<?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>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462025000400005</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.25000014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resultados de la descanulación en pacientes pediátricos con daño cerebral adquirido: estudio retrospectivo]]></article-title>
<article-title xml:lang="en"><![CDATA[Decannulation outcomes in pediatric patients with acquired brain injury: a retrospective study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Indo]]></surname>
<given-names><![CDATA[Juan I.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[Zelmira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nicola]]></surname>
<given-names><![CDATA[Carla de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andreu]]></surname>
<given-names><![CDATA[Mauro F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de La Matanza FLENI, Fundación para la Lucha contra las Enfermedades Neurológicas de la Infancia ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de La Matanza Departamento de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[San Justo ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>82</volume>
<numero>4</numero>
<fpage>245</fpage>
<lpage>251</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462025000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462025000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462025000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La descanulación en pacientes pediátricos con traqueotomía debido a daño cerebral adquirido es un objetivo clave en la rehabilitación, pero existe una falta de consenso acerca del protocolo óptimo y sobre los factores de éxito en la descanulación. Es por esto que el objetivo de este estudio es describir la experiencia de descanulación en un centro de neurorrehabilitación pediátrica en Buenos Aires.  Métodos: Estudio observacional, retrospectivo y descriptivo realizado en pacientes menores de 18 años con daño cerebral adquirido y traqueotomía, internados entre enero de 2016 y agosto de 2023. Se recopilaron datos demográficos, clínicos y resultados de fibroendoscopia. La descanulación se llevó a cabo según criterios institucionales y se realizó un monitoreo de 48 horas para evaluar complicaciones posdescanulación.  Resultados: De los 41 pacientes incluidos en el estudio, 12 (29.3%) fueron descanulados exitosamente, mientras que 29 (70.7%) fueron dados de alta con válvula fonatoria, cánula ocluida o con la configuración inicial de la traqueotomía. Se realizó fibroendoscopia en 13 pacientes, detectando lesiones en 11 casos.  Conclusiones: La tasa de descanulación observada se encuentra dentro del rango documentado en la literatura, aunque cercana al límite inferior, lo que podría deberse a la complejidad de los casos y al enfoque conservador adoptado. La presencia de trastornos de consciencia y comorbilidades fueron factores importantes en el proceso de descanulación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Decanulation in paediatric patients with tracheostomy due to acquired brain injury is a key objective in rehabilitation, and there is a lack of consensus about the optimal protocol and success factors in decannulation. Therefore, the aim of this study is to describe the experience of decannulation in a paediatric neurorehabilitation centre in Buenos Aires.  Methods: An observational, retrospective, and descriptive study was conducted on patients under 18 years old with acquired brain injury and tracheostomy, admitted between January 2016 and August 2023. Demographic, clinical data, and fibroendoscopy results were collected. Decannulation was performed according to institutional criteria, and a 48-hour monitoring period was implemented to evaluate post-decannulation complications.  Results: Of the 41 patients included in the study, 12 (29.3%) were successfully decannulated, while 29 (70.7%) were discharged with a speaking valve, an occluded cannula, or with the initial tracheostomy configuration. Fibroendoscopy was performed on 13 patients, detecting lesions in 11 cases.  Conclusions: The decannulation rate observed falls within the range documented in the literature, although it is closer to the lower end, which may be due to the complexity of the cases and the conservative approach adopted. The presence of disorders of consciousness and comorbidities were important factors in the decannulation process.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Descanulación]]></kwd>
<kwd lng="es"><![CDATA[Traqueostomía]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Daño cerebral adquirido]]></kwd>
<kwd lng="en"><![CDATA[Decanulation]]></kwd>
<kwd lng="en"><![CDATA[Tracheostomy]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[Acquired brain injury]]></kwd>
</kwd-group>
</article-meta>
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