{"id":"https://openalex.org/W4404809727","doi":"https://doi.org/10.61284/193","title":"S\u00edndrome de Asma casi fatal. A prop\u00f3sito de un caso.","display_name":"S\u00edndrome de Asma casi fatal. A prop\u00f3sito de un caso.","publication_year":2024,"publication_date":"2024-11-22","ids":{"openalex":"https://openalex.org/W4404809727","doi":"https://doi.org/10.61284/193"},"language":"es","primary_location":{"id":"doi:10.61284/193","doi":"https://doi.org/10.61284/193","is_oa":true,"landing_page_url":"https://doi.org/10.61284/193","pdf_url":null,"source":{"id":"https://openalex.org/S4394736443","display_name":"Actas M\u00e9dicas (Ecuador)","issn_l":"1019-8105","issn":["1019-8105","2960-8309"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas M\u00e9dicas (Ecuador)","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.61284/193","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Dalma Moran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405256265","display_name":"Hospital Alc\u00edvar","ror":"https://ror.org/03zfv2g22","country_code":"EC","type":"healthcare","lineage":["https://openalex.org/I4405256265"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Dalma Moran","raw_affiliation_strings":["Servicio de Medicina Interna, Hospital Alc\u00edvar, Guayaquil, Ecuador"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Servicio de Medicina Interna, Hospital Alc\u00edvar, Guayaquil, Ecuador","institution_ids":["https://openalex.org/I4405256265"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5092682140","display_name":"Jos\u00e9 Efra\u00edn Ulloa Correa","orcid":"https://orcid.org/0009-0004-7732-9725","observed_orcids":["https://orcid.org/0009-0004-7732-9725"]},"institutions":[{"id":"https://openalex.org/I4405256265","display_name":"Hospital Alc\u00edvar","ror":"https://ror.org/03zfv2g22","country_code":"EC","type":"healthcare","lineage":["https://openalex.org/I4405256265"]}],"countries":["EC"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 Efra\u00edn Ulloa Correa","raw_affiliation_strings":["Servicio de Neumolog\u00eda, Hospital Alc\u00edvar, Guayaquil, Ecuador"],"raw_orcid":"https://orcid.org/0009-0004-7732-9725","affiliations":[{"raw_affiliation_string":"Servicio de Neumolog\u00eda, Hospital Alc\u00edvar, Guayaquil, Ecuador","institution_ids":["https://openalex.org/I4405256265"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4405256265"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"34","issue":"Suplemento 1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.600600004196167,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10322","display_name":"Respiratory Support and Mechanisms","score":0.2524000108242035,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.10209999978542328,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/near-fatal-asthma","display_name":"near-fatal asthma","score":0.9430000185966492},{"id":"https://openalex.org/keywords/severe-asthma-exacerbation","display_name":"severe asthma exacerbation","score":0.8640000224113464},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.7390000224113464},{"id":"https://openalex.org/keywords/bronchoconstriction","display_name":"bronchoconstriction","score":0.6779999732971191},{"id":"https://openalex.org/keywords/hyperinflation","display_name":"hyperinflation","score":0.7319999933242798},{"id":"https://openalex.org/keywords/bronchodilators","display_name":"bronchodilators","score":0.7239999771118164},{"id":"https://openalex.org/keywords/corticosteroids","display_name":"corticosteroids","score":0.8840000033378601},{"id":"https://openalex.org/keywords/positive-end-expiratory-pressure","display_name":"positive end-expiratory pressure","score":0.6159999966621399},{"id":"https://openalex.org/keywords/respiratory-failure","display_name":"respiratory failure","score":0.4580000042915344},{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.609000027179718},{"id":"https://openalex.org/keywords/bronchoalveolar-lavage","display_name":"bronchoalveolar lavage","score":0.8090000152587891},{"id":"https://openalex.org/keywords/ventilation-strategies","display_name":"ventilation strategies","score":0.3190000057220459}],"concepts":[{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.35835063457489014},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3539496660232544},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.2869436740875244}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.61284/193","doi":"https://doi.org/10.61284/193","is_oa":true,"landing_page_url":"https://doi.org/10.61284/193","pdf_url":null,"source":{"id":"https://openalex.org/S4394736443","display_name":"Actas