ABSTRACT
La aspiración de cuerpos extraños es una entidad poco común en el adulto. El diagnóstico se basa en la sospecha clínica y la realización de pruebas de imagen, siendo la revisión endoscópica de la vía aérea la que permite el diagnóstico definitivo, así como la extracción del cuerpo extraño. Esto es importante por las posibles complicaciones derivadas de ello, entre las que se incluyen la muerte del paciente. Presentamos el caso de un paciente joven con aspiración de una chincheta que desarrolla una neumonía obstructiva con empiema y que finaliza en cirugía con decorticación pleural.(AU)
Foreign body aspiration is an uncommon entity in adults. Diagnosis is based on clinical suspicion and imaging tests, with endoscopic examination of the airway, allowing definitive diagnosis and removal of the foreign body. This is important because of the potential complications, including death of the patient. We present the case of a young man with aspiration of a drawing pin who developed obstructive pneumonia with empyema and ended up in surgery with pleural decortication.(AU)
Subject(s)
Humans , Male , Young Adult , Pneumonia, Aspiration , Foreign Bodies , Bronchoscopy , Empyema, Pleural , Respiratory Tract Diseases , Treatment Outcome , Inpatients , Physical Examination , Symptom AssessmentABSTRACT
OBJECTIVES: The goal of this study was to describe the clinical features and outcomes of thoracic surgery patients during the coronavirus disease 2019 (COVID-19) pandemic. METHODS: Thirty-five patients were treated at the 12 de Octubre University Hospital in Madrid between 1 March 2020 and 24 April 2020 during the COVID-19 pandemic. Patient demographics, surgical procedures, complications, COVID-19 symptoms and outcomes were recorded. A protocol was introduced to reduce the risk of operating on patients with COVID-19, including symptom screening, a polymerase chain reaction test for severe acute respiratory syndrome coronavirus 2 and computed tomography scans of the chest. Surgical activity changed significantly during this time, from an initial period of near-normal activity, through an emergency-only period and finally a recovery period when some oncological surgical cases were restarted. Selection criteria for surgical patients are also described. RESULTS: A total of 34 patients underwent surgery during the pandemic period. We performed 22 lung resections (11 lobectomies and 11 sublobar resections). No hospital deaths were recorded. An elective surgery patient and an emergency surgery patient were diagnosed with COVID-19 (5.88%). The former died within 30 days after surgery. CONCLUSIONS: Severe acute respiratory syndrome coronavirus 2 represents a tremendous limitation for thoracic surgical practice. Preoperative practices to exclude asymptomatic cases infected with the virus allowed us to perform thoracic surgical procedures.
