<?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>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032021000300200</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Riesgos y complicaciones durante la sedación para endoscopía diagnóstica del tubo digestivo sin enfermedad concomitante]]></article-title>
<article-title xml:lang="en"><![CDATA[Risks and complications during sedation for diagnostic endoscopy of the gastrointestinal tract without concomitant disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaytán-Fernández]]></surname>
<given-names><![CDATA[Baruvi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 50 ]]></institution>
<addr-line><![CDATA[San Luis Potosí SLP]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>200</fpage>
<lpage>206</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032021000300200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032021000300200&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032021000300200&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Durante la sedación en procedimientos endoscópicos del tubo digestivo alto y bajo, es frecuente que se susciten complicaciones ventilatorias y hemodinámicas. Se presenta una revisión de las estrategias para prevenir y tratar las complicaciones ventilatorias más frecuentes: espasmo laríngeo, apnea por fármacos anestésicos endovenosos y broncoespasmo. También se revisan las complicaciones hemodinámicas: reflejo vagal e hipotensión aguda. Se propone un algoritmo de manejo que sintetiza y esquematiza las medidas profilácticas y terapéuticas descritas en la literatura, ordenándolas de acuerdo a su prioridad y eficacia, permitiendo identificar con claridad el nivel de tratamiento necesario y la viabilidad del procedimiento endoscópico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: During sedation in endoscopic procedures of the lower and upper digestive tract, it is common for ventilatory and hemodynamic complications to arise. This article presents a review of the strategies to treat and prevent the most common ventilatory complications: laryngeal spasm, apnea due to intravenous anesthetic drugs and bronchospasm. Hemodynamic complications are also reviewed: vagal reflex and acute hypotension. A management algorithm is proposed which synthesizes and schematizes the prophylactic and therapeutic measures described in the bibliography, ordering them by their priority and effectiveness, allowing to clearly identify the degree of treatment necessary and the viability of the endoscopic procedure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sedación]]></kwd>
<kwd lng="es"><![CDATA[endoscopía]]></kwd>
<kwd lng="es"><![CDATA[espasmo laríngeo]]></kwd>
<kwd lng="es"><![CDATA[apnea por fármacos]]></kwd>
<kwd lng="es"><![CDATA[broncoespasmo]]></kwd>
<kwd lng="es"><![CDATA[reflejo vagal]]></kwd>
<kwd lng="es"><![CDATA[hipotensión aguda]]></kwd>
<kwd lng="en"><![CDATA[Sedation]]></kwd>
<kwd lng="en"><![CDATA[endoscopy]]></kwd>
<kwd lng="en"><![CDATA[laryngeal spasm]]></kwd>
<kwd lng="en"><![CDATA[drug-induced apnea]]></kwd>
<kwd lng="en"><![CDATA[bronchospasm]]></kwd>
<kwd lng="en"><![CDATA[vagal reflex]]></kwd>
<kwd lng="en"><![CDATA[acute hypotension]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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