<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000300175</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del dolor con variaciones del videopupilómetro, usando analgesia con tapentadol en Terapia Intensiva Adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Evaluation of pain with variations of the videopupilometer, using analgesia with tapentadol in Intensive Care Adults]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alva Arroyo]]></surname>
<given-names><![CDATA[Nancy Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Athíe García]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monares Zepeda]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villalón]]></surname>
<given-names><![CDATA[Diego Jaime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Hospital Ángeles Mocel ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital San Ángel Inn Universidad  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital San Ángel Inn Universidad  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>3</numero>
<fpage>175</fpage>
<lpage>180</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000300175&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000300175&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: En la Unidad de Terapia Intensiva (UTI) la evaluación precisa del dolor es esencial; se informó que 35-55% de las enfermeras subestiman el dolor del paciente. El objetivo principal de este estudio es observar si la variación del índice de dolor pupilar determina un umbral pronóstico de la eficacia analgésica con el uso de tapentadol en pacientes ingresados a terapia intensiva y a su egreso. Las mediciones se llevaron a cabo por personal médico, con el uso de AlgiScan (videopupilómetro) y escala visual análoga; se incluyeron pacientes adultos ingresados a terapia intensiva que requerían infusiones con opioides, por más de 48 horas. Es un estudio a manera de ensayo clínico controlado, donde se administró tapentadol en un grupo y en un grupo control analgesia estándar. Se valoró videopupilómetro a las cuatro y a las 12 horas de administrar tapentadol, hasta su egreso. Sobre un total de 40 pacientes, 19 recibieron tapentadol y 21 analgesia estándar. Al comparar entre grupos el resultado numérico obtenido por videopupilómetro, se encontró una diferencia estadísticamente significativa (p &lt; 0.001), con una media de 11 (grupo de tapentadol) contra una media de 19 (grupo de otras analgesias), siendo claras las calificaciones de menor dolor en el grupo de tapentadol.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Precise pain assesment within the Intensive Care Unit (ICU) is essential. It has been noted that approximately 33-35% of nursing staff consistently underestimate their patients&#8217; pain. Our study&#8217;s main objective is to observe if the variations of the pupillary pain index determine a prognostic threshold during tapentadol use, when in the Intensive Care Unit and after discharge. Pupillary measurements were done by local medical personnel by means of the AlgiScan device (videopupillometer) and the visual analogue scale. Adult patients being admitted to the ICU and whose time requirements of opioid infusions were predicted to be longer than 48 hours were considered for inclusion. Designed as a controlled clinical trial, tapentadol use in a group was compared to standard analgesia as a control group. Videopupillometry was performed at four hours post tapentadol administration, then every 12 hours until medical discharge from the ICU. A total of 40 patients were included, 19 in the tapentadol group and 21 in the standard analgesia group. When compared between groups, the numerical variable obtained by pupillometry was found to be different with statistical significance (p &lt; 0.01), with a mean of 11 for the tapentadol group and a mean of 19 in the standard analgesia group. A lower pain score in the tapentadol group when compared with standard analgesia was made evident in this study.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Evaluación de dolor en UTI]]></kwd>
<kwd lng="es"><![CDATA[videopupilómetro]]></kwd>
<kwd lng="es"><![CDATA[tapentadol]]></kwd>
<kwd lng="en"><![CDATA[Treatment of pain un ICU]]></kwd>
<kwd lng="en"><![CDATA[algiscan]]></kwd>
<kwd lng="en"><![CDATA[tapentadol]]></kwd>
</kwd-group>
</article-meta>
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