient, capillary refill time, thenar tissue oxygen saturation were already normal in more than 70% of survivors after 6 six hours of resuscitation. Lactate presented a much slower recovery trend, decreasing significantly at 6 h compared to baseline ((2.7 [2.2-3.9] vs. 4.0 [3.0-4.9] mmol/l p<0.01), but with only 48% of patients achieving normality at 24 h. Sublingual microcirculatory parameters exhibited the slowest recovery rate with persistent moderate derangements still present in almost 80% of patients at 24 h (proportion of perfused vessels 77% [68-84], and microvascular flow index 2.2 [2.0-2.5]). Conclusions Perfusion parameters exhibit markedly different recovery rates in response to early resuscitation in septic shock surviving patients. The recovery time course of microcirculatory abnormalities in survivors seems to be the slowest among all perfusion parameters.

Research paper thumbnail of Peripheral perfusion is correlated to metabolic perfusion parameters and microvascular reactivity but not with hepatosplanchnic or microcirculatory flow parameters in hyperdynamic septic shock

Research paper thumbnail of RESEARCH Open Access Relationship of systemic, hepatosplanchnic

and microcirculatory perfusion parameters with time and central-to-peripheral temperature differe... more and microcirculatory perfusion parameters with time and central-to-peripheral temperature difference, thenar tissue oxygen saturation (StO2) and its recovery slope after a vascular occlusion test, sublingual microcirculatory assessment, gastric tonometry (pCO2 gap), and plasma

Research paper thumbnail of doi:10.1155/2012/536852 Clinical Study Persistent Sepsis-Induced Hypotension without Hyperlactatemia: A Distinct Clinical and Physiological Profile

Copyright © 2012 Glenn Hernandez et al. This is an open access article distributed under the Crea... more Copyright © 2012 Glenn Hernandez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite being subjected to a massive circulatory stress. Maintenance of normal lactate levels during septic shock is of great clinical and physiological interest. Our aim was to describe the clinical, hemodynamic, perfusion, and microcirculatory profiles associated to the absence of hyperlactatemia during septic shock resuscitation. Methods. We conducted an observational study in septic shock patients undergoing resuscitation. Serial clinical, hemodynamic, and perfusion parameters were registered. A single sublingual microcirculatory assessment was

Research paper thumbnail of Radiografía de tórax en urgencia no traumática, es una herramienta diagnóstica útil

Research paper thumbnail of Clinical Study Persistent Sepsis-Induced Hypotension without Hyperlactatemia: A Distinct Clinical and Physiological Profile within the Spectrum of Septic Shock

Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite bein... more Introduction. A subgroup of septic shock patients will never develop hyperlactatemia despite being subjected to a massive circulatory stress. Maintenance of normal lactate levels during septic shock is of great clinical and physiological interest. Our aim was to describe the clinical, hemodynamic, perfusion, and microcirculatory profiles associated to the absence of hyperlactatemia during septic shock resuscitation. Methods. We conducted an observational study in septic shock patients undergoing resuscitation. Serial clinical, hemodynamic, and perfusion parameters were registered. A single sublingual microcirculatory assessment was performed in a subgroup. Patients evolving with versus without hyperlactatemia were compared. Results. 124 septic shock patients were included. Patients without hyperlactatemia exhibited lower severity scores and mortality. They also presented higher platelet counts and required less intensive treatment. Microcirculation was assessed in 45 patients. Patie...

Research paper thumbnail of Doppler Ultrasound in Chronic Venous Disease of the Lower Limb: a guide for Dummys to Remain in the Desirable Path

Poster: "ECR 2018 / C-3166 / Doppler Ultrasound in Chronic Venous Disease of the Lower Limb:... more Poster: "ECR 2018 / C-3166 / Doppler Ultrasound in Chronic Venous Disease of the Lower Limb: a guide for Dummys to Remain in the Desirable Path" by: "A. Fuentealba1, D. Ramirez2, J. P. Duran1, G. P. Zamboni1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings

Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real d... more Poster: "ECR 2017 / C-1425 / Pneumocystis jirovecci pneumonia: from mild disease to a real disaster. A pictorial review of the different radiologic patterns in acute settings" by: "A. Fuentealba, N. Rossel, P. Sepulveda, D. Ramirez, J. P. Duran, G. P. Zamboni, M. CASTRO; Santiago/CL"

Research paper thumbnail of Segmental Arterial Mediolysis: Do you remember what to search for?

Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search f... more Poster: "ECR 2018 / C-3145 / Segmental Arterial Mediolysis: Do you remember what to search for?" by: "A. Fuentealba1, D. Ramirez2, N. Rossel1, P. Almarza1, A. Pizarro1, M. CASTRO1, D. I. Herquinigo1; 1Santiago/CL, 2Santiago, METROPOLITANA/CL"

Research paper thumbnail of How i supposed to breath with no air? Central airway lesions: the good, the bad and the ugly

Poster: "ECR 2017 / C-1514 / How i supposed to breath with no air? Central airway lesions: t... more Poster: "ECR 2017 / C-1514 / How i supposed to breath with no air? Central airway lesions: the good, the bad and the ugly." by: "A. Fuentealba, N. Rossel, D. Ramirez, E. Mendez, M. CASTRO; Santiago/CL"

Research paper thumbnail of Soporte vital extracorpóreo en adultos con insuficiencia respiratoria aguda refractaria

RESUMO Introdução: O suporte de vida extracorpórea (ECLS) é usado com sucesso em neonatos com ins... more RESUMO Introdução: O suporte de vida extracorpórea (ECLS) é usado com sucesso em neonatos com insufi ciência respiratória aguda (IRA). As difi culdades técnicas, custos e resultados decepcionantes confi naram a esta técnica como última estratégia em adultos. Nosso objetivo é relatar nossa experiência com ECLS em adultos. Métodos: Foram analisados pacientes adultos tratados com ECLS entre 2002 e 2012. Foram recolhidas as variáveis demográfi cas e cardiopulmonares. Os dados são expressos em mediana (desvio padrão). As diferenças entre os pacientes com IRA isolada e com síndrome cardiopulmonar por Hantavírus foi analisada com o teste U de Mann Whitney e foi considerou um valor estatisticamente signifi cativo p < 0.05. Resultados: Quinze pacientes receberam ECLS. Cinco veno-arteriais (VA), 7 veno-venosas (V-V) e trêis asssistências pulmonares extracorpóreas sem bomba (P-ELA). Se descrevem variáveis demográficas, cardiopulmonar, diagnóstico, tempo no ECLS e os resultados. Os dias de v...

Research paper thumbnail of What The Heck With The Neck: A practical approach to neck diseases

Poster: "ECR 2019 / C-3639 / What The Heck With The Neck: A practical approach to neck disea... more Poster: "ECR 2019 / C-3639 / What The Heck With The Neck: A practical approach to neck diseases" by: "D. Ramirez1, A. Fuentealba2, P. Almarza2, B. Rodriguez2, F. J. Cerda3, M. CASTRO2; 1Santiago, METROPOLITANA/CL, 2Santiago/CL, 3Providencia, Re/CL"

Research paper thumbnail of How brain death looks like? A multimodality pictorial review

Poster: "ECR 2017 / C-1738 / How brain death looks like? A multimodality pictorial review.&q... more Poster: "ECR 2017 / C-1738 / How brain death looks like? A multimodality pictorial review." by: "A. SALAS ZULETA1, A. Fuentealba2, D. Ramirez2, N. Rossel2, H. Dellien2; 1Santiago, rm/CL, 2Santiago/CL"