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Papers by Maria Jose jimenez

Research paper thumbnail of Nuestra experiencia en el tratamiento de las lesiones obstructivas de la vía aérea principal mediante fotorresección con láser Yag-Nd

Archivos de Bronconeumología, 1998

Research paper thumbnail of Cryobiopsy in the Diagnosis of Diffuse Interstitial Lung Disease: Yield and Cost-Effectiveness Analysis

Archivos de bronconeumologia, Jan 3, 2014

Assessment of patients with suspected interstitial lung disease (ILD) includes surgical lung biop... more Assessment of patients with suspected interstitial lung disease (ILD) includes surgical lung biopsy (SLB) when clinical and radiological data are inconclusive. However, cryobiopsy is acquiring an important role in the ILD diagnostic process. The objective of this study was to evaluate the diagnostic yield, safety and economic costs of the systematic use of cryobiopsy in the assessment of patients with suspected ILD. This was a retrospective observational study of patients who had undergone transbronchial cryobiopsy for evaluation of ILD from January 2011 to January 2014. The procedures were performed with a video bronchoscope using a cryoprobe for the collection of lung parenchyma specimens, which were analyzed by pathologists. Diagnostic yield, complications and economic costs of this technique were analyzed. Criobiopsy specimens from a total of 33 patients were included. A specific diagnosis was obtained in 26, producing a diagnostic yield of 79%. In 5 patients, SLB was required f...

Research paper thumbnail of Apnoeic oxygenation on one-lung ventilation in functionally impaired patients during sleeve lobectomy

European Journal of Cardio-Thoracic Surgery, 2011

Research paper thumbnail of Post-operative analgesia in patients undergoing cardio-thoracic surgery

European Journal of Anaesthesiology, 2006

Research paper thumbnail of Scambi gassosi ed emodinamica durante resezione polmonare in pazienti ad alto rischio

Research paper thumbnail of Revisión del manejo de la vía aérea díficil en cirugía torácica

Revista española de anestesiología y reanimación, 2018

Intubación difícil; Cirugía torácica; Aislamiento pulmonar; Separación pulmonar Resumen El manejo... more Intubación difícil; Cirugía torácica; Aislamiento pulmonar; Separación pulmonar Resumen El manejo de la vía aérea difícil (VAD) en cirugía torácica es muy específico y más complejo que en otras especialidades debido a la exigencia de separación o aislamiento pulmonar y a una mayor presencia de anormalidades asociadas a la vía aérea superior e inferior. Basándonos en el análisis de las evidencias clínicas de 818 artículos indexados en PubMed, presentamos una revisión actualizada y un algoritmo específico del manejo de la VAD en cirugía torácica. Recomendamos: para la VAD prevista la intubación traqueal con fibroncoscopio en ventilación espontánea y el uso de bloqueador bronquial. Para la VAD imprevista, el uso inicial de videolaringoscopios y un adecuado nivel de relajación neuromuscular (rocuronio/sugammadex). Solo se recomienda el uso de tubos de doble luz si hay indicación absoluta de aislamiento pulmonar. Finalmente, la extubación en este contexto debe ejecutarse con la máxima atención y realizarse según las normas de la Difficult Arway Society. © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. ଝ Este artículo pertenece al Programa de Formación Médica Continuada en Anestesiología y Reanimación. La evaluación de las preguntas de este artículo se podrá realizar a través de internet accediendo al apartado de formación de la siguiente página web: www.elsevier.es/redar.

Research paper thumbnail of Review of difficult airway management in thoracic surgery

Revista española de anestesiología y reanimación, 2018

The management of difficult airway (DA) in thoracic surgery is more difficult due to the need for... more The management of difficult airway (DA) in thoracic surgery is more difficult due to the need for lung separation or isolation and frequent presence of associated upper and lower airway problems. We performed an article review analysing 818 papers published with clinical evidence indexed in Pubmed that allowed us to develop an algorithm. The best airway management in predicted DA is tracheal intubation and independent bronchial blockers guided by fibroscopy maintaining spontaneous ventilation. For unpredicted DA, the use of videolaryngoscopes is recommended initially, and adequate neuromuscular relaxation (rocuronium/sugammadex), among other manoeuvres. In both cases, double lumen tubes should be reserved for when lung separation is absolutely indicated. Finally, extubation should be a time of maximum care and be performed according to the safety measures of the Difficult Airway Society.

Research paper thumbnail of Thoracic Anesthesia of Patients With Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee

Journal of Cardiothoracic and Vascular Anesthesia, 2020

The novel coronavirus has caused a pandemic around the world. Management of patients with suspect... more The novel coronavirus has caused a pandemic around the world. Management of patients with suspected or confirmed coronavirus infection who have to undergo thoracic surgery will be a challenge for the anesthesiologists. The thoracic subspecialty committee of European Association of Cardiothoracic Anaesthesiology (EACTA) has conducted a survey of opinion in order to create recommendations for the anesthetic approach to these challenging patients. It should be emphasized that both the management of the infected patient with COVID-19 and the self-protection of the anesthesia team constitute a complicated challenge. The text focuses therefore on both important topics.

