A case-control study characterizing polydactyly risk factors in Bogotá and Cali, Colombia between 2002 and 2020.

BACKGROUND: Polydactyly is a congenital abnormality characterized by the presence of additional fingers on one or more extremities. In Colombia, polydactyly accounted for 17% of musculoskeletal congenital abnormalities in 2021, with a prevalence of 6.03 per 10,000 live births. The purpose of this study was to determine the prevalence of polydactyly and identify associated risk factors in Bogotá and Cali, Colombia, from 2002 to 2020. METHODS: A retrospective case-control study design was employed, analyzing data from birth defect reports provided by the Program for the Prevention and Follow-up of Congenital Defects and Orphan Diseases surveillance system. Cases included live births or stillbirths with polydactyly, while controls consisted of infants without congenital abnormality, matched in terms of birth date and hospital. Prevalence of polydactyly was calculated and risk factors were assessed through odds ratios obtained by logistic regression models, considering a 95% confidence interval. RESULTS: Among the 558,255 births included in the study, 848 cases of polydactyly were identified, resulting in a prevalence rate of 15.19 per 10,000 live births. Risk factors associated with polydactyly included male newborn sex, pregestational diabetes, and a family history of malformation among first-degree relatives. CONCLUSION: These findings highlight the importance a surveillance system aimed to characterize populations with congenital abnormalities, providing a better option for analyzing risk factors, help improving prevention, diagnosis, notification, and optimal treatment in patients.

Effectiveness and safety of caplacizumab in acquired thrombotic thrombocytopenic purpura: health technology assessment and classification according to the methodology established in Colombia.

OBJECTIVES: Acquired thrombotic thrombocytopenic purpura (aTTP) is a rare hematological disease whose clinical management includes caplacizumab along with plasma exchange and immunosuppression, according to international guidelines. Caplacizumab has been available in Colombia since 2022. This study seeks to determine the therapeutic classification of caplacizumab according to the methodology of the Instituto de Evaluación Tecnológica en Salud. METHODS: The classification was carried out through a deliberative process following the modified Delphi technique, with a panel of experts, made up of four hemato-oncologists, a pharmaceutical chemist, and a patient. The results of effectiveness and safety obtained through a systematic review, therapeutic thresholds (clinical significance), and degree of acceptability (willingness to use the technology) were used for the classification. RESULTS: Fourteen effectiveness and safety outcomes were submitted for the classification process. Caplacizumab showed clinical significance for some effectiveness outcomes, was not considered inferior in terms of safety, and displayed acceptability of use. Through consensus, the panel determined that caplacizumab plus the standard regimen is superior to the standard regimen in terms of treatment response and composite outcome, and no different for the other effectiveness and safety outcomes. Likewise, in overall terms, the panel determined that caplacizumab together with the standard regimen is superior to the standard regimen. CONCLUSION: Treatment with caplacizumab together with the standard regimen was considered superior to the standard regimen for the treatment of patients with aTTP, as it showed clinically significant benefits in critical outcomes for decision making, and a safety profile no different to its comparator.

A Comparison of Total Thoracoscopic and Robotic Surgery for Lung Cancer Lymphadenectomy.

BACKGROUND: Robotic-assisted thoracic surgery (RATS) is used increasingly frequently in major lung resection for early stage non-small-cell lung cancer (NSCLC) but has not yet been fully evaluated. The aim of this study was to compare the surgical outcomes of lymph node dissection (LND) performed via RATS with those from totally thoracoscopic (TT) four-port videothoracoscopy. METHODS: Clinical and pathological data were collected retrospectively from patients with clinical stage N0 NSCLC who underwent pulmonary resection in the form of lobectomy or segmental resection between June 2010 and November 2022. The assessment criteria were number of mediastinal lymph nodes and number of mediastinal stations dissected via the RATS approach compared with the four-port TT approach. RESULTS: A total of 246 pulmonary resections with LND for clinical stages I-II NSCLC were performed: 85 via TT and 161 via RATS. The clinical characteristics of the patients were similar in both groups. The number of mediastinal nodes dissected and mediastinal stations dissected was significantly higher in the RATS group (TT: mean ± SD, 10.72 ± 3.7; RATS, 14.74 ± 6.3 [p < 0.001]), except in the inferior mediastinal stations. There was no difference in terms of postoperative complications. CONCLUSIONS: In patients with early stage NSCLC undergoing major lung resection, the quality of hilomediastinal LND performed using RATS was superior to that performed using TT.

