<?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>2448-8771</journal-id>
<journal-title><![CDATA[Anestesia en México]]></journal-title>
<abbrev-journal-title><![CDATA[Anest. Méx.]]></abbrev-journal-title>
<issn>2448-8771</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-87712019000200015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Delta de CO2 arterio-venoso como marcador pronóstico de morbilidad y mortalidad en pacientes sometidos a cirugía neurológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Arterio-venous CO2 deficiency as a prognostic marker of morbidity and mortality in patients undergoing neurological surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Bedolla]]></surname>
<given-names><![CDATA[MDP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza-Trujillo]]></surname>
<given-names><![CDATA[RDC]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Canales]]></surname>
<given-names><![CDATA[JADJ]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orozco-Ramírez]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional De Alta Especialidad Del Bajío  ]]></institution>
<addr-line><![CDATA[Guanajuato ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional De Alta Especialidad Del Bajío  ]]></institution>
<addr-line><![CDATA[Guanajuato ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,aff3  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional De Alta Especialidad Del Bajío  ]]></institution>
<addr-line><![CDATA[Guanajuato ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>15</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712019000200015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712019000200015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712019000200015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Un pilar de la planeación anestésica es prevenir la hipoperfusión tisular. Su mecanismo fisiopatológico puede ocultarse ante la inestabilidad propia del evento quirúrgico-anestésico, por ello la importancia de sospechar su presencia es igualmente relevante como documentarla. La identificación temprana y su tratamiento mejoran el pronóstico a corto y mediano plazo. La utilidad de obtener el valor del delta de CO2 (DCO2) como marcador de hipoperfusión en pacientes críticos se ha comprobado en otros escenarios clínicos, pero no se ha estudiado su aplicación en el perioperatorio del paciente neuroquirúrgico. Material y métodos: Se estudiaron 27 pacientes quirúrgicos. Se analizaron tres mediciones del DCO2 y se relacionaron con la presencia de falla orgánica, mediante escala de SOFA, 24, 48 y 72 horas posteriores a la cirugía. Se evalúo la relevancia clínica de valores de DCO2 &#707; 6 mm Hg en pacientes adultos neuroquirúrgicos, mediante la obtención de gasometría venosa y arterial, para determinar la brecha de CO2. Estas mediciones se realizaron al inicio del evento anestésico, durante y al finalizar la cirugía, su relación con la morbimortalidad, falla orgánica definida por SOFA y complicaciones documentadas dentro de las 72 horas postquirúrgicas. Resultados. La determinación del DCO2 al final del evento quirúrgico mostró utilidad diagnóstica en la predicción de aparición de complicaciones; sensibilidad 75%, especificidad 95.7%, valor predictivo positivo75%, valor predictivo negativo 95.7%. Conclusiones: Existe asociación entre el valor del DCO2 y el pronóstico del paciente neurocrítico. Siendo la determinación del DCO2 final la que cuenta con mejor predicción; no obstante, el monitoreo durante la fase transanestésica es invaluable como parte del abordaje del paciente neurocrítico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A pillar of the anesthetic planning is to prevent the tissue hypoperfusion. Its pathophysiological mechanism can hide against the instability of the quirurgico-anestesico event, therefore the importance of suspecting their presence is equally important as documenting it. The early identification and treatment improve the prognosis in the short and medium term. The utility of obtaining the value of the delta of CO2 (DCO2) as a marker of hypoperfusion in critical patients, has been found in other clinical settings, but its application in peri-operative of the neurosurgical patient has not been studied. Material and methods: 27 surgical patients were studied. Three measurements of the DCO2 were analyzed and related to the presence of organic failure, using SOFA scale, 24, 48 and 72 hours after surgery. The clinical relevance of values of DCO2 &#707; 6 mm Hg in neurosurgical adult patients, by obtaining venous and arterial blood gas, were evaluated to determine the gap of CO2. These measurements were made at the beginning of the anesthetic event, during and at the end of the surgery, his relationship with mortality and morbidity, organic failure defined by SOFA and documented within 72 hours of post-operative complications. Results. At the end of the surgical event DCO2 definition showed diagnostic utility in predicting complications; sensitivity 75%, specificity 95.7%, positive predictive value 75%, negative predictive value 95.7%. Conclusion: There is an association between the value of the DCO2 and prognosis of the Neurocritical patient. eing the determination of the final DCO2 which boasts a better forecast; However, the monitoring during the transanestesica phase is invaluable as part of the approach of the Neurocritical patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Delta CO2 (DCO2)]]></kwd>
<kwd lng="es"><![CDATA[hipoperfusión]]></kwd>
<kwd lng="es"><![CDATA[pacientes neurocriticos quirúrgicos]]></kwd>
<kwd lng="en"><![CDATA[Delta CO2 (DCO2)]]></kwd>
<kwd lng="en"><![CDATA[hypoperfusion]]></kwd>
<kwd lng="en"><![CDATA[patients surgical neurocriticos]]></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[Reyes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Monitorización de la perfusión tisular en el paciente criticamente enfermo]]></article-title>
<source><![CDATA[Rev Cient Cienc Med]]></source>
<year>2016</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>43-7</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[Ñáñez-Varona]]></surname>
<given-names><![CDATA[DP]]></given-names>
</name>
<name>
<surname><![CDATA[Tróchez-Zuleta]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Vargas-Garzón]]></surname>
<given-names><![CDATA[WA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reanimando a la microcirculación en anestesia Impacto, utilidades y controversias]]></article-title>
<source><![CDATA[Rev Colomb Anestesiol]]></source>
<year>2016</year>
<volume>44</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>140-5</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[Robin]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Futier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Fleyfel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tavernier]]></surname>
</name>
<name>
<surname><![CDATA[Lebuffe]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central venous-to-arterial carbon dioxide difference as a prognostic tool in high-risk surgical patients]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2015</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mesquida]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Saludes]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gruartmoner]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Espinal]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Torrents]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[aigorri]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central venous-to-arterial carbon dioxide difference combined with arterial-to-venous oxygen content difference is associated with lactate evolution in the hemodynamic resuscitation process in early septic shock]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2015</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-7</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[Vincent J-L]]></surname>