Research paper thumbnail of European Association of Cardiothoracic Anesthesiology (EACTA) Cardiothoracic and Vascular Anesthesia Fellowship Curriculum: First Edition

Journal of Cardiothoracic and Vascular Anesthesia, 2019

Research paper thumbnail of Nuestra experiencia en el tratamiento de las lesiones obstructivas de la vía aérea principal mediante fotorresección con láser Yag-Nd

Archivos de Bronconeumología, 1998

Research paper thumbnail of Cryobiopsy in the Diagnosis of Diffuse Interstitial Lung Disease: Yield and Cost-Effectiveness Analysis

Archivos de bronconeumologia, Jan 3, 2014

Assessment of patients with suspected interstitial lung disease (ILD) includes surgical lung biop... more Assessment of patients with suspected interstitial lung disease (ILD) includes surgical lung biopsy (SLB) when clinical and radiological data are inconclusive. However, cryobiopsy is acquiring an important role in the ILD diagnostic process. The objective of this study was to evaluate the diagnostic yield, safety and economic costs of the systematic use of cryobiopsy in the assessment of patients with suspected ILD. This was a retrospective observational study of patients who had undergone transbronchial cryobiopsy for evaluation of ILD from January 2011 to January 2014. The procedures were performed with a video bronchoscope using a cryoprobe for the collection of lung parenchyma specimens, which were analyzed by pathologists. Diagnostic yield, complications and economic costs of this technique were analyzed. Criobiopsy specimens from a total of 33 patients were included. A specific diagnosis was obtained in 26, producing a diagnostic yield of 79%. In 5 patients, SLB was required f...

Research paper thumbnail of Apnoeic oxygenation on one-lung ventilation in functionally impaired patients during sleeve lobectomy

European Journal of Cardio-Thoracic Surgery, 2011

Research paper thumbnail of Post-operative analgesia in patients undergoing cardio-thoracic surgery

European Journal of Anaesthesiology, 2006

Research paper thumbnail of Scambi gassosi ed emodinamica durante resezione polmonare in pazienti ad alto rischio

Research paper thumbnail of Revisión del manejo de la vía aérea díficil en cirugía torácica

Revista española de anestesiología y reanimación, 2018

Intubación difícil; Cirugía torácica; Aislamiento pulmonar; Separación pulmonar Resumen El manejo... more Intubación difícil; Cirugía torácica; Aislamiento pulmonar; Separación pulmonar Resumen El manejo de la vía aérea difícil (VAD) en cirugía torácica es muy específico y más complejo que en otras especialidades debido a la exigencia de separación o aislamiento pulmonar y a una mayor presencia de anormalidades asociadas a la vía aérea superior e inferior. Basándonos en el análisis de las evidencias clínicas de 818 artículos indexados en PubMed, presentamos una revisión actualizada y un algoritmo específico del manejo de la VAD en cirugía torácica. Recomendamos: para la VAD prevista la intubación traqueal con fibroncoscopio en ventilación espontánea y el uso de bloqueador bronquial. Para la VAD imprevista, el uso inicial de videolaringoscopios y un adecuado nivel de relajación neuromuscular (rocuronio/sugammadex). Solo se recomienda el uso de tubos de doble luz si hay indicación absoluta de aislamiento pulmonar. Finalmente, la extubación en este contexto debe ejecutarse con la máxima atención y realizarse según las normas de la Difficult Arway Society. © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. ଝ Este artículo pertenece al Programa de Formación Médica Continuada en Anestesiología y Reanimación. La evaluación de las preguntas de este artículo se podrá realizar a través de internet accediendo al apartado de formación de la siguiente página web: www.elsevier.es/redar.

Research paper thumbnail of Review of difficult airway management in thoracic surgery

Revista española de anestesiología y reanimación, 2018

The management of difficult airway (DA) in thoracic surgery is more difficult due to the need for... more The management of difficult airway (DA) in thoracic surgery is more difficult due to the need for lung separation or isolation and frequent presence of associated upper and lower airway problems. We performed an article review analysing 818 papers published with clinical evidence indexed in Pubmed that allowed us to develop an algorithm. The best airway management in predicted DA is tracheal intubation and independent bronchial blockers guided by fibroscopy maintaining spontaneous ventilation. For unpredicted DA, the use of videolaryngoscopes is recommended initially, and adequate neuromuscular relaxation (rocuronium/sugammadex), among other manoeuvres. In both cases, double lumen tubes should be reserved for when lung separation is absolutely indicated. Finally, extubation should be a time of maximum care and be performed according to the safety measures of the Difficult Airway Society.

Research paper thumbnail of Thoracic Anesthesia of Patients With Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee

Journal of Cardiothoracic and Vascular Anesthesia, 2020

The novel coronavirus has caused a pandemic around the world. Management of patients with suspect... more The novel coronavirus has caused a pandemic around the world. Management of patients with suspected or confirmed coronavirus infection who have to undergo thoracic surgery will be a challenge for the anesthesiologists. The thoracic subspecialty committee of European Association of Cardiothoracic Anaesthesiology (EACTA) has conducted a survey of opinion in order to create recommendations for the anesthetic approach to these challenging patients. It should be emphasized that both the management of the infected patient with COVID-19 and the self-protection of the anesthesia team constitute a complicated challenge. The text focuses therefore on both important topics.

Research paper thumbnail of European Association of Cardiothoracic Anesthesiology (EACTA) Cardiothoracic and Vascular Anesthesia Fellowship Curriculum: First Edition

Journal of Cardiothoracic and Vascular Anesthesia, 2019