The Influence of Preoperative Nutritional and Systemic Inflammatory Status on Perioperative Outcomes following Da Vinci Robot-Assisted Thoracic Lung Cancer Surgery.

Background: Nutrition is an important factor in the outcome of any disease process. We evaluated the relationship of nutritional status and inflammatory status of non-small cell lung cancer (NSCLC) patients undergoing robotic-assisted thoracic surgery (RATS) with postoperative complications. Methods: This prospective cohort study included 107 NSCLC patients undergoing surgical treatment, between 2019 and 2021. Nutritional status and inflammatory status were assessed before pulmonary resection using anthropometric assessment, blood tests, and body mass index (BMI). Results: The BMI was 27.5 ± 4.4. Based on BMI, 29% (n = 31) were classified as normal weight, 43% (n = 46) as overweight, and 28% (n = 30) as obese. The mean neutrophil/lymphocyte ratio (NLR) was 2.16 ± 0.85, the platelet/lymphocyte ratio (PLR) was 121.59 ± 44.21, and the lymphocyte/monocyte ratio (LMR) was 3.52 ± 1.17. There was no increase in the number of intraoperative complications or bleeding (p = 0.696), postoperative complications (p = 0.569), mean hospital stay (p = 0.258) or duration of chest drain (p = 0.369). Higher inflammatory status, with an NLR > 1.84, was associated with more overall postoperative complications (p = 0.028), only in univariate analysis, but this significance was not maintained on multivariate analysis. Conclusions: BMI was not a predictor of increased postoperative risk in this cohort; therefore, weight should not deter surgeons from using RATS for pulmonary resection.

Preoperative Omega-6/Omega-3 Fatty Acid Ratio Could Predict Postoperative Outcomes in Patients with Surgically Resected Non-Small-Cell Lung Cancer.

Introduction: The aim of this study was to determine whether preoperative nutritional status and inflammatory status, specifically polyunsaturated acids and the omega 6/3 ratio, would affect postoperative outcomes and complications in patients with lung cancer undergoing lung resection. Methods: This prospective observational study included 68 patients with early-stage non-small-cell lung cancer who were candidates for radical surgery. A complete nutritional assessment was performed. The primary study variable was postoperative complications and mortality in the first 30 days. Descriptive, bivariate, and logistic regression analyses were carried out. Results: A total of 50 men (73.53%) and 18 women (26.47%) underwent surgery, with a median age of 64.2 (±9.74) years. The mean omega 6/3 ratio was 17.39 (±9.45). A complication occurred in 39.7% of the study sample (n = 27), the most common being persistent air leak in 23.53% (n = 16). After performing the bivariate analysis, the only variable that remained significant was the omega 6/3 ratio; we observed that it had a prognostic value for persistent air leak (p = 0.001) independent of age, sex, comorbidity, preoperative respiratory function, and approach or type of surgery. The remaining nutritional and inflammatory markers did not have a statistically significant association (p > 0.05) with postoperative complications. However, this significance was not maintained in the multivariate analysis by a small margin (p = 0.052; 95% CI: 0.77-1.41). Conclusions: Omega 6/3 ratio may be a prognostic factor for air leak, independent of the patient's clinical and pathological characteristics.

Interplay between coherent and incoherent decay processes in chaotic systems: The role of quantum interference.

The population decay due to a small opening in an otherwise closed cavity supporting chaotic classical dynamics displays a quantum correction on top of the classical exponential form, a pure manifestation of quantum coherence that acquires a universal form and can be explained by path interference. Being coherent, such enhancement is prone to decoherence effects due to the coupling of the system to an external environment. We study this interplay between incoherent and coherent quantum corrections to decay by evaluating, within a Caldeira-Leggett scenario, off-diagonal contributions to the decoherence functional coming from pairs of correlated classical paths in the time regime where dissipative effects are neglected and decoherence does not affect the classical dynamics, but quantum interference must be accounted for. We find that the competing effects of interference and decoherence lead to a universal nonmonotonic form for the survival probability depending only on the coupling strength and macroscopic parameters of the cavity.

Prognostic value of the preoperative lymphocyte-to-monocyte ratio for survival after lung cancer surgery.

