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Martínez-Solano J, Sousa-Casasnovas I, Santa-Teresa P, García-López JJ, Maestu LP, Martínez-Sellés M. Veno-venal extracorporeal membrane oxygenation to support whole-lung lavage in a severe case of pulmonary alveolar proteinosis. Rev Esp Anestesiol Reanim (Engl Ed) 2023:S2341-1929(23)00202-0. [PMID: 38142894 DOI: 10.1016/j.redare.2023.12.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Accepted: 07/29/2023] [Indexed: 12/26/2023]
Abstract
We present the case of a 71-year-old woman with severe bilateral primary alveolar proteinosis admitted for bilateral whole lung lavage (WLL) with a double-lumen endotracheal tube. She had a cardiac arrest of respiratory origin during the procedure and recovered after one minute of advanced resuscitation. A second LLP was scheduled under respiratory support with veno-venous extracorporeal membrane oxygenation (VV-ECMO). During this second WLL the patient was completely VV-ECMO-dependent, and the procedure was successfully completed. She was gradually weaned over the next 48 h. The patient was finally discharged after clinical improvement and home oxygen therapy was discontinued. WLL is the treatment of choice for severe cases of alveolar proteinosis. In rare cases the intervention may be poorly tolerated due to the degree of lung involvement. This case illustrates how VV-ECMO support is an option that may benefit this subgroup of at-risk patients.
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Affiliation(s)
- J Martínez-Solano
- Servicio de Cardiología, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain; CIBERCV, Instituto de Salud Carlos III, Madrid, Spain.
| | - I Sousa-Casasnovas
- Servicio de Cardiología, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain; CIBERCV, Instituto de Salud Carlos III, Madrid, Spain
| | - P Santa-Teresa
- Servicio e Medicina Intensiva, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - J J García-López
- Servicio de Neumología, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain; Universidad Complutense, Madrid, Spain
| | - L P Maestu
- Servicio de Neumología, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain; Universidad Complutense, Madrid, Spain
| | - M Martínez-Sellés
- Servicio de Cardiología, Instituto de Investigación Hospital General Universitario Gregorio Marañón, Madrid, Spain; CIBERCV, Instituto de Salud Carlos III, Madrid, Spain; Universidad Complutense, Madrid, Spain; Universidad Europea, Madrid, Spain
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Hernando J, Hoogenboom JP, van Dijk EMHP, García-López JJ, Crego-Calama M, Reinhoudt DN, van Hulst NF, García-Parajó MF. Single molecule photobleaching probes the exciton wave function in a multichromophoric system. Phys Rev Lett 2004; 93:236404. [PMID: 15601183 DOI: 10.1103/physrevlett.93.236404] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2004] [Indexed: 05/24/2023]
Abstract
The exciton wave function of a trichromophoric system is investigated by means of single molecule spectroscopy at room temperature. Individual trimers exhibit superradiance and loss of vibronic structure in emission spectrum, features proving exciton delocalization. We identify two distinct photodegradation pathways for single trimers upon sequential photobleaching of the chromophores. The rate of each pathway is a measure for the contribution of the separate dyes to the collective excited state of the system, in this way probing the wave function of the delocalized exciton.
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Affiliation(s)
- J Hernando
- Applied Optics group, Faculty of Science & Technology and MESA+ Institute for Nanotechnology, University of Twente, P.O. Box 217, 7500 AE Enschede, The Netherlands
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García-López JJ, Hernández-Mateo F, Isac-García J, Kim JM, Roy R, Santoyo-González F, Vargas-Berenguel A. Synthesis of Per-Glycosylated β-Cyclodextrins Having Enhanced Lectin Binding Affinity. J Org Chem 1998. [DOI: 10.1021/jo981576y] [Citation(s) in RCA: 68] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Juan José García-López
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - Fernando Hernández-Mateo
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - Joaquín Isac-García
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - Jin Mi Kim
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - René Roy
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - Francisco Santoyo-González
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
| | - Antonio Vargas-Berenguel
- Instituto de Biotecnología, Facultad de Ciencias, Universidad de Granada,18071 Granada, Spain, Área de Química Orgánica, Universidad de Almería, 04120 Almería, Spain, and Department of Chemistry, University of Ottawa, Ottawa, Ontario, Canada K1N 6N5
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