<?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>S2448-87712019000200067</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bloqueo del erector espinal y anestesia total intravenosa en un paciente con falla cardiaca sometido a videotoracoscopia]]></article-title>
<article-title xml:lang="en"><![CDATA[Spinal erector block and total intravenous anesthesia in a patient with cardiac failure subjected to videothoracoscopy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguirre-Castro]]></surname>
<given-names><![CDATA[GD]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Terreros-Montanchez]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rendón-Mendivil]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barragán-Hernández]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández-Muñoz]]></surname>
<given-names><![CDATA[AF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Sub-zona número 26  ]]></institution>
<addr-line><![CDATA[Cabo San Lucas Baja California Sur]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Sub-zona número 38  ]]></institution>
<addr-line><![CDATA[San José del Cabo Baja California Sur]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General del Estado  ]]></institution>
<addr-line><![CDATA[Hermosillo Sonora]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de Occidente  ]]></institution>
<addr-line><![CDATA[Zapopan Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<numero>2</numero>
<fpage>67</fpage>
<lpage>73</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712019000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712019000200067&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712019000200067&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Paciente de 68 años de edad, hipertensa, en tratamiento con telmisartan/hidroclorotiazida 80/12.5/24h. Antecedentes de disnea de pequeños esfuerzos, ortopnea, hipotensión al supino, derrame pleural bilateral, derrame pericárdico, falla cardiaca con FEVI 20%, con muy rápida evolución (2-3 meses). Origen del derrame pleural bilateral hasta el momento de origen idiopático. Se solicitó tiempo anestésico para videotoracopia diagnostica, drenaje de derrame pleural bilateral, ventana pericárdica, toma de biopsias pleurales y mediastinales, pleurodesis abrasiva y química. Plan anestésico: Bloqueo del erector espinal bilateral con anestesia total intravenosa (TIVA), remifentanilo en sistema de perfusión continúa con etomidato. Conclusiones: El bloqueo del erector espinal disminuyó el consumo de opioide a la mitad del esperado, además de permitir buen manejo del dolor en el transoperatorio y postoperatorio. No tuvimos variaciones hemodinámicas al momento de su aplicación, a pesar de ser una paciente con predisposición a hipotensión al supino. El etomidato tampoco permitió variaciones en la hemodinamia al momento de la inducción y mantenimiento de la anestesia. El remifentanilo permitió mantener perfusión de un opioide constante inclusive una hora posterior a la extubación, teniendo la ventaja de ser un opioide de inicio y metabolismo rápido.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 68 year old female, hypertensive patient, treated with telmisartan/hydrochlorothiazide 80/12.5/24h. History of Dyspnea of small efforts, orthopnea, hypotension the supine, bilateral pleural effusion, pericardial effusion, heart failure with LVEF 20%, with very rapid evolution (2-3 months). Origin of bilateral pleural effusions so far of idiopathic origin. Requested anesthetic time to have videotoracopia diagnosed, bilateral pleural effusion, pericardial window drainage, take biopsies pleural and Mediastinal, abrasive and chemical pleurodesis. Anesthetic plan to: lock the bilateral spinal erector with total intravenous anesthesia (TIVA), remifentanil in perfusion system continues with etomidate. Conclusion: The blocking of the spinal erector decreased consumption of opioid to half the expected, as well as allowing good in the intraoperative and postoperative pain management. We did not have hemodynamic variations at the time of its application, despite being a susceptible patient to hypotension to the supine position. Etomidate did nót allow variations in the hemodynamics at the time of the induction and maintenance of anesthesia. The remifentanil allowed to maintain a constant opioid infusion including a post-extubation time, having the advantage of being an opioid of begining and fast metabolism.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Bloqueo del erector espinal bilateral]]></kwd>
<kwd lng="es"><![CDATA[anestesia regional]]></kwd>
<kwd lng="es"><![CDATA[anestesia intravenosa]]></kwd>
<kwd lng="es"><![CDATA[videotoracoscopia]]></kwd>
<kwd lng="en"><![CDATA[blockade of the bilateral spinal erector]]></kwd>
<kwd lng="en"><![CDATA[regional anesthesia]]></kwd>
<kwd lng="en"><![CDATA[anesthesia intravenuos]]></kwd>
<kwd lng="en"><![CDATA[videothorascopy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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