BACKGROUND: The aim of this study was to assess the effect of the lymphocyte-to-monocyte ratio (LMR), neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio on overall survival and disease-free survival in patients with lung cancer treated with radical surgery. METHODS: We performed a retrospective review of patients with lung cancer who prospectively underwent radical resection between 2004 and 2012. Blood samples were taken as part of the preoperative workup. The inflammatory markers studied were absolute values of lymphocytes, monocytes, neutrophils and platelets, with subsequent calculation of ratios. Median follow-up was 52 months. RESULTS: Two hundred and sixty-eight patients underwent surgery, of whom 218 (81.3%) were men. Mean age was 62.9 ± 8.7 years. A lymphocyte-to-monocyte ratio ≥ 2.5 was independently associated with longer disease-free survival (hazard ratio [HR] 0.476 (0.307-0.738), p = 0.001) and longer overall survival (HR, 0.546; 95% CI: 0.352-0.846; p = 0.007), in models adjusted for age, sex, stage, and type of resection. No other systemic inflammatory marker showed a significant association. CONCLUSION: Preoperative LMR is an independent prognostic factor of overall survival and recurrence-free survival in patients with surgically-resected early stage lung cancer.

Strong coupling and non-Markovian effects in the statistical notion of temperature.

We investigate the emergence of temperature T in the system-plus-reservoir paradigm starting from the fundamental microcanonical scenario at total fixed energy E where, contrary to the canonical approach, T=T(E) is not a control parameter but a derived auxiliary concept. As shown by Schwinger for the regime of weak coupling γ between subsystems, T(E) emerges from the saddle-point analysis leading to the ensemble equivalence up to corrections O(1/sqrt[N]) in the number of particles N that defines the thermodynamic limit. By extending these ideas for finite γ, while keeping N→∞, we provide a consistent generalization of temperature T(E,γ) in strongly coupled systems, and we illustrate its main features for the specific model of quantum Brownian motion where it leads to consistent microcanonical thermodynamics. Interestingly, while this T(E,γ) is a monotonically increasing function of the total energy E, its dependence with γ is a purely quantum effect notably visible near the ground-state energy and for large energies differs for Markovian and non-Markovian regimes.

Etiology of acute otitis media and serotype distribution of Streptococcus pneumoniae and Haemophilus influenzae in Chilean children <5 years of age.

The impact of bacterial conjugate vaccines on acute otitis media (AOM) is affected by several factors including population characteristics, bacterial etiology and vaccine conjugation method, carrier, and coverage. This study estimated the baseline etiology, distribution, and antibiotic susceptibility of bacterial serotypes that causes AOM in children aged <5 years in a public setting in Santiago, Chile.Children aged ≥3 months and <5 years referred to the physician for treatment of AOM episodes (with an onset of symptoms <72 h) were enrolled between September 2009 and September 2010. Middle ear fluid (MEF) was collected by tympanocentesis or by otorrhea for identification and serotyping of bacteria. Antibacterial susceptibility was tested using E-test (etrack: 112671).Of 160 children (mean age 27.10 ±â€Š15.83 months) with AOM episodes, 164 MEF samples (1 episode each from 156 children; 2 episodes each from 4 children) were collected. Nearly 30% of AOM episodes occurred in children aged 12 to 23 months. Streptococcus pneumoniae (41.7% [58/139]) and Haemophilus influenzae (40.3% [56/139]) were predominant among the cultures that showed bacterial growth (85% [139/164]). All Streptococcus pneumoniae positive episodes were serotyped, 19F (21%) and 14 (17%) were the predominant serotypes; all Haemophilus influenzae strains were nontypeable. Streptococcus pneumoniae were resistant to penicillin (5%) and erythromycin (33%); Haemophilus influenzae were resistant to ampicillin (14%) and cefuroxime and cefotaxime (2% each).AOM in Chilean children is predominantly caused by Streptococcus pneumoniae and nontypeable Haemophilus influenzae. Use of a broad spectrum vaccine against these pathogens might aid the reduction of AOM in Chile.

Phase imaging and detection in pseudo-heterodyne scattering scanning near-field optical microscopy measurements.

