Characteristics of patients referred to Canary Island pneumology outpatient services for chronic obstructive pulmonary disease: the EPOCan study.

OBJECTIVE: Assessing patients with chronic obstructive pulmonary disease (COPD) accounts for 30% of all pneumology outpatient evaluations. COPD is a heterogeneous disease and generates a massive public health problem. Overall morbidity, particularly cardiovascular disease, challenges patient management. This is an observational, multicentre study, performed at four hospitals in the Canary Islands (Spain), aimed at characterising patients with COPD referred to pneumology outpatient services. Demographic variables, lung function, and morbidity were assessed. RESULTS: Of the 877 included patients, 44.9% were active smokers with a mean (± SD) age of 68.2 ± 10.3 years. The median (IQR) score for the Charlson comorbidity index was 2 (2), and 70.6% of the patients were assigned high risk according to the Spanish Guidelines for COPD (GesEPOC) 2021. The degree of airflow obstruction defined by the GOLD 2021 stages 1, 2, 3, and 4 corresponded to 13.6%, 49%, 31%, and 6.3% of patients, respectively. The most frequently associated morbidities were arterial hypertension (59.5%), dyslipidaemia (54.3%), and type 2 diabetes mellitus (31.2%); 32% of the patients suffered heart disease. There is a high prevalence of active smoking, type 2 diabetes mellitus, and heart disease in patients referred for COPD to Canary Island pneumology outpatient services.

Exogenous lipoid pneumonia secondary to use of lipstick / Neumonía lipoidea exógena secundario a uso de vaselina labial

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La ecografía pulmonar antes y después del SARS-CoV-2 / Lung Ultrasound Before and After SARS-CoV-2P

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Biomarkers of acute respiratory distress syndrome in adults hospitalised for severe SARS-CoV-2 infection in Tenerife Island, Spain.

OBJECTIVE: The dramatic spread of SARS-CoV-2 infections calls for reliable, inexpensive tools to quickly identify patients with a poor prognosis. In this study, acute respiratory distress syndrome (ARDS) was assessed within 72 h after admission of each of 153 consecutive, SARS-CoV-2 infected, adult patients to either of two hospitals in Tenerife, Spain, using suitable routine laboratory tests for lymphocyte counts, as well as ferritin, lactate dehydrogenase (LDH), and C-reactive protein levels. Results were correlated with the patients' respiratory function, defined through their pulse oximetric saturation/fraction of inspired oxygen (SpO2/FiO2) ratio. RESULTS: Within 72 h from admission, criteria matched ARDS (SpO2/FiO2 < 235) in 13.1% of cases. We found a significant, negative correlation between SpO2/FiO2 ratios and D-dimer, ferritin, and LDH levels (- 0.31, - 0.32, and - 0.41; p = 0.004, 0.004, and < 0.0001, respectively). In patients with ARDS, the mean LDH was 373 U/L (CI95%: 300.6-445.3), but only 298 U/L (CI95%: 274.7-323.1) when they did not develop the syndrome (p = 0.015). None of the additionally evaluated biomarkers correlated with the SpO2/FiO2 ratios. Serum LDH levels in patients hospitalised for COVID-19 correlate with ARDS, as defined by their SpO2/FiO2 ratio, and might help to predict said complication.

Aplicaciones clínicas de la ecografía pulmonar / Clinical applications of pulmonary ultrasound

La ecografía pulmonar está adquiriendo una gran importancia para el diagnóstico y seguimiento de enfermedades respiratorias en diferentes ámbitos, ya sea urgencias, consultas, hospitalización, etc. Esta revisión intenta englobar la mayoría de las aplicaciones y las utilidades que tiene la ecografía torácica en la práctica clínica diaria. Para ello, la revisión se centra en cómo se visualizaría la imagen ecográfica en cada una de las enfermedades pleuropulmonares a las que tiene aplicación y su uso en la neumología intervencionista. Además, se presenta una ilustración esquemática con las entidades más frecuentes y su representación ecográfica, con el objetivo de entender mejor lo que estamos viendo con esta prueba complementaria de gran valor diagnóstico

Pulmonary ultrasound is becoming very important for the diagnosis and monitoring of respiratory diseases in different areas, such as emergency departments, outpatient clinics, inpatient areas, etc. This review attempts to encompass most of the applications and utilities of thoracic ultrasound in daily clinical practice. For this, the review focuses on how the ultrasound image would be visualized in each of the pleuro-pulmonary pathologies to which it has access and its use in interventional pulmonology. In addition, a schematic illustration with the most frequent pathologies and their ultrasound representation is presented, in order to better understand what we are seeing with this complementary test of great diagnostic value

Clinical applications of pulmonary ultrasound. / Aplicaciones clínicas de la ecografía pulmonar.

Pulmonary ultrasound is becoming very important for the diagnosis and monitoring of respiratory diseases in different areas, such as emergency departments, outpatient clinics, inpatient areas, etc. This review attempts to encompass most of the applications and utilities of thoracic ultrasound in daily clinical practice. For this, the review focuses on how the ultrasound image would be visualized in each of the pleuro-pulmonary pathologies to which it has access and its use in interventional pulmonology. In addition, a schematic illustration with the most frequent pathologies and their ultrasound representation is presented, in order to better understand what we are seeing with this complementary test of great diagnostic value.

La ecografía transtorácica: presente y futuro / Transthoracic Ultrasound: Present And Future

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¿Es necesario el uso de la ecografía torácica en una consulta general de neumología? / Is Thoracic Ultrasonography Necessary in the Respiratory Medicine Outpatient Clinic?

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Valoración de la sedación con midazolam en las punciones pulmonares periféricas dirigidas por ecografía torácica / Assessment of Midazolam Sedation in Ultrasound-Guided Percutaneous Biopsy of Peripheral Lung Lesions

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