<?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>0187-8433</journal-id>
<journal-title><![CDATA[Revista de la Asociación Mexicana de Medicina Crítica y Terapia Intensiva]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Mex. Med. Crít. Ter. Intensiva]]></abbrev-journal-title>
<issn>0187-8433</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica y Terapia Intensiva A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0187-84332016000400222</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia del protocolo automático de destete (SmartCare ® ) comparado con protocolos no automatizados en la desconexión de la ventilación mecánica en pacientes adultos de la unidad de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of automated weaning protocol (SmartCare ® ) compared to nonautomated weaning protocols for mechanical ventilation withdrawal in adult patients on Intensive Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Eficácia do protocolo automático de desmame (SmartCare®) em comparação com protocolos não automatizados de desconexão da ventilação mecânica em pacientes adultos em unidade de terapia intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar Arzápalo]]></surname>
<given-names><![CDATA[Mario Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escalante Castillo]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Góngora Mukul]]></surname>
<given-names><![CDATA[Jimmy José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Avendaño]]></surname>
<given-names><![CDATA[Víctor Gabriel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cetina Cámara]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magdaleno Lara]]></surname>
<given-names><![CDATA[Gabriel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Agustín O&#8217;Horán Unidad de Cuidados Intensivos ]]></institution>
<addr-line><![CDATA[Mérida Yucatán]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>4</numero>
<fpage>222</fpage>
<lpage>229</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0187-84332016000400222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0187-84332016000400222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0187-84332016000400222&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Antecedentes: La desconexión de la ventilación mecánica ocupa hasta 40% del tiempo de la ventilación mecánica. Con los nuevos ventiladores de cuarta generación vinieron algunos métodos de destete automático basados en mediciones de dinámica respiratoria del paciente para ajustar la demanda ventilatoria del sujeto, teniendo como objetivo que la transición sea más confortable y de forma precoz e intentar que la extubación no sea fallida. En este estudio se comparan los protocolos habituales de extubación con un protocolo automatizado.  Métodos:  Se realizó un ensayo clínico controlado y abierto en el que se aleatorizaron a los pacientes en tres grupos al momento de ingreso a la Unidad de Cuidados Intensivos (UCI): grupo S correspondiente al método automático SmartCare®, grupo P que corresponde al método no automático de Presión Soporte y grupo T del método no automático de destete de Pieza en T, hasta completar 30 pacientes en cada grupo. Al ingreso se tomaron los datos demográficos y se aplicaron las escalas de gravedad. Todos los pacientes recibieron ventilación con el ventilador modelo Draeger Evita Xl®. Al decidir el destete de la ventilación se midieron las variables hemodinámicas y respiratorias en cinco tiempos y se determinó como éxito del destete una vez que el paciente cumplió 48 horas sin ningún tipo de soporte mecánico ventilatorio invasivo o no invasivo.  Resultados:  La media de tiempo para el destete del grupo S fue de 93 ± 12 minutos, grupo P de 189 ± 21 minutos y el grupo T de 198 ± 17 minutos, al comparar los resultados se encontraron diferencias significativas (p = 0.002). Hay una disminución en el tiempo de destete de 50.7% cuando se comparó SmartCare® con Presión Soporte y una reducción de 53% cuando se comparó con el grupo de Pieza en T.  Conclusión:  El protocolo automático de destete SmartCare® es más eficaz que los métodos no automatizados «Presión Soporte» y «Pieza en T» en el retiro y desconexión de la ventilación mecánica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: Weaning from mechanical ventilation takes up to 40% from mechanical ventilation length. Last generation ventilators came up with new automated weaning protocols, based on respiratory dynamic measures to adjust onto patients demands; the objective of this protocol is a faster and easier transition prior extubation and prevent extubation failure. In this study a comparison is made between nonautomated weaning protocols vs an automated protocol.  Methods:  This study is an open, controlled, clinical trial; patients were randomized in three groups by the time they were admitted to the ICU. S group, correspond to automated weaning protocol SmartCare®, P group correspond to nonautomated weaning protocol Support Pressure and T group correspond to nonautomated weaning protocol T piece, until 30 patients were enrolled in every group. At ICU admission data about demographic and severity scales was collected. Every patient was ventilated with mechanical ventilator Draeger Evita Xl® model. By the time weaning protocol started, measurement of haemodynamic variables were taken in 5 different times; it was established as a successful extubation once the patient fulfill 48 hours without necessity of invasive or non invasive respiratory mechanical support.  Results:  Average weaning time on S group was 93 ± 12 min., P group was 189 ± 21 min. and in T group was 198 ± 17 min., while comparing the outcomes an statistically significant difference was found (p = 0.002). A weaning time reduction of 50.7% was observed with SmartCare® protocol while compared to Support Pressure and 53% reduction while comparing to T piece.  Conclusion:  Automated weaning protocol SmartCare® is more effective than nonautomated protocols Support Pressure and T Piece in mechanical ventilation withdrawal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Antecedentes:  A desconexão da ventilação mecânica ocupa ao redor de 40% do tempo da ventilação mecânica. Com os novos ventiladores de quarta geração vieram alguns métodos de desmame automático, com base em medições da dinâmica respiratória do paciente para ajustar a demanda ventilatória do mesmo, com o objetivo de fazer a transição mais confortável e precoce, tentando que a extubação não falhe. Neste estudo comparou-se os protocolos habituais de extubação com um protocolo automatizado.  Métodos: Realizou-se um ensaio clínico controlado e aberto onde os pacientes foram randomizados em três grupos no momento da admissão na UTI, grupo S correspondente ao método automático SmartCare®, o grupo P correspondente ao método não-automático de pressão suporte e grupo T correspondente ao método automático de desmame tubo «T», até completar 30 pacientes em cada grupo. Ao ingresso hospitalar se obtiveram dados demográficos e se aplicaram as escalas de gravidade. Todos os pacientes foram ventilados com ventilador modelo Draeger Evita XL®. Ao decidir o desmame da ventilação se realizaram medições variáveis hemodinâmicas e respiratórias em 5 etapas, e foi determinado como bem sucedido o desmame quando o paciente permanecia 48 horas sem qualquer suporte ventilatório mecânico invasivo ou não-invasivo.  Resultados:  O tempo médio para o desmame do grupo S foi de 93 ± 12 minutos, grupo P foi de 189 ± 21 minutos e o grupo T de 198 ± 17 minutos, ao comparar os resultados encontramos diferenças significativas (p = 0.002). Há uma diminuição no tempo do desmame de 50.7% quando se compara SmartCare® com pressão suporte e uma redução de 53% quando comparado com o grupo de tubo «T».  Conclusão:  O protocolo automático de desmame SmartCare® é mais eficaz do que nenhum métodos automatizados «pressão suporte» e tubo «T» na retirada e desconexão da ventilação mecânica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[SmartCare®]]></kwd>
<kwd lng="es"><![CDATA[destete]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="en"><![CDATA[SmartCare®]]></kwd>
<kwd lng="en"><![CDATA[weaning]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="pt"><![CDATA[Smart Care®]]></kwd>
<kwd lng="pt"><![CDATA[desmame do respirador]]></kwd>
<kwd lng="pt"><![CDATA[ventilação mecânica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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