When considering the pseudo-heterodyne mode for detection of the modulus and phase of the near field from scattering scanning near-field optical microscopy (s-SNOM) measurements, processing only the modulus of the signal may produce an undesired constraint in the accessible values of the phase of the near field. A two-dimensional analysis of the signal provided by the data acquisition system makes it possible to obtain phase maps over the whole [0, 2π) range. This requires post-processing of the data to select the best coordinate system in which to represent the data along the direction of maximum variance. The analysis also provides a quantitative parameter describing how much of the total variance is included within the component selected for calculation of the modulus and phase of the near field. The dependence of the pseudo-heterodyne phase on the mean position of the reference mirror is analyzed, and the evolution of the global phase is extracted from the s-SNOM data. The results obtained from this technique compared well with the expected maps of the near-field phase obtained from simulations.

Valores y cuidado de la energía: implicancias para la educación ambiental en Argentina y Colombia / Value and care for power: implications for environmental education in Argentina and Colombia

Resumen La educación ambiental reconoce entre sus metas la promoción de factores individuales como las motivaciones y conocimientos para incentivar el cuidado del ambiente. El objetivo de este trabajo fue identificar los valores personales que guían una conducta pro-ambiental en dos países latinoamericanos. Mediante el uso de encuestas se evaluaron los valores biosféricos, altruistas, egoístas y hedonistas y las conductas de ahorro energético en Argentina (Estudio 1) y Colombia (Estudio 2). Los resultados apoyaron empíricamente la distinción teórica entre las cuatro orientaciones de valor. Fundamentalmente, indicaron que los valores biosféricos tienen un papel relevante en la explicación del comportamiento pro-ambiental en ambos países. Se discuten las implicancias de estos resultados para la educación ambiental formal e informal.

Abstract One of the objectives which underlies environmental education is the promotion of individual factors as motivations and knowledge to encourage environmental protection. The objective of this study was to determine the personal values which drive a pro-environmental behavior in two Latin American countries. By means of surveys, biospheric, altruistic, egoistic and hedonic values - as well as power saving behaviors - were evaluated in: Argentina (Study 1) and Colombia (Study 2). Results empirically supported the theoretical distinction between the four value orientations. Fundamentally, indicated that biospheric values play an important role in explaining pro-environmental behavior in both countries. We discuss implications of these results for formal and informal environmental education.

Epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old at a private institution in the city of Buenos Aires.

INTRODUCTION: Acute gastroenteritis is a common disease in children. Rotavirus is the major etiologic agent. OBJECTIVES: To describe the epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old in a private institution in the City of Buenos Aires. SECONDARY OBJECTIVE: to analyze related costs. MATERIAL AND METHODS: Cross sectional, descriptive, observational study conducted during one year in children younger than 5 years old with gastroenteritis. The presence of rotavirus was diagnosed with the VIKIA® Rota-Adeno test. Demographic, clinical and immunization data were collected. A univariate data analysis was performed. RESULTS: A total of 275 patients were included; 18.5% of them were R+. Rotavirus was more common in children younger than 2 years old and in the period between March and June. The cases of rotavirus gastroenteritis were more severe, required more hospitalizations (OR 2.07; 95% CI 1.17-7.13), and resulted in higher costs. In the sample studied, the immunization outcome measure reduced the risk of rotavirus infection. CONCLUSIONS: Acute gastroenteritis caused by rotavirus were different from other etiologies in that they had a seasonal peak and in relation to the median age of patients, the severity of the condition, the association with hospitalization and the increase in costs.

Características epidemiológicas y clínicas de las gastroenteritis agudas según su etiología por rotavirus u otra en niños menores de 5 años atendidos en una institución privada de la Ciudad Autónoma de Buenos Aires / Epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old at a private institution in the city of Buenos Aires

Introducción. La gastroenteritis aguda es una enfermedad frecuente en pediatría. Rotavirus es el principal agente etiológico. Objetivos. Describir las características epidemiológicas y clínicas de las gastroenteritis agudas según su etiología por rotavirus u otra en niños menores de 5 años en una institución privada de Buenos Aires. Objetivo secundario: evaluar los costos. Material y métodos. Estudio transversal, descriptivo, observacional, de un año de duración, en niños menores de 5 años con gastroenteritis. El rotavirus fue diagnosticado mediante la prueba VIKIA« Rota-Adeno. Se recolectaron datos demográficos, clínicos y de vacunación. Se realizó el análisis univariado de los datos. Resultados. Se incluyeron 275 pacientes; 18,5% fueron R+. Rotavirus fue más frecuente en los menores de 2 años y entre marzo y junio. Las gastroenteritis por rotavirus fueron más graves, requirieron más internaciones (OR 2,07; IC 95% 1,17 a 7,13) y provocaron más costos. En la muestra estudiada la variable vacunación redujo el riesgo de infección por rotavirus. Conclusiones. Las gastroenteritis agudas por rotavirus se diferenciaron de otras etiologías por tener un pico estacional, y por la mediana de edad, la gravedad, la asociación con internación y el aumento de los costos.(AU)

