<?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>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462020000100037</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto de tres modos ventilatorios como único soporte en un modelo experimental de inflamación sistémica por lipopolisacárido sobre la hemodinamia, fisiología pulmonar e histología]]></article-title>
<article-title xml:lang="en"><![CDATA[Effect of three ventilation modes as the only support in a pig model with LPS-induced systemic inflammation on pulmonary physiology, histology and hemodynamics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guzmán-Cedillo]]></surname>
<given-names><![CDATA[Axel E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olmos-Zúñiga]]></surname>
<given-names><![CDATA[J. Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jasso-Victoria]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Torrentera]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaxiola-Gaxiola]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva-Martínez]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez-Justiniano]]></surname>
<given-names><![CDATA[Luis Florentino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baltazares-Lipp]]></surname>
<given-names><![CDATA[Matilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Jiménez]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zenteno-Galindo]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vadillo-Ortega]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Camarena]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional Autónoma de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Medicina Genómica  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma Metropolitana  ]]></institution>
<addr-line><![CDATA[Iztapalapa Ciudad de México]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>79</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462020000100037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La asistencia mecánica ventilatoria (AMV) en modo liberación por presión de la vía aérea (APRV) y ventilación de alta frecuencia oscilatoria (VAFO) favorecen la protección pulmonar, pero no se utilizan en pacientes con sepsis.  Objetivo:  Comparar el efecto de la AMV en modo de ventilación controlada por presión (VCP), APRV y VAFO como única terapia sobre la hemodinamia, gasometría, mecánica e histología pulmonar en un modelo porcino de inflamación sistémica inducida por lipopolisacárido de Escherichia coli (E. coli).  Material y métodos:  Dieciocho cerdos con inflamación sistémica lipopolisacárido (LPS) E. coli, se trataron únicamente con AMV: grupo I: VCP, grupo II: APRV y grupo III: VAFO. Durante seis horas se evaluó la hemodinamia, gasometría, mecánica e histología pulmonar.  Resultados:  Los tres modos ventilatorios alteran la hemodinamia pulmonar, pero mantienen la gasometría y mecánica pulmonar. El modo VAFO mantiene estables los valores hemodinámicos sistémicos, disminuye la hiperlactatemia (p &lt; 0.05, ANDEVA-MR) y produce menor daño histológico (p &lt; 0.05, Kruskal-Wallis).  Conclusión:  Los modos VCP, APRV y VAFO utilizados como único soporte en las fases iniciales de inflamación sistémica inducida con LPS en cerdos, mantienen los valores gasométricos y ventilatorios dentro de los parámetros normales; pero, el modo VAFO favorece la recuperación de los valores hemodinámicos sistémicos y produce menor daño histológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  The airway pressure release ventilation (APRV) and high frequency oscillatory ventilation (HFOV) modes provides lung protection, but is not used in patients with sepsis.  Objective:  Compared the effect of mechanical ventilation support (MVS) in PCV, APRV and HFOV modes as the only therapy in a pig model of systemic inflammation induced by Escherichia coli lipopolysaccharide on hemodynamics, gasometry, mechanics and lung histology.  Material and methods:  Eighteen pigs with systemic inflammation were treated only with MVS: group I: PCV, group II: APRV and group III: HFOV. Hemodynamic parameters, gasometric values, lung mechanics and histology were assessed for six hours.  Results:  The three ventilatory modes alter pulmonary hemodynamics, but maintain gasometry and lung mechanics values. The HFOV remain stable systemic hemodynamic values, decreases hyperlactatemia (p &lt; 0.05, ANOVA-MR) and produces less histological damage (p &lt; 0.05, Kruskal-Wallis).  Conclusions:  The PCV, APRV and HFOV modes used as the unique support in the initial phases of sepsis induced with LPS of Escherichia coli in pigs, maintain the gasometric and ventilatory values within normal parameters; but, the HFOV mode favors the recovery of systemic hemodynamic values and produces less histological damage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Inflamación sistémica]]></kwd>
<kwd lng="es"><![CDATA[lipopolisacárido]]></kwd>
<kwd lng="es"><![CDATA[ventilación controlada por presión]]></kwd>
<kwd lng="es"><![CDATA[ventilación con liberación por presión de la vía aérea]]></kwd>
<kwd lng="es"><![CDATA[ventilación de alta frecuencia oscilatoria]]></kwd>
<kwd lng="en"><![CDATA[Systemic inflammation]]></kwd>
<kwd lng="en"><![CDATA[lipopolysaccharide]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation support]]></kwd>
<kwd lng="en"><![CDATA[airway pressure release ventilation]]></kwd>
<kwd lng="en"><![CDATA[high frequency oscillatory ventilation]]></kwd>
</kwd-group>
</article-meta>
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