<?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>1665-7063</journal-id>
<journal-title><![CDATA[Enfermería universitaria]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm. univ]]></abbrev-journal-title>
<issn>1665-7063</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Escuela Nacional de Enfermería y Obstetricia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-70632016000300187</article-id>
<article-id pub-id-type="doi">10.1016/j.reu.2016.07.001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Técnicas de aspirado endotraqueal en neonatos: una revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Endotracheal aspiration techniques in neonates: a literature review]]></article-title>
<article-title xml:lang="pt"><![CDATA[Técnicas de aspirado endotraqueal em neonatos: uma revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Pinelo]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-López]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orosio-Méndez]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Sánchez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Jiménez]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz-Ramírez]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mijangos-Fuentes]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la Sierra Sur Miahuatlán de Porfirio Díaz Edificio de Investigación sobre la Salud Pública ]]></institution>
<addr-line><![CDATA[Oaxaca ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Guanajuato División de las Ciencias de la Salud Departamento de Enfermería y Obstetricia sede Guanajuato]]></institution>
<addr-line><![CDATA[Guanajuato Gto]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2016</year>
</pub-date>
<volume>13</volume>
<numero>3</numero>
<fpage>187</fpage>
<lpage>192</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-70632016000300187&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-70632016000300187&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-70632016000300187&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Para el neonato con ventilación mecánica asistida la técnica de aspiración a través del tubo endotraqueal se hace indispensable para conservarlo libre de secreciones, de esta forma, se mantiene la vía aérea permeable. En el área hospitalaria, la práctica para realizar este procedimiento contempla una técnica cerrada y otra abierta. Ambas son indispensables en el manejo correcto del paciente, cuando se usan adecuadamente.  Objetivo: Analizar a través de la evidencia científica disponible, las ventajas y/o desventajas de las técnicas cerrada y abierta en el paciente neonato intubado.  Metodología: Se llevó a cabo una revisión bibliográfica en las bases de datos de Pubmed, CUIDEN, Cochrane y LILACS. Además, se examinaron las listas de referencias de los artículos seleccionados.  Desarrollo: Tras la revisión de los resultados y la aplicación de los criterios de inclusión fueron seleccionados seis artículos para el análisis en profundidad de los mismos.  Resultados y conclusiones: En el recién nacido que está intubado, la literatura establece que la técnica cerrada ofrece mayores ventajas a los neonatos. Los autores concluyen esto, debido a que la técnica cerrada mantiene el volumen pulmonar y la presión intracraneana en parámetros estables, asimismo, mediante esta técnica se previene la hipoxia e hipoxemia por lo cual se conserva adecuadamente la saturación de oxígeno, el llenado capilar y la frecuencia cardiaca durante el procedimiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In neonates under assisted ventilation, the endotracheal aspiration techniques become necessary in order to maintain the baby's airway free of secretions. Within the hospital area, the practice of these procedures includes a closed and an open technique. Both are crucial for the correct management of these patients and should always be properly performed.  Objective: To analyze, through available scientific evidence, the advantages and disadvantages of the open and closed endotracheal aspiration techniques in the neonatal patient under assisted ventilation.  Methodology: A bibliographical review was conducted on the PubMed, CUIDEN, Cochrane, and LILACS databases. In addition, the reference lists of the selected articles were also examined.  Development: After the review and application of the inclusion criteria, a total of six articles were selected for in-depth analysis.  Results and conclusions: The literature on the neonate under assisted ventilation suggests that the closed endotracheal aspiration technique offers more advantages because it maintains the pulmonary volume and the intracranial pressure within stable ranges, and also, it prevents hypoxia and hypoxemia, adequately maintaining the oxygen saturation, the capillary refill, and the cardiac frequency during the procedure.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: Para o neonato com ventilação mecânica assistida a técnica de aspiração através do tubo endotraqueal se faz indispensável para conservá-lo livre de secreções, mantendo assim, a via aérea permeável. Na área hospitalar, a prática para realizar este procedimento contempla uma técnica fechada e outra aberta. Ambas são indispensáveis no funcionamento correto do paciente, quando se usam adequadamente.  Objetivo: Analisar através da evidencia científica disponível, as vantagens e/ou desvantagens das técnicas técnica fechada e aberta no paciente neonato intubado.  Metodologia: Levou-se a cabo uma revisão bibliográfica nas bases de dados de Pubmed, CUIDEN, Cochrane e LILACS. Além disso, examinaram-se nas listas de referências dos artigos selecionados.  Desenvolvimento: Após da revisão dos resultados e da aplicação dos critérios de inclusão, foram selecionados seis artigos para a análise exaustiva dos mesmos.  Resultados e conclusões: No recém-nascido que está intubado, a literatura estabelece que a técnica fechada oferece maiores vantagens nos neonatos. Os autores concluem isto, devido a que a técnica fechada mantem o volume pulmonar e a pressão ointracraneana em parâmetros estáveis, assim mesmo, mediante esta técnica previne-se a hipóxia e hipoxemia, conservando adequadamente a saturação do oxigênio, o enchimento capilar e a frequência cardíaca durante o procedimento.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aspiración mecánica]]></kwd>
<kwd lng="es"><![CDATA[Técnica abierta/cerrada]]></kwd>
<kwd lng="es"><![CDATA[Neonato]]></kwd>
<kwd lng="es"><![CDATA[México]]></kwd>
<kwd lng="en"><![CDATA[Mechanical suction]]></kwd>
<kwd lng="en"><![CDATA[Open/closed technique]]></kwd>
<kwd lng="en"><![CDATA[Infant, Newborn]]></kwd>
<kwd lng="en"><![CDATA[Mexico]]></kwd>
<kwd lng="pt"><![CDATA[Sucção mecânica]]></kwd>
<kwd lng="pt"><![CDATA[Técnica aberta/fechada]]></kwd>
<kwd lng="pt"><![CDATA[Recém-nascido]]></kwd>
<kwd lng="pt"><![CDATA[México]]></kwd>
</kwd-group>
</article-meta>
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