We report the use of venovenous extracorporeal membrane oxygenation with a single dual lumen cannula in a 42-year-old patient suffering from a post-pneumonectomy fistula and severe respiratory insufficiency, avoiding the classical approach of invasive mechanical ventilation. We discussed the potential advantages of extracorporeal oxygenation as the main support in this particular clinical setting.

Results of a multidisciplinary program to quit smoking (odds ratio = 4 (95% confidence intervals 1.23-38.33). The main side effects associated to varenicline and bupropion were nausea in 37 and 23%, sleep disorders in 20 and 19% and headache in 12 and 0%, respectively. Conclusions: A multidisciplinary program to quit smoking achieved a 49% of abstinence during a year of follow up. (Rev Med Chile 2013; 141: 345-352).

No abstract

No abstract

La enfermedad de Lyme es una enfermedad multisistémica infecciosa producida por tres genoespecies: Borrelia burgdorferi, B. garinii y B. Afzelii, B. Burgdorferi es la única presente en Estados Unidos, mientras que en Europa dicha especie coexiste con B. garinii y B. afzelii. B. burgdorferi se transmite al hombre por la picadura de una pequeña garrapata: Ixodes scapularis o I.pacificus en Estados Unidos y I.ricinus en Europa (1.2). El marcador más característico de la enfermedad, el eritema migratorio, Fig. 1. Imagen de TAC mostrando la masa hiliar izquierda y el derrame pleural bilateral .