<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032021000200190</article-id>
<article-id pub-id-type="doi">10.35366/100441</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de la monitorización de profundidad anestésica]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of anesthetic deep monitoring]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés Barenque]]></surname>
<given-names><![CDATA[María Fernanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Athié García]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Gámez]]></surname>
<given-names><![CDATA[Jessica Lizeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alva Arroyo]]></surname>
<given-names><![CDATA[Nancy Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saucedo Moreno]]></surname>
<given-names><![CDATA[Eric Misael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<fpage>190</fpage>
<lpage>194</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032021000200190&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032021000200190&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032021000200190&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La monitorización de la relajación neuromuscular y electroencefalográfica se han convertido en herramientas de gran utilidad para un manejo anestésico más seguro. En este estudio se busca conocer la frecuencia de su uso y en qué escenarios son más utilizados.  Material y métodos:  Estudio observacional, transversal, retrospectivo, con datos obtenidos del registro transanestésico de pacientes sometidos a cirugía de noviembre 2017 a enero 2018. Se realizaron dos subgrupos, uno fue con el uso del índice biespectral (BIS) y otro con tren de cuatro elementos (TOF), buscando identificar algunos factores contribuyentes a la elección entre éstos y la frecuencia de uso.  Resultados:  Se analizaron 175 registros en los cuales se empleó BIS en 65 pacientes (37.1%) y TOF en 16 (9%). Al dividir en dos grupos identificamos diferencias significativas para el uso de TOF frente a BIS si la cirugía era una cirugía mayor (76.5 vs 48.1% p = 0.037), de igual forma identificamos que en cirugías urgentes se decidió colocar TOF en lugar de BIS 0 vs 17.6% p = 0.013).  Conclusiones:  Se identificó que el empleo de BIS y TOF está por debajo de 50%, comparado con la estadística mundial, por lo cual se subraya la relevancia del uso rutinario de estas herramientas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Neuromuscular blockade and electroencephalographic monitoring have become very useful tools for safer anesthetic management. This study seeks to know the frequency of their use and in which scenarios they are most commonly used.  Material y methods:  An observational, cross-sectional, retrospective study was conducted with data obtained from the trans- anesthetic register of patients undergoing surgery from November 2017 to January 2018. We divided the sample into two subgroups, one was with the use of BIS and the other with TOF, seeking to identify some contributing factors to decide between these.  Results:  175 records were analyzed using BIS in 65 patients (37.1%) and TOF in 16 (9%). By dividing into two groups we identified significant differences for the use of TOF versus BIS if the surgery was major surgery (76.5 vs 48.1% p = 0.037), we also identified that in urgent surgeries it was decided to place TOF instead of BIS (0 vs 17.6% p = 0.013).  Conclusions:  It was reported that the use of BIS and TOF is well below 50% compared to the global statistics, so we are interested in reminding the relevance of the routinary use of these tools.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tren de cuatro]]></kwd>
<kwd lng="es"><![CDATA[índice biespectral]]></kwd>
<kwd lng="es"><![CDATA[monitorización]]></kwd>
<kwd lng="en"><![CDATA[Train of four]]></kwd>
<kwd lng="en"><![CDATA[bispectral index]]></kwd>
<kwd lng="en"><![CDATA[monitoring]]></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[American Geriatrics Society; John]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Hartford Foundation. A statement of principles: toward improved care of older patients in surgical and medical specialties]]></article-title>
<source><![CDATA[Arch Phys Med Rehabil]]></source>
<year>2002</year>
<volume>83</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1317-9</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[Grayling]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Sweeney]]></surname>
<given-names><![CDATA[BP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recovery from neuromuscular blockade: a survey of practice]]></article-title>
<source><![CDATA[Anaesthesia]]></source>
<year>2007</year>
<volume>62</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>806-9</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[Mashour]]></surname>
<given-names><![CDATA[GA]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[LY]]></given-names>
</name>
<name>
<surname><![CDATA[Turner]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Vandervest]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Shanks]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tremper]]></surname>
<given-names><![CDATA[KK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A retrospective study of intraoperative awareness with methodological implications]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2009</year>
<volume>108</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>521-6</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[Gallardo]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[PAL]]></given-names>
</name>
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[LJA]]></given-names>
</name>
<name>
<surname><![CDATA[Ordoñez]]></surname>
<given-names><![CDATA[EG]]></given-names>
</name>
<name>
<surname><![CDATA[Islas]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[Revilla]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Monitores de profundidad anestésica]]></article-title>
<source><![CDATA[Rev Mex Anestesiol]]></source>
<year>2016</year>
<volume>39</volume>
<page-range>201-4</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[Rodríguez]]></surname>
<given-names><![CDATA[NR]]></given-names>
