<?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>S2448-89092023000200078</article-id>
<article-id pub-id-type="doi">10.35366/110440</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Alteraciones cardiacas y desaturación en pacientes con ventilación mecánica invasiva con sedación intravenosa continua vs interrupción diaria de sedación]]></article-title>
<article-title xml:lang="en"><![CDATA[Cardiac events and desaturation in patients under invasive mechanical ventilation with continuous intravenous sedation vs daily interruption of sedation]]></article-title>
<article-title xml:lang="pt"><![CDATA[Desordens cardíacas e dessaturação em pacientes com ventilação mecânica invasiva com sedação intravenosa contínua vs interrupção diária da sedação]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza Méndez]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pizaña Dávila]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alva Arroyo]]></surname>
<given-names><![CDATA[Nancy Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaramillo Solís]]></surname>
<given-names><![CDATA[Agustín Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>2</numero>
<fpage>78</fpage>
<lpage>81</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000200078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000200078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la sedación en pacientes críticos que requieren ventilación mecánica es un punto importante para brindarles seguridad y comodidad. En la actualidad el tratamiento del paciente crítico basado en la escala ABCDEF (A [assess]: valorar, prevenir y manejar el dolor. B [both]: protocolos de interrupción diaria de sedación y protocolo de respiración espontánea. C [choice]: elección de analgesia y sedación. D [delirium]: valorar, prevenir y manejar el delirio. E [early]: ejercicio y movilidad temprana. F [family]: inclusión y habilitación familiar) recomienda la interrupción diaria de la sedación y un protocolo diario de respiración espontánea, el cual ha demostrado mejoría en los resultados clínicos (días en ventilación mecánica, delirio). Éste contrasta con el manejo frecuente de sedación intravenosa continua, por lo que en este estudio se comparó la seguridad de estas dos formas de sedación (interrupción diaria versus intravenosa continua).  Objetivo:  comparar la incidencia de eventos cardiovasculares y desaturación entre un protocolo de interrupción diaria de sedación en pacientes con ventilación mecánica invasiva (VMI) contra sedación intravenosa continua en pacientes con ventilación mecánica invasiva.  Material y métodos:  tipo de estudio descriptivo comparativo, retrospectivo.  Resultados:  no se demostró una diferencia estadísticamente significativa en incidencia de eventos cardiacos y desaturación entre pacientes con sedación intravenosa continua y protocolo de interrupción diaria de sedación.  Conclusión:  la sedación intravenosa continua y el protocolo de interrupción diaria de sedación son igual de seguras en pacientes bajo VMI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  sedation in the critically patient requiring mechanical ventilation is an important intervention used to provide safety and comfort to the patient. Currently, the management of critically ill patients is based on the ABCDEF bundle (A [assess]: prevent and manage pain. B [both]: protocols for daily interruption of sedation and spontaneous breathing protocol. C [choice]: of analgesia and sedation. D [delirium]: assess, prevent and manage delirium. E [early]: exercise and early mobility. F [family]: inclusion and empowerment) which recommends daily interruption of sedation and a daily spontaneous breathing protocol, it has shown improvement in clinical outcomes (days on mechanical ventilation, delirium). This contrasts with the frequent management of continuous intravenous sedation. Therefore, in this study the safety of these two forms of sedation (daily interruption vs continuous intravenous) will be compared.  Objective:  to compare the incidence of cardiovascular events and desaturation between a protocol of daily interruption of sedation in patients with invasive mechanical ventilation versus continuous intravenous sedation in patients with invasive mechanical ventilation.  Material and methods:  retrospective comparative descriptive study.  Results:  there was no statistically significant difference in the incidence of cardiac events and desaturation between patients with continuous intravenous sedation and daily sedation interruption protocol.  Conclusion:  continuous intravenous sedation and daily interruption of sedation protocol are equally safe in critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a sedação em pacientes críticos que necessitam de ventilação mecânica é um ponto importante para proporcionar segurança e conforto ao paciente. Atualmente, o tratamento de pacientes críticos é baseado na escala ABCDEF (A [assess]: avaliar, prevenir e controlar a dor. B [both]: protocolos de interrupção diária da sedação e protocolo de respiração espontânea. C [choice]: escolha da analgesia e sedação. D [delirium]: avaliar, prevenir e controlar delirium. E [early]: exercício e mobilidade precoce. F [family]: inclusão e qualificação da família) recomenda interrupção diária da sedação e protocolo diário de respiração espontânea, que tem mostrado melhora nos desfechos clínicos (dias em ventilação mecânica, delirium). Isso contrasta com o manejo frequente da sedação intravenosa contínua. Portanto, neste estudo foi comparada a segurança dessas duas formas de sedação (interrupção diária vs intravenosa contínua).  Objetivo:  comparar a incidência de eventos cardiovasculares e dessaturação entre um protocolo diário de interrupção da sedação em pacientes com ventilação mecânica invasiva versus sedação intravenosa contínua em pacientes com ventilação mecânica invasiva.  Material e métodos:  tipo de estudo comparativo descritivo, retrospectivo.  Resultados:  não houve diferença estatisticamente significativa na incidência de eventos cardíacos e dessaturação entre pacientes com sedação intravenosa contínua e protocolo de interrupção diária da sedação.  Conclusão:  a sedação intravenosa contínua e o protocolo diário de interrupção da sedação são igualmente seguros em pacientes submetidos à ventilação mecânica invasiva.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[sedación]]></kwd>
<kwd lng="es"><![CDATA[interrupción diaria de sedación]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica invasiva]]></kwd>
<kwd lng="es"><![CDATA[seguridad]]></kwd>
<kwd lng="en"><![CDATA[sedation]]></kwd>
<kwd lng="en"><![CDATA[daily interruption of sedation]]></kwd>
<kwd lng="en"><![CDATA[invasive mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[safety]]></kwd>
