<?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>S0028-37462025000100005</article-id>
<article-id pub-id-type="doi">10.24875/nct.m25000005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fisiología del soporte circulatorio extracorpóreo y monitorización gasométrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Physiology of extracorporeal circulatory support and blood gas monitoring]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Rodríguez]]></surname>
<given-names><![CDATA[José C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Cepeda]]></surname>
<given-names><![CDATA[Jorge H.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Velasco]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<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-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cardiología Ignacio Chávez Unidad de Terapia Intensiva Cardiovascular ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>84</volume>
<numero>1</numero>
<fpage>25</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462025000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462025000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462025000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El soporte de vida extracorpóreo incluye dispositivos que asisten mecánicamente las funciones cardiaca y pulmonar. La oxigenación por membrana extracorpórea (ECMO) se originó en la década de 1970 para soporte respiratorio, pero hoy también ayuda en la insuficiencia respiratoria y circulatoria aguda refractaria. La ECMO permite ajustar tratamientos para minimizar el daño adicional al paciente, como reducir vasopresores y modificar parámetros de ventilación mecánica para proteger los pulmones. El manejo de pacientes en ECMO requiere un entendimiento profundo de la fisiología cardiopulmonar y la fisiología de la ECMO. Es crucial mantener el equilibrio entre el aporte y el consumo de oxígeno (DO2 y VO2) para asegurar la perfusión orgánica y promover la recuperación. El contenido de oxígeno en la sangre se mide con análisis gasométricos, los cuales ayudan a ajustar el tratamiento en función de las necesidades metabólicas del paciente. En la ECMO, la sangre es drenada, oxigenada artificialmente y luego devuelta a la circulación, permitiendo la función respiratoria y cardiaca temporal. Se requiere un monitoreo constante para ajustar el flujo de sangre y gas, optimizando la oxigenación y la eliminación de dióxido de carbono. Los cálculos del gasto cardiaco y otros parámetros críticos permiten evaluar y ajustar la terapia para mejorar la perfusión y la oxigenación del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Extracorporeal life support encompasses devices that mechanically assist cardiac and/or pulmonary function. Extracorporeal membrane oxygenation (ECMO) began in the 1970s as a respiratory support option, but today it assists patients with refractory respiratory and circulatory failure. ECMO allows adjustments in treatment to minimize additional patient harm, such as reducing vasopressors and modifying mechanical ventilation parameters to protect the lungs. Managing patients on ECMO requires a deep understanding of cardiopulmonary physiology and ECMO physiology. It is crucial to maintain the balance between oxygen delivery and consumption (DO2 and VO2) to ensure organ perfusion and promote recovery. Blood oxygen content is measured through gas analyses, which help tailor treatment based on the patient's metabolic needs. In ECMO, blood is drained, artificially oxygenated, and then returned to the circulation, temporarily providing respiratory and cardiac function. Continuous monitoring is required to adjust blood and gas flow, optimizing oxygenation and carbon dioxide removal. Calculating cardiac output and other critical parameters allows for the evaluation and adjustment of therapy to improve patient perfusion and oxygenation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Oxigenación por membrana extracorpórea]]></kwd>
<kwd lng="es"><![CDATA[Aporte de oxígeno]]></kwd>
<kwd lng="es"><![CDATA[Consumo de oxígeno]]></kwd>
<kwd lng="es"><![CDATA[Perfusión tisular]]></kwd>
<kwd lng="es"><![CDATA[Taller gasométrico]]></kwd>
<kwd lng="en"><![CDATA[Extracorporeal membrane oxygenation]]></kwd>
<kwd lng="en"><![CDATA[Oxygen supply]]></kwd>
<kwd lng="en"><![CDATA[Oxygen delivery]]></kwd>
<kwd lng="en"><![CDATA[Tissue perfusion]]></kwd>
<kwd lng="en"><![CDATA[Gasometric workshop]]></kwd>
</kwd-group>
</article-meta>
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