</name>
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[CI]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Benevides]]></surname>
<given-names><![CDATA[FS]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[ROYG]]></given-names>
</name>
<name>
<surname><![CDATA[Abitbol]]></surname>
<given-names><![CDATA[MDG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Índice bispectral y otros parámetros procesados del electroencefalograma: una actualización]]></article-title>
<source><![CDATA[Rev Bras Anestesiol]]></source>
<year>2012</year>
<volume>62</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>105-17</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sandin]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
<name>
<surname><![CDATA[Enlund]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Samuelsson]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Lennmarken]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Awareness during anaesthesia: a prospective case study]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2000</year>
<volume>355</volume>
<page-range>707-11</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davidson]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Huang]]></surname>
<given-names><![CDATA[GH]]></given-names>
</name>
<name>
<surname><![CDATA[Czarnecki]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Gibson]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Stewart]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Jamsen]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Awareness during anaesthesia in children: a prospective cohort study]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2005</year>
<volume>100</volume>
<page-range>653-61</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Higuera-Medina]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[¿Es recomendable el uso del índice biespectral en todo paciente bajo anestesia?]]></article-title>
<source><![CDATA[Rev Mex Anest]]></source>
<year>2010</year>
<volume>33</volume>
<page-range>S64-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leslie]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Myles]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Forbes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chan]]></surname>
<given-names><![CDATA[MTV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of bispectral index monitoring on long-term survival in the B-aware trial]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2010</year>
<volume>110</volume>
<page-range>816-22</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[Chan]]></surname>
<given-names><![CDATA[MTV]]></given-names>
</name>
<name>
<surname><![CDATA[Hedrick]]></surname>
<given-names><![CDATA[TL]]></given-names>
</name>
<name>
<surname><![CDATA[Egan]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
<name>
<surname><![CDATA[Koch]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Purdon]]></surname>
<given-names><![CDATA[PL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[American Society for Enhanced Recovery and perioperative quality initiative joint consensus statement on the role of neuromonitoring in perioperative outcomes: electroencephalography]]></article-title>
<source><![CDATA[Anesth Analg]]></source>
<year>2020</year>
<volume>130</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1278-91</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shepherd]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Jones]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Frampton]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Bryant]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Baxter]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cooper]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation]]></article-title>
<source><![CDATA[Health Technol Assess]]></source>
<year>2013</year>
<volume>17</volume>
<numero>34</numero>
<issue>34</issue>
<page-range>1-264</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brice]]></surname>
<given-names><![CDATA[DD]]></given-names>
</name>
<name>
<surname><![CDATA[Hetherington]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Utting]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A simple study of awareness and dreaming during anaesthesia]]></article-title>
<source><![CDATA[Br J Anaesth]]></source>
<year>1970</year>
<volume>42</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>535-42</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[Liu]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Effects of bispectral index monitoring on ambulatory anesthesia: a meta-analysis of randomized controlled trials and a cost analysis]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>2004</year>
<volume>101</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>311-5</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[Baumann,]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
<name>
<surname><![CDATA[McAlpin]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ahmad]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Stewart]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Petrini]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A prospective randomized comparison of train-of-four monitoring and clinical assessment during continuous ICU cisatracurium paralysis]]></article-title>
<source><![CDATA[Chest]]></source>
<year>2004</year>
<volume>126</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>1267-73</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[para la práctica de la anestesiología]]></article-title>
<source><![CDATA[Norma Oficial Mexicana NOM-006-SSA3-2011]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Castellon-Larios]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Rosero]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[María Nino-de Mejía]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bergese]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Uso de monitorización cerebral para el despertar intraoperatorio]]></article-title>
<source><![CDATA[Rev Colomb Anestesiol]]></source>
<year>2016</year>
<volume>44</volume>
<page-range>23-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
