<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000300008</article-id>
<article-id pub-id-type="doi">10.24875/ciru.23000411</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Procesos para la conversión de una unidad de cirugía mayor ambulatoria en unidad de cuidados intensivos debido a la pandemia por COVID-19. Estudio transversal]]></article-title>
<article-title xml:lang="en"><![CDATA[Processes for the conversion of a major ambulatory surgery unit into an intensive care unit due to the COVID-19 syndemic. Cross-sectional study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gemio-delRey]]></surname>
<given-names><![CDATA[Ignacio A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Blanco]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-López]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sabater-Maroto]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Villaverde]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plaza-Llamas]]></surname>
<given-names><![CDATA[Roberto de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Guadalajara Servicio de Cirugía General y del Aparato Digestivo ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Alcalá Ciencias Médicas y Sociales Departamento de Cirugía]]></institution>
<addr-line><![CDATA[Alcalá de Henares ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Secretaría General del Servicio de Salud de Castilla-La Mancha Servicios Generales y Suministros ]]></institution>
<addr-line><![CDATA[Toledo ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario de Guadalajara Dirección de Gestión ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Universitario de Guadalajara Dirección Médica ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Universitario de Guadalajara Dirección de Gerencia ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>3</numero>
<fpage>292</fpage>
<lpage>301</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La pandemia por COVID-19 produjo un déficit de camas en las unidades de cuidados intensivos (UCI). Para optimizar recursos, se utilizaron inicialmente, dada su equipación y personal, las unidades de reanimación posanestésica y los quirófanos, lo que supuso una gran suspensión quirúrgica. Para evitarlo, durante la segunda ola nuestro hospital transformó la unidad de cirugía mayor ambulatoria en una unidad de cuidados críticos. El objetivo principal es desarrollar los procesos llevados a cabo en nuestro hospital para dicha adaptación.  Método: Estudio transversal desarrollado según STROBE que expone los procesos para dicha transformación. Incluimos las adaptaciones logísticas, el número de pacientes atendidos/estancias ganadas y el personal del que fue dotada la unidad. La información fue facilitada por la gerencia y por el servicio de admisión y documentación clínica. Se incluyen encuestas de mejora.  Resultados: Se consiguió, en el momento de máxima ocupación, un total de 44 pacientes sometidos a ventilación mecánica sin el cese de la actividad quirúrgica. Las estancias ganadas desde el 01-03-2020 hasta el 31-12-2020 fueron 755.  Conclusiones: La transformación de la unidad de cirugía mayor ambulatoria en UCI consiguió de manera rápida aumentar la capacidad de camas de críticos sin cesar la actividad quirúrgica. Este proceso de transformación es completamente reversible.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: COVID-19 pandemic produced a deficit situation of intensive care units (ICU) beds. To optimize resources, the post-anesthetic resuscitation units and operating rooms were initially used in order to care for these patients, due to their equipment and personnel. This meant a significant surgical suspension. To avoid this, during the second wave, our hospital transformed the major ambulatory surgery unit into a critical care unit. The main objective is to develop the processes carried out in our hospital for this adaptation.  Method: Cross-sectional study developed according to STROBE that exposes the processes carried out for this transformation. We include logistical adaptations, number of patients attended/stays won and the staff with which the unit was equipped. The information was provided by management and the admission and clinical documentation service. Improvement surveys are included.  Results: A total of 44 patients undergoing mechanical ventilation without cessation of surgical activity were achieved at the time of maximum occupancy. The total number of stays won from 01/03/2020 to 31/12/2020 was 755.  Conclusions: The transformation of the major ambulatory surgery unit into an ICU quickly increased the capacity of critical care beds without relenting surgical activity. This transformation process is completely reversible.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Unidad de cirugía mayor ambulatoria]]></kwd>
<kwd lng="es"><![CDATA[Conversión]]></kwd>
<kwd lng="es"><![CDATA[Unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[Pandemia]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Major ambulatory surgery unit]]></kwd>
<kwd lng="en"><![CDATA[Conversion]]></kwd>
<kwd lng="en"><![CDATA[Intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[Pandemic]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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