<?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>S0484-79032024000400302</article-id>
<article-id pub-id-type="doi">10.35366/116241</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La razón de contar con guías intrahospitalarias para el uso seguro de infusiones analgésicas en un mundo carente de clínicas de dolor agudo]]></article-title>
<article-title xml:lang="en"><![CDATA[The rationale for in-hospital guidelines for the safe use of analgesic infusions in a world lacking acute pain clinics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Vidal]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moisen-Moreno]]></surname>
<given-names><![CDATA[Christopher]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castorena-Arellano]]></surname>
<given-names><![CDATA[Guillermo Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Médica Sur Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<fpage>302</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032024000400302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032024000400302&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032024000400302&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Mujer de 22 años que presenta un episodio de apnea y desaturación en su habitación aproximadamente 10-12 horas posteriores a una cirugía de tobillo donde se le administró morfina intratecal como tratamiento para dolor agudo; sin embargo, no existe un protocolo que establezca medidas de seguridad para pacientes con uso de opioides en hospitalización ni de infusiones analgésicas avanzadas, lo que puede producir falta de supervisión de estos pacientes y consecuencias mayores o menores durante el uso de estos medicamentos cuando no son manejados por médicos anestesiólogos. La falta del desarrollo de clínicas de dolor agudo no ha frenado los avances en las técnicas que se ofrecen hoy en día para optimizar el manejo de nuestros pacientes, y estas técnicas son muchas veces implementadas sin contar con toda la infraestructura de seguridad con la que deberíamos supervisar a nuestros pacientes. Los resultados de la fase 2 de Pain Out en Médica Sur ponen en evidencia un gran uso de técnicas con fármacos que requieren la creación de un protocolo de seguridad para su óptimo manejo en los pisos de hospital cuando no existe supervisión directa por anestesiólogos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: 22-year-old female who developed a single episode of apnea and desaturation approximately 10-12 hours after her ankle surgery, where she received a single dose of intrathecal morphine as an option for pain management. In many hospitals, there are no protocols that dictate the security measures for every patient receiving opioids or other analgesic infusions such as IV lidocaine or ketamine in hospital wards, which might jeopardize the safety of our patients with major or minor adverse events. Although the spread of acute pain clinics has been poor in recent years, the increase in diverse techniques for acute pain management continues to grow and is implemented without creating a safety net for those patients. The results of phase 2 of the Pain Out project showed that in our hospital, the use of opioids and infusions is an everyday routine. As anesthesiologists, we need to propose a safety protocol for delivering those patients to the wards that are under the supervision of non-anesthesiologists most of the time.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pain Out]]></kwd>
<kwd lng="es"><![CDATA[opioides]]></kwd>
<kwd lng="es"><![CDATA[infusiones analgésicas]]></kwd>
<kwd lng="es"><![CDATA[ketamina]]></kwd>
<kwd lng="es"><![CDATA[lidocaína intravenosa]]></kwd>
<kwd lng="es"><![CDATA[seguridad]]></kwd>
<kwd lng="en"><![CDATA[Pain Out]]></kwd>
<kwd lng="en"><![CDATA[opioids]]></kwd>
<kwd lng="en"><![CDATA[infusions]]></kwd>
<kwd lng="en"><![CDATA[ketamine]]></kwd>
<kwd lng="en"><![CDATA[intravenous lidocaine]]></kwd>
<kwd lng="en"><![CDATA[safety protocols]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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