{"id":"https://openalex.org/W7125770274","doi":"https://doi.org/10.5281/zenodo.18393855","title":"T\u00f3rax Le\u00f1oso por Fentanilo: El Precio Letal de un Opioide","display_name":"T\u00f3rax Le\u00f1oso por Fentanilo: El Precio Letal de un Opioide","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7125770274","doi":"https://doi.org/10.5281/zenodo.18393855"},"language":"es","primary_location":{"id":"doi:10.5281/zenodo.18393855","doi":"https://doi.org/10.5281/zenodo.18393855","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18393855","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["datacite"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.5281/zenodo.18393855","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5123951676","display_name":"Sergio Carlos Fern\u00e1ndez-Mart\u00ednez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Fern\u00e1ndez-Mart\u00ednez, Sergio Carlos","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123958646","display_name":"Jennifer Hern\u00e1ndez-Fuentes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Hern\u00e1ndez-Fuentes, Jennifer","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124025819","display_name":"Yasm\u00edn Hern\u00e1ndez-Huesca","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Hern\u00e1ndez-Huesca, Yasm\u00edn","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Hospital General de Zona No. 35, \u00c1rea de Anestesiolog\u00eda. Cuautlancingo, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Hospital General de Zona No. 35, \u00c1rea de Anestesiolog\u00eda. Cuautlancingo, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133679663","display_name":"Daniela Cordoba G\u00f3mez","orcid":"https://orcid.org/0009-0006-8428-7716","observed_orcids":["https://orcid.org/0009-0006-8428-7716"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"C\u00f3rdoba-G\u00f3mez, Daniela","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123907618","display_name":"Zabdi Cruz-Silva","orcid":"https://orcid.org/0009-0001-9844-9150","observed_orcids":["https://orcid.org/0009-0001-9844-9150"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Cruz-Silva, Zabdi","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5124833691","display_name":"Lina Fernanda Trujeque Gin\u00e9s","orcid":"https://orcid.org/0009-0008-7608-1501","observed_orcids":["https://orcid.org/0009-0008-7608-1501"]},"institutions":[{"id":"https://openalex.org/I164915025","display_name":"Mexican Social Security Institute","ror":"https://ror.org/03xddgg98","country_code":"MX","type":"government","lineage":["https://openalex.org/I164915025"]}],"countries":["MX"],"is_corresponding":false,"raw_author_name":"Trujeque-Gin\u00e9s, Lina Fernanda","raw_affiliation_strings":["Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 22, Coordinaci\u00f3n de Investigaci\u00f3n en Salud. Teziutl\u00e1n, Puebla, M\u00e9xico","institution_ids":["https://openalex.org/I164915025"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I164915025"],"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":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.7192000150680542,"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"}},"topics":[{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.7192000150680542,"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"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.10859999805688858,"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"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.04919999837875366,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"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/fentanyl","display_name":"fentanyl","score":0.8870000243186951},{"id":"https://openalex.org/keywords/neuromuscular-relaxants","display_name":"neuromuscular relaxants","score":0.6959999799728394},{"id":"https://openalex.org/keywords/rocuronium","display_name":"rocuronium","score":0.9919999837875366},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.5419999957084656},{"id":"https://openalex.org/keywords/general-anesthesia-complications","display_name":"general anesthesia