<?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>2448-8771</journal-id>
<journal-title><![CDATA[Anestesia en México]]></journal-title>
<abbrev-journal-title><![CDATA[Anest. Méx.]]></abbrev-journal-title>
<issn>2448-8771</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-87712017000200003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cirugía de fosa posterior y extubación fallida]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serna-Soto]]></surname>
<given-names><![CDATA[Hilda Judith De La]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osorio-Santiago]]></surname>
<given-names><![CDATA[María Areli]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique-Carmona]]></surname>
<given-names><![CDATA[Luisa Piedad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía Departamento de Neuroanestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía Departamento de Neuroanestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía Departamento de Neuroanestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2017</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>3</fpage>
<lpage>8</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712017000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712017000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712017000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La fosa posterior es una región anatómica susceptible a complicaciones, su localización anatómica, tamaño y contenido de estructuras vitales, hacen que cualquier cambio en su contenido pueda poner en riesgo la vida del paciente. Aunque los tumores son más frecuentes en niños, los adultos presentan con mayor incidencia lesiones vasculares. Durante el perioperatorio, la evaluación prequirúrgica deberá contener una exploración física minuciosa, con énfasis en la exploración neurológica. Se debe evaluar el estado hemodinámico del paciente y la posición durante el transquirúrgico. Los objetivos quirúrgicos y las incidencias transoperatorias, darán perspectiva sobre la planeación de la extubación. El conocimiento de la anatomía, las posibles complicaciones y factores de riesgo conducirán a la adecuada planeación del manejo de la vía aérea, a fin de disminuir la tasa de re-intubación y ventilación mecánica prolongada que se traduce en mayor morbi-mortalidad y costos elevados de hospitalización.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The posterior fossa is an anatomic region susceptible to complications, its anatomical location, size and content of vital structures, making any change in its contents could be life threaning. Although tumors are more frequent in children, adults have a higher incidence of vascular lesions. During the perioperative period, preoperative assessment should include physical examination, with emphasis on neurological examination. The hemodynamic status of the patient and the position during the transsurgical period should be evaluated. Surgical objectives and transoperative incidences will give perspective on the planning of extubation. Knowledge of the anatomy, possible complications and risk factors will lead to adequate planning of the airway management, in order to reduce the rate of re-intubation and prolonged mechanical ventilation that results in higher morbidity and high costs of hospitalization.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Extubación]]></kwd>
<kwd lng="es"><![CDATA[cirugía fosa posterior]]></kwd>
<kwd lng="es"><![CDATA[manejo de vía aérea]]></kwd>
<kwd lng="en"><![CDATA[Extubation]]></kwd>
<kwd lng="en"><![CDATA[posterior fossa surgery]]></kwd>
<kwd lng="en"><![CDATA[airway management]]></kwd>
</kwd-group>
</article-meta>
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<name>
<surname><![CDATA[Chalela]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<source><![CDATA[Neurocrit Care]]></source>
<year>2009</year>
<volume>10</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>269-73</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