<kwd lng="pt"><![CDATA[sedação]]></kwd>
<kwd lng="pt"><![CDATA[interrupção diária da sedação]]></kwd>
<kwd lng="pt"><![CDATA[ventilação mecânica invasiva]]></kwd>
<kwd lng="pt"><![CDATA[segurança]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vagionas]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Vasileiadis]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rovina]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Alevrakis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Koutsoukou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Koulouris]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily sedation interruption and mechanical ventilation weaning: a literature review]]></article-title>
<source><![CDATA[Anaesthesiol Intensive Ther]]></source>
<year>2019</year>
<volume>51</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>380-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<collab>American College of Critical Care Medicine of the Society of Critical Care Medicine, American Society of Health-System Pharmacists, American College of Chest Physicians</collab>
<article-title xml:lang=""><![CDATA[Clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult]]></article-title>
<source><![CDATA[Am J Health Syst Pharm]]></source>
<year>2002</year>
<volume>59</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>150-78</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kress]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Pohlman]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;Connor]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation]]></article-title>
<source><![CDATA[N Engl J Med]]></source>
<year>2000</year>
<volume>342</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>1471-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Strom]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Martinussen]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Toft]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A protocol of no sedation for critically ill patients receiving mechanical ventilation: a randomised trial]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2010</year>
<volume>375</volume>
<numero>9713</numero>
<issue>9713</issue>
<page-range>475-80</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mehta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Burry]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fergusson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Steinberg]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Granton]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: a randomized controlled trial]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2012</year>
<volume>308</volume>
<numero>19</numero>
<issue>19</issue>
<page-range>1985-92</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nassar Junior]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Park]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily sedative interruption versus intermittent sedation in mechanically ventilated critically ill patients: a randomized trial]]></article-title>
<source><![CDATA[Ann Intensive Care]]></source>
<year>2014</year>
<volume>4</volume>
<page-range>14</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Girard]]></surname>
<given-names><![CDATA[TD]]></given-names>
</name>
<name>
<surname><![CDATA[Kress]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Fuchs]]></surname>
<given-names><![CDATA[BD]]></given-names>
</name>
<name>
<surname><![CDATA[Thomason]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Schweickert]]></surname>
<given-names><![CDATA[WD]]></given-names>
</name>
<name>
<surname><![CDATA[Pun]]></surname>
<given-names><![CDATA[BT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>2008</year>
<volume>371</volume>
<numero>9607</numero>
<issue>9607</issue>
<page-range>126-34</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Wit]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gennings]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jenvey]]></surname>
<given-names><![CDATA[WI]]></given-names>
</name>
<name>
<surname><![CDATA[Epstein]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Randomized trial comparing daily interruption of sedation and nursing-implemented sedation algorithm in medical intensive care unit patients]]></article-title>
<source><![CDATA[Crit Care]]></source>
<year>2008</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>R70</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Yiliaz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kelebek Girgin]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Ozdemir]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Kutlay]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of nursing-implemented sedation on the duration of mechanical ventilation in the ICU]]></article-title>
<source><![CDATA[Ulus Travma Acil Cerrahi Derg]]></source>
<year>2010</year>
<volume>16</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>521-6</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kayir]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ulusoy]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Dogan]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effect of daily sedation-weaning application on morbidity and mortality in Intensive Care Unit Patients]]></article-title>
<source><![CDATA[Cureus]]></source>
<year>2018</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anifantaki]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Prinianakis]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Vitsaksaki]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Katsouli]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Mari]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Symianakis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily interruption of sedative infusions in an adult medical-surgical intensive care unit: randomized controlled trial]]></article-title>
<source><![CDATA[J Adv Nurs]]></source>
<year>2009</year>
<volume>65</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1054-60</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Weisbrodt]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[McKinley]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Marshall]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Cole]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Seppelt]]></surname>
<given-names><![CDATA[IM]]></given-names>
</name>
<name>
<surname><![CDATA[Delaney]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Daily interruption of sedation in patients receiving mechanical ventilation]]></article-title>
<source><![CDATA[Am J Crit Care]]></source>
<year>2011</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>e90-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