</name>
<name>
<surname><![CDATA[De acker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Circulatory Shock]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2013</year>
<volume>369</volume>
<numero>18</numero>
<issue>18</issue>
<page-range>1726-34</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[Futier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Teboul]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Vallet]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Annual Update in Intensive Care and Emergency]]></article-title>
<source><![CDATA[Medicine 2011]]></source>
<year>2011</year>
<volume>1</volume>
<page-range>366-74</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[Pérez]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
<name>
<surname><![CDATA[alcazar]]></surname>
<given-names><![CDATA[DDJ]]></given-names>
</name>
<name>
<surname><![CDATA[Alfredo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Munguía]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[EH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delta de CO2 como factor de riesgo de muerte en choque séptico]]></article-title>
<source><![CDATA[Rev la Asoc Mex Med Crit y Ter intensiva]]></source>
<year>2016</year>
<volume>XXX</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>30-42</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[Grocott]]></surname>
<given-names><![CDATA[MPW]]></given-names>
</name>
<name>
<surname><![CDATA[Hamilton]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Resuscitation fluids]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2002</year>
<volume>82</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-8</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[Németh]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tánczos]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Demeter]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Érces]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kaszaki]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mikor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central venous oxygen saturation and carbon dioxide gap as resuscitation targets in a hemorrhagic shock]]></article-title>
<source><![CDATA[Acta Anaesthesiol Scand]]></source>
<year>2014</year>
<volume>58</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>611-9</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[Mallat]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of venous-to-arterial carbon dioxide tension difference to guide resuscitation therapy in septic shock]]></article-title>
<source><![CDATA[World J Crit Care Med]]></source>
<year>2016</year>
<volume>5</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>47</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[Cuschieri]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rivers]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Donnino]]></surname>
<given-names><![CDATA[MW]]></given-names>
</name>
<name>
<surname><![CDATA[Katilius]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jacobsen]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Nguyen]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central venous-arterial carbon dioxide difference as an indicator of cardiac index]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>2005</year>
<volume>31</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>818-622</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[Robin]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Futier]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pires]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Fleyfel]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tavernier]]></surname>
</name>
<name>
<surname><![CDATA[Lebuffe]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Central venous-to-arterial carbon dioxide difference as a prognostic tool in high-risk surgical patients]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2015</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-10</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[Luna]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
<name>
<surname><![CDATA[Rafael]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Eduardo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Guzmán]]></surname>
<given-names><![CDATA[CO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Delta de dioxido de carbono para valorar perfusion tisular como predictor de mortalidad en choque séptico]]></article-title>
<source><![CDATA[Rev la Asoc Mex Med Crit y Ter intensiva]]></source>
<year>2011</year>
<volume>XXV</volume>
<page-range>66-70</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[Ariza]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gothard]]></surname>
<given-names><![CDATA[JWW]]></given-names>
</name>
<name>
<surname><![CDATA[Macnaughton]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Hooper]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
<name>
<surname><![CDATA[Evans]]></surname>
<given-names><![CDATA[TW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[lood lactate and mixed venous-arterial PCO2 gradient as índices of poor peripheral perfusion following cardiopulmonary bypass surgry]]></article-title>
<source><![CDATA[Intensive Care Med]]></source>
<year>1991</year>
<volume>17</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>320-4</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rivera Solís]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clasificación clínica de la perfusión tisular en pacientes con choque séptico basada en la saturación venosa central de oxígeno (SvcO2) y la diferencia venoarterial de dióxido de carbono entre el contenido arteriovenoso de oxígeno (?P(v-a)CO2/C(a-v)O2)II]]></article-title>
<source><![CDATA[Med Crit]]></source>
<year>2016</year>
<volume>30</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>283-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Iturri Clavero]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Honorato]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ingelmo Ingelmo]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Fabregas]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Rama-Maceiras]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Valero]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones preoperatorias y manejo neuroanestesiológico intraoperatorio]]></article-title>
<source><![CDATA[Rev Esp Anestesiol Reanim]]></source>
<year>2012</year>
<volume>59</volume>
<numero>^sSupl 1</numero>
<issue>^sSupl 1</issue>
<supplement>Supl 1</supplement>
<page-range>3-24</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Siriussawakul, N Dooney, J.G. Hecker, M.S. Vavilala, Clinical ex- perience with intraoperative jugular venous oximetry during pediatric intracranial neurosurgery, Paediatr]]></article-title>
<source><![CDATA[Anaesth]]></source>
<year>2013</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>84-90</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Heather]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Dewan]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Mocco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evidence-based cerebral vasospasm surveillance, Neurology Research International]]></article-title>
<source><![CDATA[]]></source>
<year>2013</year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diaztagle Fernándeza]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Murcia]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Sprockel Diáza]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Venous-to-arterial carbon dioxide difference in the resuscitation of patients with severe sepsis and septic shock A systematic review]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2017</year>
<volume>41</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>401-10</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