Introduction. Acute gastroenteritis is a common disease in children. Rotavirus is the major etiologic agent. Objectives. To describe the epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old in a private institution in the City of Buenos Aires. Secondary objective: to analyze related costs. Material and Methods. Cross sectional, descriptive, observational study conducted during one year in children younger than 5 years old with gastroenteritis. The presence of rotavirus was diagnosed with the VIKIA« Rota-Adeno test. Demographic, clinical and immunization data were collected. A univariate data analysis was performed. Results. A total of 275 patients were included; 18.5% of them were R+. Rotavirus was more common in children younger than 2 years old and in the period between March and June. The cases of rotavirus gastroenteritis were more severe, required more hospitalizations (OR 2.07; 95% CI 1.17-7.13), and resulted in higher costs. In the sample studied, the immunization outcome measure reduced the risk of rotavirus infection. Conclusions. Acute gastroenteritis caused by rotavirus were different from other etiologies in that they had a seasonal peak and in relation to the median age of patients, the severity of the condition, the association with hospitalization and the increase in costs.(AU)

Características epidemiológicas y clínicas de las gastroenteritis agudas según su etiología por rotavirus u otra en niños menores de 5 años atendidos en una institución privada de la Ciudad Autónoma de Buenos Aires / Epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old at a private institution in the city of Buenos Aires

Introducción. La gastroenteritis aguda es una enfermedad frecuente en pediatría. Rotavirus es el principal agente etiológico. Objetivos. Describir las características epidemiológicas y clínicas de las gastroenteritis agudas según su etiología por rotavirus u otra en niños menores de 5 años en una institución privada de Buenos Aires. Objetivo secundario: evaluar los costos. Material y métodos. Estudio transversal, descriptivo, observacional, de un año de duración, en niños menores de 5 años con gastroenteritis. El rotavirus fue diagnosticado mediante la prueba VIKIA® Rota-Adeno. Se recolectaron datos demográficos, clínicos y de vacunación. Se realizó el análisis univariado de los datos. Resultados. Se incluyeron 275 pacientes; 18,5% fueron R+. Rotavirus fue más frecuente en los menores de 2 años y entre marzo y junio. Las gastroenteritis por rotavirus fueron más graves, requirieron más internaciones (OR 2,07; IC 95% 1,17 a 7,13) y provocaron más costos. En la muestra estudiada la variable vacunación redujo el riesgo de infección por rotavirus. Conclusiones. Las gastroenteritis agudas por rotavirus se diferenciaron de otras etiologías por tener un pico estacional, y por la mediana de edad, la gravedad, la asociación con internación y el aumento de los costos.

Introduction. Acute gastroenteritis is a common disease in children. Rotavirus is the major etiologic agent. Objectives. To describe the epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old in a private institution in the City of Buenos Aires. Secondary objective: to analyze related costs. Material and Methods. Cross sectional, descriptive, observational study conducted during one year in children younger than 5 years old with gastroenteritis. The presence of rotavirus was diagnosed with the VIKIA® Rota-Adeno test. Demographic, clinical and immunization data were collected. A univariate data analysis was performed. Results. A total of 275 patients were included; 18.5% of them were R+. Rotavirus was more common in children younger than 2 years old and in the period between March and June. The cases of rotavirus gastroenteritis were more severe, required more hospitalizations (OR 2.07; 95% CI 1.17-7.13), and resulted in higher costs. In the sample studied, the immunization outcome measure reduced the risk of rotavirus infection. Conclusions. Acute gastroenteritis caused by rotavirus were different from other etiologies in that they had a seasonal peak and in relation to the median age of patients, the severity of the condition, the association with hospitalization and the increase in costs.

Epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old at a private institution in the city of Buenos Aires. / Epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old at a private institution in the city of Buenos Aires.

