Revista Médica Vozandes: 32 años generando evidencia científica / Vozandes Medical Magazine: 32 years generating scientific evidence

Biomedical journals from their beginnings in the seventeenth century have been and they continue to be the most important source of scientific communication and currently represent the main communication channel and Continuing education for health professionals. (1,2) The application of the scientific method gave rise to a growing and fruitful activity: research, which allowed to establish the bases of modern science. The different authors found in biomedical journals the ideal field to contrast opinions, spread your results and generate evidence, necessary actions and important for the researcher as for the scientific community and society as a whole. (1,2) With the improvement of different computer and communication systems, disseminate knowledge scientist and get statistical data of clinical relevance, are now more easy; but at the same time it became A great challenge. How do we verify the quality of the information? (3.4) Currently, the publications of health sciences count with internal quality control mechanisms to select and publish relevant manuscripts.

Quilotorax bilateral en edad pediátrica / Bilateral chylothorax in pediatric age

La pleura es un revestimiento para el parénquima pulmonar, mediastino, diafragma y el interior de la cavidad torácica. Existe dos tipos: la visceral y la parietal, formando una cavidad virtual con una mínima cantidad de líquido, que se torna en cavidad real si aumenta la producción de éste o si es ocupada por aire, quilo y / o sangre. Quilotórax es un derrame pleural linfático, tipo exudado que se diagnostica por análisis citoquimico del líquido pleural y causa dificultas respiratoria grave en el RN. La lesión del conducto torácico durante la cirugía cardiotorácica y la trombosis en el sistema de la vena cava superior son las causa más frecuentes de quilotórax secundario. El quilotórax idiopático es aquel en donde la causa no quede determinada luego de diferentes estudios. El tratamiento del quilotórax puede ser conservador, drenaje con evolución favorable y la cirugía se reserva para los casos de quilotórax resistente al tratamiento convencional.

The pleura is a lining for the lung parenchyma, mediastinum, diaphragm, and the interior of the thoracic cavity. There are two types: the visceral and the parietal, forming a virtual cavity with a minimum amount of liquid, which becomes a real cavity if its production increases or if it is occupied by air, chyle and / or blood. Chylothorax is an exudate-like lymphatic pleural effusion that is diagnosed by cytochemical analysis of the pleural fluid and causes severe respiratory distress in the newborn. Thoracic duct injury during cardiothoracic surgery and thrombosis in the superior vena cava system are the most common causes of secondary chylothorax. Idiopathic chylothorax is one where the cause is not determined after different studies. Chylothorax treatment can be conservative, drainage with a favorable evolution, and surgery is reserved for cases of chylothorax resistant to conventional treatment.