<?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>S1870-72032019000300211</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Valor predictivo de las evaluaciones de vía aérea en pacientes obesos con intubación difícil]]></article-title>
<article-title xml:lang="en"><![CDATA[Predictive value of airway evaluations in obese patients with difficult intubation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Encinas Pórcel]]></surname>
<given-names><![CDATA[Carla Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portela Ortiz]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ley Marcial]]></surname>
<given-names><![CDATA[Luis Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Pedregal  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,IMSS Centro Médico Nacional Siglo XXI Hospital de Especialidades &#8220;Dr. Bernardo Sepúlveda&#8221;]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>211</fpage>
<lpage>217</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032019000300211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032019000300211&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032019000300211&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El manejo de la vía aérea en pacientes obesos es un desafío para el anestesiólogo.  Objetivo:  Analizar variables asociadas con pacientes obesos con intubación difícil.  Material y métodos:  Se incluyeron 62 pacientes quirúrgicos adultos obesos, se evaluaron ocho variables de vía aérea: Mallampati, distancia tiromentoniana, distancia esternomentoniana (DEM), apertura oral, protrusión mandibular, extensión de articulación atlanto-occipital, diámetro cervical y síndrome de apnea obstructiva del sueño; en quirófano después de la inducción anestésica se realizó la intubación orotraqueal, se clasifica la dificultad para intubar por el número de laringoscopias tomando a dos o más intentos como propios de intubación difícil.  Resultados:  Se encontraron 17 (27.4%) pacientes con vía aérea difícil; 10 (16.1%) de ellos con obesidad grado I, la variable asociada con vía aérea difícil fue la DEM, presentó p = 0.01, RR 0.2 (IC95% 0.07-0.7), sensibilidad de 41.1, especificidad de 91.1, un valor predictivo positivo (VPP) de 63.6 y un valor predictivo negativo (VPN) de 80.3.  Conclusiones:  El grado de obesidad y el IMC no es directamente proporcional a una vía aérea difícil, pero la DEM es la prueba con mayor utilidad preoperatoria al momento de evaluar una vía aérea en pacientes obesos en la que toma parte importante la habilidad y experiencia del anestesiólogo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The management of the airway in obese patients is a challenge for the anesthesiologist.  Objective:  Analyze variables associated with obese patients with difficult intubation.  Material and methods:  62 surgical patients were included obese adults, 8 airway variables were evaluated: Mallampati, tiromentoniana distance, esternomentoniana distance (DEM), oral opening, mandibular protrusion, extension of atlanto-occipital articulation, cervical diameter and obstructive sleep apnea syndrome; in the operating room after the anesthetic induction, orotracheal intubation was performed, classifying the difficulty to intubate by the number of laryngoscopes taking 2 or more attempts as difficult intubation.  Results:  17 (27.4%) patients with difficult airway; 10 (16.1%) of them with obesity grade I, the variable associated to airway difficult was the DEM, presented p = 0.01, RR 0.2 (CI95% 0.07-0.7), sensitivity of 41.1, specificity of 91.1, a positive predictive value (VPP) of 63.6 and a negative predictive value (VPN) of 80.3.  Conclusions:  The degree of obesity and BMI is not directly proportional to a difficult airway, but the D-E-M is the most useful test preoperative at the time of evaluating an airway in obese patients. Those taking an important part in the anesthesiologist skill and experience.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vía aérea difícil]]></kwd>
<kwd lng="es"><![CDATA[intubación difícil]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[índices predictivos]]></kwd>
<kwd lng="en"><![CDATA[Difficult airway]]></kwd>
<kwd lng="en"><![CDATA[difficult intubation]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[predictive index]]></kwd>
</kwd-group>
</article-meta>
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