M\u00e9dicas (Ecuador)","issn_l":"1019-8105","issn":["1019-8105","2960-8309"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas M\u00e9dicas (Ecuador)","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:288951309a4e4147a4bf880872cd971f","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/288951309a4e4147a4bf880872cd971f","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Actas M\u00e9dicas, Vol 34, Iss Suplement 1 (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.61284/193","doi":"https://doi.org/10.61284/193","is_oa":true,"landing_page_url":"https://doi.org/10.61284/193","pdf_url":null,"source":{"id":"https://openalex.org/S4394736443","display_name":"Actas M\u00e9dicas (Ecuador)","issn_l":"1019-8105","issn":["1019-8105","2960-8309"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","latindex"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Actas M\u00e9dicas (Ecuador)","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7217115298","https://openalex.org/W4400683969","https://openalex.org/W2176855253","https://openalex.org/W1999432040","https://openalex.org/W4391198318","https://openalex.org/W7216782567","https://openalex.org/W4401507247","https://openalex.org/W2018132799","https://openalex.org/W149168572","https://openalex.org/W1973030250"],"abstract_inverted_index":{"Introducci\u00f3n:":[0],"Las":[1],"exacerbaciones":[2],"graves":[3],"del":[4,45],"asma,":[5,83],"incluida":[6],"el":[7,199,209,218,226],"asma":[8,34,59],"casi":[9,60],"mortal,":[10],"tienen":[11],"una":[12],"alta":[13],"morbilidad":[14],"y":[15,48,98,125,147,196,204,225,244],"mortalidad":[16,243],"ingresando":[17],"a":[18,39,167],"UCI:":[19],"2-5%.":[20],"En":[21],"ventilaci\u00f3n":[22,28,129,205],"mec\u00e1nica:":[23],"1.3%.":[24],"Mortalidad:":[25],"2.5%.":[26],"La":[27],"mec\u00e1nica":[29,130],"de":[30,54,58,63,69,77,82,88,93,105,116,142,149,160,173,175,180,194,238,249],"los":[31,155],"pacientes":[32],"con":[33,80,90,112,202,229],"grave":[35,47],"es":[36,118],"dif\u00edcil":[37],"debido":[38],"la":[40,49,106,192,212,222,233,239,247,250],"fisiopatolog\u00eda":[41],"compleja":[42],"que":[43,163],"resulta":[44],"broncoespasmo":[46],"hiperinsuflaci\u00f3n":[50],"din\u00e1mica.":[51],"Son":[52],"factores":[53],"riesgo:":[55],"episodio":[56],"anterior":[57],"fatal,":[61],"exceso":[62],"broncodilatadores":[64,141,148,195],"o":[65,67,72],"falta":[66],"interrupci\u00f3n":[68],"corticoides":[70,153],"sist\u00e9micos":[71],"inhalados.":[73],"Caso":[74],"cl\u00ednico:":[75],"Hombre":[76],"25":[78],"a\u00f1os,":[79],"antecedente":[81],"quien":[84],"ingresa":[85],"al":[86,109,236],"servicio":[87],"urgencias":[89],"1":[91],"hora":[92],"estupor,":[94],"diaforesis,":[95],"insuficiencia":[96],"respiratoria":[97,224],"cianosis.":[99],"El":[100,187],"cuadro":[101],"inici\u00f3":[102],"subitamente":[103],"luego":[104],"exposici\u00f3n":[107],"debiocombustibles.":[108],"examen":[110],"f\u00edsico":[111],"Glasgow":[113],"8/15.":[114],"Presencia":[115],"sibilancias":[117],"ambos":[119],"campos":[120],"pulmonares,":[121],"hipoventilados.":[122],"Se":[123],"intub\u00f3":[124],"se":[126,158,164,189,214],"mantuvo":[127],"en":[128,183,191,216],"invasiva":[131],"por":[132,178],"12":[133],"d\u00edas":[134],"sedado,":[135],"relajado":[136],"durante":[137],"72":[138],"horas,":[139],"recibi\u00f3":[140],"acci\u00f3n":[143,150],"corta":[144,151],"agonistas":[145],"beta-2":[146],"anticolin\u00e9rgicos,":[152],"inhalados,":[154],"par\u00e1metros":[156],"ventilatorios":[157],"manejaron":[159],"tal":[161],"modo":[162],"logr\u00f3":[165],"llegar":[166],"hipoxemia":[168],"e":[169],"hipercapnea":[170],"permisiva,":[171],"ademas":[172],"recibir":[174],"tratamiento":[176,188],"antif\u00edmico":[177],"hallazgo":[179],"M.":[181],"tuberculosis":[182],"lavado":[184],"broncoalveolar.":[185],"Conclusi\u00f3n:":[186],"basa":[190,215],"administraci\u00f3n":[193],"corticosteroides":[197],"m\u00e1s":[198],"apoyo":[200],"vital":[201],"oxigenoterapia":[203],"mec\u00e1nica.":[206],"Para":[207],"revertir":[208],"atrapamiento":[210],"a\u00e9reo,":[211],"estrategia":[213,251],"prolongar":[217],"tiempo":[219,227],"espiratorio,":[220],"disminuyendo":[221],"frecuencia":[223],"inspiratorio":[228],"flujos":[230],"altos.":[231],"Medir":[232],"presi\u00f3n":[234],"positiva":[235],"final":[237],"espiraci\u00f3n":[240],"intr\u00ednseca":[241],"predice":[242],"permite":[245],"evaluar":[246],"efectividad":[248],"ventilatoria":[252],"ideada.":[253]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2024-11-29T00:00:00"}
