<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-1273</journal-id>
<journal-title><![CDATA[Anestesia Analgesia Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Anest Analg Reanim]]></abbrev-journal-title>
<issn>1688-1273</issn>
<publisher>
<publisher-name><![CDATA[Sociedad de Anestesiología del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-12732017000300049</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[VALORACION DEL BLOQUEO PULMONAR MEDIANTE ECOGRAFIA EN CIRUGIA DE TÓRAX. PRIMERA EXPERIENCIA EN NUESTRO MEDIO]]></article-title>
<article-title xml:lang="en"><![CDATA[ASSESSMENT OF PULMONARY BLOCKING THROUGH ECOGRAPHY IN TORAX SURGERY. FIRST EXPERIENCE IN OUR ENVIRONMENT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Areco]]></surname>
<given-names><![CDATA[Jimena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terra]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cavalleri]]></surname>
<given-names><![CDATA[Fiorella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salisbury]]></surname>
<given-names><![CDATA[Siul]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Depto. y Cátedra de Anestesiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la República  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Departamento de Métodos Cuantitativos Facultad de Medicina]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de la República  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad de la República Hospital Clínicas Departamento de Cirugía]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>30</volume>
<numero>2</numero>
<fpage>49</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-12732017000300049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-12732017000300049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-12732017000300049&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  evaluar validez y eficacia de la ecografía pulmonar frente al método clínico para corroborar intubación selectiva izquierda en cirugía de tórax.  Material y Método:  estudio transversal, observacional, prospectivo, doble ciego. Se incluyeron en forma consecutiva 59 pacientes en 2 etapas: (etapa 1- n 15 puesta a punto de la técnica; etapa 2- n 44) . Luego de la intubación con un tubo doble luz izquierdo, pinzamiento secuencial de ambas luces, evaluación de posición clínicamente y por ecografía con confirmación posterior por fibrobroncoscopia (gold estándar) . Resultados etapa 2: 56,8% (n=25) de los casos el tubo estaba bien colocado. Validez de la ecografía (correcta colocación): sensibilidad de 84,00% (IC 95%: 63,08-94,75), especificidad de 94,74% (IC 95%: 71,89-99,72), Valor predictivos positivo 95,45% (IC 95%: 75,12-99,76), Valor predictivo negativo de 81,82% ((IC al 95%: 58,99-94,01). Validez de la auscultación pulmonar: sensibilidad de 96,00% (IC al 95%: 77,68-99,79), especificidad de 100.00% (IC al 95%: 79,08-100.00), valor predictivos positivo de 100.00% (IC al 95%: 82,83-100.00) , Valor predictivo negativo de 95.00% ((IC al 95%: 73,06-99,74).  Discusión:  las diferencias de resultados con otros autores podrían responder a diferencias en la experticia (primera experiencia en nuestro medio), criterios de inclusión más amplios, número de pacientes. Se propone aumentar el tamaño de la muestra &#8217;&#8217;n &#8216;&#8217; e incorporar otros signos ecográficos de evaluación.  Conclusión:  la ecografía se presenta en forma prometedora como una herramienta complementaria a la evaluación clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Goal:  assessing the validity and effectiveness of pulmonary ultrasound against clinical method to corroborate left selective intubation on thorax surgery.  Material and method: transversal study, observational, prospective, double blind. 59 patients in 2 different stages where included: (1-n 15 technique development; 2-n 44). After intubation with left double-lumen tube, sequential clamping of both lights, both clinically assessment of position and through ultrasound with subsequent confirmation through fibrobronchoscopy (reference standards).  Stage 2 results: In 56.8% (n=25) of cases the tube was placed properly. Ultrasound validation (proper collocation): sensitivity of 84,00% (IC 95%:63.08-94.75), specificity of 94.74% (IC 95%: 71.89-99.72), Positive predictive values 95,45% (IC 95%: 75.12-99.76), Negative predictive value 81,82% ((IC at 95%: 58.99-94.01). Validity of pulmonary auscultation: sensitivity of 96.00% (IC at 95%: 77.68-99.79), Specificity of 100.00% (IC at 95%: 79.08-100.00), positive predictive values of 100.00% (IC at 95%: 82.83-100.00), Negative predictive value of 95.00% ((IC at 95%: 73.06-99.74).  Discussion: the difference in results with other authors might respond to difference in expertise (first experience on our medium), wider inclusion criteria, and number of patients. We propose increasing the &#8220;n&#8221; and adding other ultrasonic signs of assessment.  Conclusion: ultrasound is presented in a promising way as a complementary tool to clinic evaluation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ecografía pulmonar]]></kwd>
<kwd lng="es"><![CDATA[auscultación]]></kwd>
<kwd lng="es"><![CDATA[anestesia de tórax]]></kwd>
<kwd lng="es"><![CDATA[ventilación unipulmonar]]></kwd>
<kwd lng="es"><![CDATA[tubo doble luz izquierdo]]></kwd>
<kwd lng="en"><![CDATA[pulmonary ultrasound]]></kwd>
<kwd lng="en"><![CDATA[auscultation]]></kwd>
<kwd lng="en"><![CDATA[thorax anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Unipulmonary ventilation]]></kwd>
<kwd lng="en"><![CDATA[left double-lumen tube]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Guenoun]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Journois]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Silleran-Chassany]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Frappier]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Salem]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prediction of arterial oxygen tension during one-lung ventilation: analysis of preoperative and intraoperative variables]]></article-title>
<source><![CDATA[J Cardiothorac Vasc Anesth]]></source>
<year>2002</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>199-203</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karzai]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Schwarzkopf]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hypoxemia during one lung ventilation: prediction, prevention, and treatment]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>2009</year>