complications","score":0.652999997138977},{"id":"https://openalex.org/keywords/apnea","display_name":"apnea","score":0.40400001406669617}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9053999781608582},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9053999781608582},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.46860000491142273},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.46860000491142273},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.2773999869823456},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.2773999869823456},{"id":"https://openalex.org/C2909746581","wikidata":"https://www.wikidata.org/wiki/Q81938","display_name":"Breakthrough Pain","level":4,"score":0.24120000004768372},{"id":"https://openalex.org/C2909746581","wikidata":"https://www.wikidata.org/wiki/Q81938","display_name":"Breakthrough Pain","level":4,"score":0.24120000004768372},{"id":"https://openalex.org/C2994511739","wikidata":"https://www.wikidata.org/wiki/Q336641","display_name":"Emergency physician","level":3,"score":0.21979999542236328},{"id":"https://openalex.org/C2994511739","wikidata":"https://www.wikidata.org/wiki/Q336641","display_name":"Emergency physician","level":3,"score":0.21979999542236328},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.17829999327659607},{"id":"https://openalex.org/C2778704086","wikidata":"https://www.wikidata.org/wiki/Q693058","display_name":"Chest pain","level":2,"score":0.17829999327659607},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.17710000276565552},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.17710000276565552},{"id":"https://openalex.org/C2781072394","wikidata":"https://www.wikidata.org/wiki/Q407541","display_name":"Fentanyl","level":2,"score":0.17569999396800995},{"id":"https://openalex.org/C2781072394","wikidata":"https://www.wikidata.org/wiki/Q407541","display_name":"Fentanyl","level":2,"score":0.17569999396800995},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.15870000422000885},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.15870000422000885},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.15600000321865082},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.15600000321865082}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.5281/zenodo.18393855","doi":"https://doi.org/10.5281/zenodo.18393855","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18393855","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.18393856","doi":"https://doi.org/10.5281/zenodo.18393856","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18393856","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.5281/zenodo.18393855","doi":"https://doi.org/10.5281/zenodo.18393855","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.18393855","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4411806081","https://openalex.org/W4411763859","https://openalex.org/W2140121994","https://openalex.org/W7161563218","https://openalex.org/W2418544575","https://openalex.org/W4387253051","https://openalex.org/W7161567744","https://openalex.org/W4391590622","https://openalex.org/W7203655789","https://openalex.org/W2911615255"],"abstract_inverted_index":{"Resumen":[0],"INTRODUCCI\u00d3N:":[1],"El":[2,155],"s\u00edndrome":[3],"del":[4,180],"t\u00f3rax":[5],"le\u00f1oso,":[6],"es":[7,23],"una":[8],"complicaci\u00f3n":[9],"infrecuente":[10],"pero":[11],"potencialmente":[12],"grave":[13],"asociada":[14],"a":[15,89,93,221,309],"opioides":[16],"de":[17,27,58,68,87,95,112,131,145,150,161,177],"administraci\u00f3n":[18,67],"r\u00e1pida.":[19],"Su":[20],"identificaci\u00f3n":[21],"temprana":[22],"crucial":[24,207],"por":[25,138],"riesgo":[26],"imposibilidad":[28,144],"ventilatoria":[29],"y":[30,44,82,92,123,158,183],"compromiso":[31],"hemodin\u00e1mico.":[32],"Este":[33,172],"reporte":[34],"describe":[35],"un":[36],"caso":[37,173],"cl\u00ednico":[38],"representativo,":[39],"enfatizando":[40],"su":[41,48],"abordaje":[42],"diagn\u00f3stico":[43],"terap\u00e9utico,":[45],"as\u00ed":[46],"como":[47],"relaci\u00f3n":[49],"con":[50,103,116,126],"la":[51,85,143,175],"literatura":[52],"reciente.":[53],"CASO":[54],"CL\u00cdNICO:":[55],"Paciente":[56],"femenina":[57],"54":[59],"a\u00f1os":[60],"que":[61],"present\u00f3":[62],"rigidez":[63,80,135],"tor\u00e1cica":[64,81,136],"s\u00fabita":[65],"tras":[66,147],"fentanilo":[69,139],"(150":[70,253],"\u00b5g":[71,254],"IV)":[72,102,255,282],"durante":[73],"anestesia":[74],"general":[75,258],"balanceada.":[76],"Se":[77,106],"evidenci\u00f3":[78],"apnea,":[79],"desaturaci\u00f3n.":[83],"Ante":[84],"falta":[86],"respuesta":[88],"maniobras":[90],"ventilatorias":[91],"bolos":[94],"propofol,":[96],"se":[97],"administr\u00f3":[98],"rocuronio":[99],"(50":[100,280],"mg":[101,281],"resoluci\u00f3n":[104],"inmediata.":[105],"realiz\u00f3":[107],"intubaci\u00f3n":[108],"orotraqueal":[109],"e":[110],"instauraci\u00f3n":[111],"ventilaci\u00f3n":[113,146],"mec\u00e1nica":[114],"protectora,":[115],"recuperaci\u00f3n":[117],"completa.":[118],"La":[119,134],"paciente":[120],"evolucion\u00f3":[121],"favorablemente":[122],"fue":[124],"egresada":[125],"contraindicaci\u00f3n":[127],"para":[128,168],"uso":[129,160],"futuro":[130],"opioides.":[132],"CONCLUSIONES:":[133],"inducida":[137],"debe":[140],"sospecharse":[141],"ante":[142],"opioides,":[148],"diferenci\u00e1ndola":[149],"depresi\u00f3n":[151],"respiratoria":[152],"o":[153],"laringoespasmo.":[154],"reconocimiento":[156],"temprano":[157],"el":[159],"relajantes":[162],"neuromusculares":[163],"no":[164],"despolarizantes":[165],"son":[166],"esenciales":[167],"evitar":[169],"desenlaces":[170],"fatales.":[171],"subraya":[174],"necesidad":[176],"capacitaci\u00f3n":[178],"continua":[179],"personal":[181],"m\u00e9dico":[182],"protocolos":[184],"anest\u00e9sicos":[185],"individualizados.":[186],"Abstract":[187],"BACKGROUND:":[188],"Wooden":[189],"Chest":[190],"Syndrome":[191],"is":[192,206],"an":[193],"infrequent":[194],"but":[195],"potentially":[196],"serious":[197],"complication":[198],"associated":[199],"with":[200,236,308],"rapidly":[201],"administered":[202],"opioids.":[203],"Early":[204,338],"identification":[205],"due":[208],"to":[209,268,273,298,349],"the":[210,269,341,356],"risk":[211],"of":[212,271,325,343,358],"ventilatory":[213,274,326],"failure":[214],"and":[215,228,263,276,291,305,340,363],"hemodynamic":[216],"compromise.":[217],"This":[218,353],"report":[219],"describes":[220],"representative":[222],"clinical":[223],"case,":[224],"emphasizing":[225],"its":[226,234],"diagnostic":[227],"therapeutic":[229],"approach,":[230],"as":[231,233],"well":[232],"correlation":[235],"recent":[237],"literature.":[238],"CLINIC":[239],"CASE:":[240],"A":[241],"54-year-old":[242],"female":[243],"patient":[244,302],"developed":[245],"sudden":[246],"chest":[247,261,317],"wall":[248,318],"rigidity":[249,319],"after":[250],"receiving":[251],"fentanyl":[252],"during":[256],"balanced":[257],"anesthesia.":[259],"Apnea,":[260],"rigidity,":[262],"desaturation":[264],"were":[265,295],"observed.":[266],"Due":[267],"lack":[270],"response":[272],"maneuvers":[275],"propofol":[277],"boluses,":[278],"rocuronium":[279],"was":[283,306],"administered,":[284],"resulting":[285],"in":[286,323],"immediate":[287],"resolution.":[288],"Orotracheal":[289],"intubation":[290],"protective":[292],"mechanical":[293],"ventilation":[294],"performed,":[296],"leading":[297],"full":[299],"recovery.":[300],"The":[301],"evolved":[303],"favorably":[304],"discharged":[307],"contraindication":[310],"for":[311],"future":[312],"opioid":[313,329],"use.":[314],"CONCLUSIONS:":[315],"Fentanyl-induced":[316],"should":[320],"be":[321],"suspected":[322],"cases":[324],"difficulty":[327],"following":[328],"administration,":[330],"distinguishing":[331],"it":[332],"from":[333],"respiratory":[334],"depression":[335],"or":[336],"laryngospasm.":[337],"recognition":[339],"use":[342],"non-depolarizing":[344],"neuromuscular":[345],"blockers":[346],"are":[347],"essential":[348],"prevent":[350],"fatal":[351],"outcomes.":[352],"case":[354],"highlights":[355],"importance":[357],"continuous":[359],"medical":[360],"staff":[361],"training":[362],"individualized":[364],"anesthetic":[365],"protocols.":[366]},"counts_by_year":[],"updated_date":"2026-10-28T10:33:24.094632","created_date":"2026-01-28T00:00:00"}