<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092019000100045</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Impacto del éxito en trasplantes debido al mantenimiento de órganos en terapia intensiva, a propósito de la primera donación multiorgánica en Chiapas, reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Impact of success in transplants due to maintenance of organs in intensive therapy, apropos of the first multiorgan donation in Chiapas, case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Impacto do êxito em transplantes devido a manutenção de órgãos na Unidade de Terapia Intensiva, a respeito da primeira doação multiorgânica em Chiapas, relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[George Aguilar]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muguerza Lara]]></surname>
<given-names><![CDATA[Anselmo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Tirado]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa Pereyra]]></surname>
<given-names><![CDATA[Juan Andrew]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Cigarroa]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano Orozco]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortega Molina]]></surname>
<given-names><![CDATA[Manuel Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Velazquez]]></surname>
<given-names><![CDATA[Gloricruz Amanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad «Ciudad Salud»  ]]></institution>
<addr-line><![CDATA[Tapachula Chiapas]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Especialidades Pediátricas  ]]></institution>
<addr-line><![CDATA[Tuxtla Gutiérrez Chiapas]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2019</year>
</pub-date>
<volume>33</volume>
<numero>1</numero>
<fpage>45</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092019000100045&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092019000100045&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Existe alta necesidad de órganos para trasplante en Chiapas y no hay registro previo de donación multiorgánica con fines de trasplante en el estado.  Caso clínico:  Hombre de 19 años con probable muerte encefálica debido a traumatismo craneoencefálico atendido en el IMSS y con imposibilidad de traslado a hospitales de tercer nivel, se coordinó la red chiapaneca de apoyo interinstitucional y en «Ciudad Salud» se diagnosticó muerte cerebral, se activó la red nacional de trasplantes y los equipos tardarían en llegar para procuración. El donador se mantuvo en terapia intensiva donde sus condiciones generales se mantuvieron de manera óptima, la donación fue exitosa gracias al apoyo multidisciplinario.  Conclusión:  En Chiapas la red de coordinación interinstitucional y el apoyo multidisciplinario fueron clave para la primera donación multiorgánica con fines de trasplante. El manejo en terapia intensiva fue crucial para el éxito de la donación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: There is a high need of organs for transplantation in Chiapas and there is no previous registration of multiorgan donation for transplant purposes in the state.  Case report:  A 19 year old man with probably brain death due to traumatic brain injury treated at IMSS and unable to transfer to third level hospitals, the Chiapanecan interinstitutional support network was coordinated and in «Ciudad Salud», brain death was diagnosed, the national network of transplants was activated and the teams would arrive late for procurement, the donor stayed in Intensive Care Unit where their general conditions were maintained in optimal conditions, the donation was successful thanks to the multidisciplinary support.  Conclusion:  In Chiapas, the interinstitutional coordination network and multidisciplinary support were key for the first multiorgan donation for transplant purposes, the management in intensive care was crucial for the success of the donation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: Há uma grande necessidade de órgãos para transplante em Chiapas e não há registro prévio de doação de múltiplos órgãos para fins de transplante no estado.  Caso clínico:  Homem de 19 anos com provável morte encefálica por traumatismo cranioencefálico tratado no IMSS e com inviabilidade de transferência para hospitais de terceiro nível, coordenou-se a rede Chiapaneca de apoio interinstitucional, na «Ciudad Salud» foi diagnosticada morte encefálica. Ativou-se a rede nacional de transplantes e as equipes chegariam atrasadas para a aquisição, o doador permaneceu em Terapia Intensiva onde suas condições gerais foram mantidas em condições ótimas, a doação foi bem sucedida graças ao apoio multidisciplinar.  Conclusão:  Em Chiapas a rede de coordenação interinstitucional e o apoio multidisciplinar foram fundamentais para a primeira doação de múltiplos órgãos para fins de transplante, o manejo em Terapia Intensiva foi fundamental para o sucesso da doação.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Donador de órganos]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="es"><![CDATA[coordinación interinstitucional]]></kwd>
<kwd lng="en"><![CDATA[Organ donor]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="en"><![CDATA[interinstitutional coordination]]></kwd>
<kwd lng="pt"><![CDATA[Doador de órgãos]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Terapia Intensiva]]></kwd>
<kwd lng="pt"><![CDATA[coordenação interinstitucional]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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