Browsing by Author "Vial, Macarena R"

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    Airway fibroepithelial polyposis
    (2017) Labarca, Gonzalo; Caviedes, Iván; Vial, Macarena R; Pires, Yumay; Folch, Erik; Majid, Adnan; Fernández-Bussy, Sebastián
    Fibroepithelial polyps are benign lesions, frequently found in the skin and genitourinary tract. Airway involvement is rare, and few case reports have been published. Our patient was a 79 y.o. male smoker, who was referred to us with a 3-month history of dry cough. At physical examination, the patient looked well, but a chest CT showed a 6-mm polyp lesion in his trachea. A flexible bronchoscopy confirmed this lesion, and forceps biopsies were performed. Argon plasma coagulation was used to completely resect and treat the lesion. Pathological analysis revealed a fibroepithelial polyp (FP). The aim of this manuscript is to report a case of FP with bronchoscopic management and to review the current literature about this condition.
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    Evidence-based guidelines for the use of tracheostomy in critically ill patients: The role of bronchoscopy
    (2017) Nates, Joseph L; Vial, Macarena R; Raimondi, Nestor
    The recent evidence-based Iberic and Panamerican Federation of Societies of Critical and Intensive Therapy Care (FEPIMCTI) tracheostomy guidelines do not make a recommendation in favor or against the use of bronchoscopy during the performance of the percutaneous technique (PT) [1]. Furthermore, the Federation task force refrained from making claims or recommendations about benefits that were not supported by meaningful evidence. Smith and Loschner, however, are both concerned that the task force did not take a position in favor of a procedure that has not been shown to improve outcomes but rather increases the costs and complexity of the procedure while at the same time may potentially add risks

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