INTRODUCTION: Acute gastroenteritis is a common disease in children. Rotavirus is the major etiologic agent. OBJECTIVES: To describe the epidemiological and clinical characteristics of acute gastroenteritis according to their etiology (rotavirus or other) in children younger than 5 years old in a private institution in the City of Buenos Aires. SECONDARY OBJECTIVE: to analyze related costs. MATERIAL AND METHODS: Cross sectional, descriptive, observational study conducted during one year in children younger than 5 years old with gastroenteritis. The presence of rotavirus was diagnosed with the VIKIA« Rota-Adeno test. Demographic, clinical and immunization data were collected. A univariate data analysis was performed. RESULTS: A total of 275 patients were included; 18.5

of them were R+. Rotavirus was more common in children younger than 2 years old and in the period between March and June. The cases of rotavirus gastroenteritis were more severe, required more hospitalizations (OR 2.07; 95

CI 1.17-7.13), and resulted in higher costs. In the sample studied, the immunization outcome measure reduced the risk of rotavirus infection. CONCLUSIONS: Acute gastroenteritis caused by rotavirus were different from other etiologies in that they had a seasonal peak and in relation to the median age of patients, the severity of the condition, the association with hospitalization and the increase in costs.

Characterization of odor-active volatiles in champa (Campomanesia lineatifolia R. and P.).

Volatile extracts from pulp, peels, leaves, and seeds of champa (Campomanesia lineatifolia R. and P.) were obtained by continuous liquid-liquid extraction with pentane/dichloromethane (1:1), and their chemical composition was determined by using HRGC and HRGC-MS. Differences between C. lineatifolia volatile extracts with regard to the identified compounds are presented; however, in all of them the beta-triketones were detected as major constituents (between 50 and 60% of total extract). An odor profile description of volatiles isolated in all of the extracts was obtained by HRGC-O. These analyses showed that beta-triketones contributed to the fruity, floral, and green odor notes in the flavor of fruit. Application of AEDA to pulp volatile extract revealed 2,5-dimethyl-4-methoxy-3(2H)-furanone, 2-phenylethanol, and 2,3-dihydro-5-hydroxy-6,8,8-trimethyl-2-phenyl-4H-1-benzopyran-4,7(8H)-dione (champanone C) to have the highest flavor dilution factors. In a similar way, (E)-cinnamyl alcohol, 2,5-dimethyl-4-methoxy-3(2H)-furanone, and 2,3-dihydro-5-hydroxy-6,8,8-trimethyl-2-phenyl-4H-1-benzopyran-4,7(8H)-dione (champanone C) were identified as key odorant compounds in the fruit peel volatile extract. This is the first time that the volatile composition in champa is reported and also the sensory odor importance of beta-triketones.

Traumatismo torácico bilateral. A propósito de 1 caso / Thoracic bilateral trauma. Apropos of one case

Se presenta un caso de traumatismo torácico bilateral extenso con tórax batiente, el cual fue tratado con inmovilización de las partes blandas torácicas, con alambres de Steinman pasados de manera caudocefálica, lo que provocó la estabilización de la caja y el mejoramiento rápido de las funciones ventilatorias y se logró la retirada oportuna de la intubación endotraqueal y la eliminación del proceso séptico asociado, lo que por la severidad y la utilización de un sistema de fijación externa, lo hace un caso anecdótico e interesante, y permite inducir la utilización de esta forma de tratamiento en casos similares(AU)

Traumatismo torácico bilateral. A propósito de 1 caso / Thoracic bilateral trauma. Apropos of one case

Se presenta un caso de traumatismo torácico bilateral extenso con tórax batiente, el cual fue tratado con inmovilización de las partes blandas torácicas, con alambres de Steinman pasados de manera caudocefálica, lo que provocó la estabilización de la caja y el mejoramiento rápido de las funciones ventilatorias y se logró la retirada oportuna de la intubación endotraqueal y la eliminación del proceso séptico asociado, lo que por la severidad y la utilización de un sistema de fijación externa, lo hace un caso anecdótico e interesante, y permite inducir la utilización de esta forma de tratamiento en casos similares(AU)

A case of extensive bilateral thoracic traumatism is presented with thorax jamb, which was treated with immobilization of the thoracic soft parts, with wires of last Steinman in way caudocefálica, what caused the stabilization of the box and the quick improvement of the functions ventilatorias and it was achieved the opportune retreat of the intubación endotraqueal and the elimination of the process septic associate, that that for the severity and the use of a system of external fixation, he/she pays it an anecdotic and interesting attention, and it allows to induce the use this treatment way in similar cases(AU)