<volume>110</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1402-11</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Merli]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Guarino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Della Rocca]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Frova]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Petrini]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Sorbello]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Coccia]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SIAARTI Studying Group on Difficult Airway. Recommendations for airway control and difficult airway management in thoracic anesthesia and lung separation procedures. Minerva]]></article-title>
<source><![CDATA[Anestesiol]]></source>
<year>2009</year>
<volume>75</volume>
<numero>1-2</numero>
<issue>1-2</issue>
<page-range>59-78</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alliaume]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Coddens]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Deloaf]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reliability of auscultation in positioning modern double lumen endobronchial tubes]]></article-title>
<source><![CDATA[Can J Anesth]]></source>
<year>1992</year>
<volume>39</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>687-90</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Klein]]></surname>
<given-names><![CDATA[U1]]></given-names>
</name>
<name>
<surname><![CDATA[Karzai]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Bloos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Wohlfarth]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gottschall]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Fritz]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Role of fiberoptic bronchoscopy in conjuction with the use of double-lumen tubes for thoracic]]></article-title>
<source><![CDATA[Anesthesia.Anesthesiology]]></source>
<year>1998</year>
<volume>88</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>346-50</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Campos]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lung Isolation]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Slinger]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Principles and practice of anesthesia for thoracic surgery]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Nueva York ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chun]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kirkpatrick]]></surname>
<given-names><![CDATA[AW]]></given-names>
</name>
<name>
<surname><![CDATA[Sirois]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sargasyn]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Melton]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hamilton]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Where &amp;apos;s the tube? Evaluation of hand-held ultrasound in confirming endotracheal tube placement]]></article-title>
<source><![CDATA[Prehosp Disaster Med]]></source>
<year>2004</year>
<volume>19</volume>
<page-range>366-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernard]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
</person-group>
<source><![CDATA[The use of lung-ultrasound to confirm correct placement of left sided double lumen tubes. Research report for partial fulfilment for the master's degree in Anaesthesiology]]></source>
<year>2013</year>
<publisher-name><![CDATA[Anaesthesiology University of the Free State]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarez-Diaz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fuentes-Hernandez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Dorta-Guerra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison between transthoracic lung ultrasound clinical method in conforming the positioning of double lumen tube in thoracic anesthesia. A pilot study]]></article-title>
<source><![CDATA[Rev Esp Anestesiol Reanim]]></source>
<year>2015</year>
<volume>62</volume>
<page-range>305-12</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parab]]></surname>
<given-names><![CDATA[SY]]></given-names>
</name>
<name>
<surname><![CDATA[Divatia]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
<name>
<surname><![CDATA[Chogle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A prospective comparative study to evaluate the utility of lung ultrasonography to improve the accuracy of traditional clinical methods to confirm position of left sided double lumen tube in elective thoracic surgeries]]></article-title>
<source><![CDATA[Indian J Anaesth]]></source>
<year>2015</year>
<volume>59</volume>
<page-range>476-81</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alday Muñoz]]></surname>
<given-names><![CDATA[DE]]></given-names>
</name>
</person-group>
<source><![CDATA[Ecografia pulmonar para la valoración funcional del bloqueo pulmonar en pacientes con tubo de doble luz]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Autonoma de Madrid]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Altman]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Bland]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Statistics Notes: diagnostic tests 1: sensitivity and specificity]]></article-title>
<source><![CDATA[BMJ]]></source>
<year>1994</year>
<volume>308</volume>
<page-range>1552</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sustic]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Protic]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cicvaric]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Zupan]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The addition of a brief ultrasound examination to clinical assessment increases the ability to confirm placement of double-lumen endotracheal tubes]]></article-title>
<source><![CDATA[J Clin Anesth]]></source>
<year>2010</year>
<volume>22</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>246-9</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lyon]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Walton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Bhalla]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Shiver]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasound detection of the sliding lung sign by prehospital critical care providers]]></article-title>
<source><![CDATA[American Journal of Emergency Medicine]]></source>
<year>2012</year>
<volume>30</volume>
<page-range>485-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
