<?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>S0028-37462022000300201</article-id>
<article-id pub-id-type="doi">10.35366/111093</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso del ecocardiograma transesofágico para la canulación guiada en ECMO venovenosa durante la pandemia del COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Focused transesophageal echocardiography to guide double cannulation in venous-venous ECMO during COVID-19 pandemic]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manzur-Sandoval]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Cruz]]></surname>
<given-names><![CDATA[Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro-Martínez]]></surname>
<given-names><![CDATA[Daniel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mier y Terán-Morales]]></surname>
<given-names><![CDATA[Elisa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cardiología «Ignacio Chávez»  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>81</volume>
<numero>3</numero>
<fpage>201</fpage>
<lpage>204</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462022000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462022000300201&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462022000300201&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El uso del ecocardiograma transesofágico como guía para la colocación de cánulas en la oxigenación por membrana extracorpórea ha sido controversial. Mientras que la oxigenación por membrana extracorpórea es ampliamente recomendada como una técnica de rescate en pacientes con COVID-19 que desarrollan síndrome de dificultad respiratoria aguda (SDRA), el uso del ecocardiograma transesofágico no está recomendado por la Sociedad Americana de Ecocardiografía debido al riesgo de contagio elevado de este patógeno. No obstante, el ecocardiograma transtorácico tiene limitaciones importantes en pacientes con SDRA, lo que hace que el ecocardiograma transesofágico se convierta en una necesidad bajo estas circunstancias. En este reporte hacemos una revisión de un paciente masculino de 38 años con diagnóstico de SDRA, grave secundario a infección por COVID-19, en el cual se inició asistencia con oxigenación por membrana extracorpórea venovenosa. También, describimos cómo el equipo de la oxigenación por membrana extracorpórea en nuestra institución realiza la canulación por medio de ecocardiograma transesofágico manejando el menor riesgo posible y adaptándose a las recomendaciones de la Organización Mundial de la Salud acerca del equipo de protección personal y las recomendaciones de las guías de Extracorporeal Life Support Organization.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The usage of transesophageal echocardiogram as a guide for positioning cannulas of extracorporeal membrane oxygenation, has become controversial. While extracorporeal membrane oxygenation is largely recommended as a rescue maneuver in patients with COVID-19 who undergo acute respiratory distress syndrome, the usage of transesophageal echocardiogram is not recommended by the American Society of Echocardiography due to the high transmission rate from this pathogen. However, transthoracic echocardiogram has important limitations in patients with acute respiratory distress syndrome that make transesophageal echocardiogram necessary under such circumstances. In this case report, we review the case of a 38-year-old male with severe acute respiratory distress syndrome due to COVID-19 that was started on venous-venous extracorporeal membrane oxygenation. We also describe how the extracorporeal membrane oxygenation team of our institution performs a low-risk focused transesophageal echocardiogram-guided venous-venous extracorporeal membrane oxygenation cannulation adapting to the World Health Organization recommendations on personal protective equipment and the Extracorporeal Life Support Organization recommendations on extracorporeal membrane oxygenation cannulation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[oxigenación por membrana extracorpórea]]></kwd>
<kwd lng="es"><![CDATA[ecocardiograma transesofágico]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[canulación]]></kwd>
<kwd lng="es"><![CDATA[síndrome de dificultad respiratoria aguda]]></kwd>
<kwd lng="en"><![CDATA[extracorporeal membrane oxygenation]]></kwd>
<kwd lng="en"><![CDATA[transesophageal echocardiogram]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[cannulation]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress syndrome]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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