<?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>S0484-79032025000400256</article-id>
<article-id pub-id-type="doi">10.35366/121402</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de las guías ERAS en la laparotomía de emergencia]]></article-title>
<article-title xml:lang="en"><![CDATA[Usefulness of ERAS guidelines in emergency laparotomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caparrós-Lledó]]></surname>
<given-names><![CDATA[Alegría]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Torres]]></surname>
<given-names><![CDATA[Bartolomé]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Cepero]]></surname>
<given-names><![CDATA[Adolfo González]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Cebrián]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Virgen Macarena Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Sevilla Facultad de Medicina Departamento de Cirugía]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Cecilio Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[Granada ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>48</volume>
<numero>4</numero>
<fpage>256</fpage>
<lpage>260</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032025000400256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032025000400256&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032025000400256&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Las causas más frecuentes de laparotomía de emergencia incluyen la perforación, obstrucción intestinal y dehiscencia de sutura. Aunque es una patología con alta morbimortalidad, en los últimos años presenta una tendencia decreciente y en 2023 se publicaron las primeras guías ERAS (Enhanced Recovery After Surgery) centradas en la cirugía de emergencia. Presentamos el caso de un paciente con una obstrucción intestinal de larga evolución, que llega a alcanzar niveles de distensión difícilmente imaginables, en el que realizamos un manejo de los aspectos exclusivamente anestésicos centrado en las recomendaciones ERAS. Sin embargo, estas guías remarcan la necesidad de utilizar escalas validadas específicas para la identificación temprana del deterioro fisiopatológico, sepsis, riesgo quirúrgico, fragilidad, riesgo de tromboembolismo venoso y delirio postoperatorio. Incorporar estas escalas constituye uno de los aspectos de mejora de nuestro manejo anestésico, ya que permite mejorar la comunicación, asignar el nivel de cuidados apropiado y optimizar el manejo clínico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The most frequent causes of emergency laparotomy include perforation, bowel obstruction, and suture dehiscence. Although it is a pathology with high morbidity and mortality, a downward trend has been observed in recent years and the first ERAS (Enhanced Recovery After Surgery) guidelines focused on emergency surgery were published in 2023. We present the case of a patient with a long-standing intestinal obstruction, reaching levels of distension that are difficult to imagine, in whom we manage exclusively anaesthetic aspects based on the ERAS recommendations. However, these guidelines highlight the need to use validated specific scales for the early identification of pathophysiological deterioration, sepsis, surgical risk, fragility, risk of venous thromboembolism, and postoperative delirium. Incorporating these scales is one of the aspects of improvement in our anaesthetic management, as it allows us to improve communication, assign the appropriate level of care, and optimise clinical management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[obstrucción intestinal]]></kwd>
<kwd lng="es"><![CDATA[recuperación acelerada después de cirugía]]></kwd>
<kwd lng="es"><![CDATA[emergencia]]></kwd>
<kwd lng="es"><![CDATA[laparotomía]]></kwd>
<kwd lng="es"><![CDATA[guías]]></kwd>
<kwd lng="en"><![CDATA[intestinal obstruction]]></kwd>
<kwd lng="en"><![CDATA[enhanced recovery after surgery]]></kwd>
<kwd lng="en"><![CDATA[emergency]]></kwd>
<kwd lng="en"><![CDATA[laparotomy]]></kwd>
<kwd lng="en"><![CDATA[guidelines]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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