<?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>S2448-87712018000100009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto de los gases venosos del cordón umbilical con dos técnicas de anestesia regional: Epidural vs espinal en cesárea]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of venous gases of the umbilical cord with two regional anesthesia techniques: Epidural vs spinal in cesarean section]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Flores]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Elizondo-Leal]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilar Morales M]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario &#8220;Dr. José Eleuterio González&#8221;  ]]></institution>
<addr-line><![CDATA[Monterrey NL]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario &#8220;Dr. José Eleuterio González&#8221;  ]]></institution>
<addr-line><![CDATA[Monterrey NL]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario &#8220;Dr. José Eleuterio González&#8221;  ]]></institution>
<addr-line><![CDATA[Monterrey NL]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>9</fpage>
<lpage>17</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712018000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712018000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712018000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Evaluar la gasometría venosas del cordón umbilical, en los recién nacidos de madres sanas, obtenidas por cesárea, utilizando dos técnicas diferentes de anestesia regional.  Material y Métodos:  Previa autorización del comité de ética se realizó un estudio observacional, transversal, analítico-comparativo, con muestreo no probabilístico. Durante el periodo Noviembre 2016 - Enero 2017, en pacientes obstétricas del Hospital Universitario &#8220;Dr. José Eleuterio González&#8221;. Ingresaron 42 pacientes para cesárea electiva, que fueron clasificadas en dos grupos de 21 cada uno, el primer grupo recibió como técnica anestésica bloqueo epidural (BED) continuo, el segundo grupo recibió bloqueo subaracnoideo más catéter epidural (BES).  Resultados:  El grupo que recibió anestesia subaracnoidea presentó mayores eventos de hipotensión a los 15 minutos (80.95%), (p=0.0407), ODD (4.675), además de mayor tendencia a permanecer hipotensión durante mayor tiempo (p=0.5195), ODD (1.625). Por lo tanto los recién nacidos de este grupo presentaron gasometrías con pH significativamente más bajo 7.19, ± 0.26, (P=0.0481). No se encontraron diferencias de relevancia en la escala Apgar al nacer (p=0.9999).  Conclusiones: Los hallazgos en nuestro estudio sugieren que los productos de madres a quienes se les aplicó anestesia subaracnoidea tienen valores de pH compatibles con acidemia, secundaria a simpatectomía farmacológica, sin repercusión para el recién nacido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To assess the venous gases in the umbilical cord, in the newborns of healthy mothers, obtained by cesarean section, using two different regional anesthesia techniques.  Methods:  With previous authorization from the ethics committee, a replicative, observational, transversal, comparative-analytical, non-probabilistic sample study was carried out during November 2016 to January 2017 in obstetric patients from Hospital Universitario &#8220;Dr. José Eleuterio González&#8221;. 42 patients were included and classified into two groups according to the election of the anesthesiologist: the first group received epidural anesthesia, the second group received spinal anesthesia with epidural catheter.  Results:  The group which received subarachnoid anesthesia presented major events of hypotension after 15 minutes 80.95% (p= 0.0407), ODD (4.675), and greater tendency to stay more time hypotensive (p = 0.5195), ODD (1,625). Therefore the newborn babies of this group had pH significantly more under 7.19, ± 0.26, (P = 0.0481). No relevant differences were found on the Apgar scale at birth (p = 0.9999).  Conclusions: In our study findings suggest that subarachnoidal anesthesia products from mothers who were applied have pH levels acidemia, secondary to pharmacological sympathectomy-compatible, without impact to the newborn.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bienestar neonatal]]></kwd>
<kwd lng="es"><![CDATA[anestesia neuroaxial]]></kwd>
<kwd lng="es"><![CDATA[gasometría umbilical]]></kwd>
<kwd lng="es"><![CDATA[escala Apgar]]></kwd>
<kwd lng="es"><![CDATA[bloqueo epidural]]></kwd>
<kwd lng="es"><![CDATA[bloqueo espinal]]></kwd>
<kwd lng="en"><![CDATA[neonatal well-being]]></kwd>
<kwd lng="en"><![CDATA[neuroaxial anesthesia]]></kwd>
<kwd lng="en"><![CDATA[umbilical gases]]></kwd>
<kwd lng="en"><![CDATA[Apgar Scale]]></kwd>
<kwd lng="en"><![CDATA[Epidural blockade]]></kwd>
<kwd lng="en"><![CDATA[Spinal blockade]]></kwd>
</kwd-group>
</article-meta>
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