<?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>S2448-89092024000800698</article-id>
<article-id pub-id-type="doi">10.35366/120020</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implicaciones cardiopulmonares de la ventilación mecánica invasiva en cardiopatía congénita. Reporte de caso y revisión de la bibliografía]]></article-title>
<article-title xml:lang="en"><![CDATA[Cardiopulmonary implications of invasive mechanical ventilation in congenital cardiopathy. Case report and review of the literature]]></article-title>
<article-title xml:lang="pt"><![CDATA[Implicações cardiopulmonares da ventilação mecânica invasiva em doença cardíaca congênita. Relato de caso e revisão da literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Muñoz]]></surname>
<given-names><![CDATA[Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñeiro Pérez]]></surname>
<given-names><![CDATA[Yaisel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Guerrero]]></surname>
<given-names><![CDATA[Edgar Xavier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Civil de Guadalajara Dr. Juan I. Menchaca Unidad de Alta Especialidad Materno Infantil ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>8</numero>
<fpage>698</fpage>
<lpage>703</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000800698&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000800698&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000800698&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la ventilación con presión positiva se utiliza en múltiples patologías cardiacas como medida de soporte vital para lograr un adecuado intercambio de gases y mejorar la perfusión tisular. El operador debe conocer las interacciones fisiopatológicas que porta el enfermo grave para tener la capacidad de discernir si es oportuno el uso de ventilación mecánica o si su empleo pudiera resultar deletéreo. Una programación de parámetros no acorde con las necesidades del paciente pudiera ocasionar daño pulmonar y deterioro hemodinámico. Es por ello que no entender las interacciones cardiopulmonares en la ventilación mecánica va a cambiar el pronóstico de todo paciente hacia peor. En la cardiopatía congénita que presenta comunicación de la circulación pulmonar y sistémica, este manejo puede aumentar las resistencias vasculares pulmonares, con aparición o empeoramiento de un shunt intracardiaco que puede ocasionar consecuencias importantes.  Caso clínico:  paciente portadora de cardiopatía congénita que tras el manejo ventilatorio empeoró hemodinámicamente hasta estado de choque refractario con desaturación persistente, mejorando al bajar las presiones de la vía aérea y extubación temprana. Se mencionan reportes de casos que cursaron con la misma evolución.  Conclusión:  entender las interacciones cardiopulmonares mejora el pronóstico de los pacientes bajo ventilación mecánica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  positive pressure ventilation is used in multiple cardiac pathologies as a life support measure to achieve adequate gas exchange and improve tissue perfusion. The operator must be aware of the pathophysiological interactions of the critically ill patient in order to be able to discern when the use of mechanical ventilation is appropriate, or its use could be deleterious. A programming of parameters not in accordance with the patient&#8217;s needs could cause pulmonary damage and hemodynamic deterioration. Not understanding cardiopulmonary interactions in mechanical ventilation will change the prognosis of any patient for the worse. In congenital heart disease with communication between pulmonary and systemic circulation, this management can increase pulmonary vascular resistance, with the appearance or worsening of an intracardiac shunt that can have important consequence.  Case report:  patient with congenital heart disease who after ventilatory management worsened hemodynamically to a state of refractory shock with persistent desaturation, improving with lower airway pressures and early extubation. Reports of cases with the same evolution are mentioned.  Conclusion:  understanding cardiopulmonary interactions improves the prognosis of patients on mechanical ventilation.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a ventilação com pressão positiva é usada em várias patologias cardíacas como uma medida de suporte à vida para obter trocas gasosas adequadas e melhorar a perfusão dos tecidos. O operador deve estar ciente das interações fisiopatológicas que possui o paciente em estado grave para poder determinar se o uso da ventilação mecânica é apropriado ou se seu uso pode ser prejudicial. Uma programação de parâmetros que não esteja de acordo com as necessidades do paciente podem causar danos aos pulmões e deterioração hemodinâmica. É por isso que não entender as interações cardiopulmonares na ventilação mecânica mudará para pior o prognóstico de qualquer paciente. Nas cardiopatias congênitas que envolvem a comunicação entre a circulação pulmonar e sistêmica, esse manejo pode aumentar as resistências vasculares pulmonares, com o desenvolvimento ou agravamento de um shunt intracardíaco que pode causar consequências significativas.  Caso clínico:  paciente portador de cardiopatia congênita que, após manejo ventilatório, apresentou piora hemodinâmica a ponto de choque refratário com dessaturação persistente, melhorando com redução da pressão das vias aéreas e extubação precoce. São mencionados relatos de casos de pacientes com a mesma evolução.  Conclusão:  a compreensão das interações cardiopulmonares melhora o prognóstico dos pacientes submetidos à ventilação mecânica.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ventilación con presión positiva]]></kwd>
<kwd lng="es"><![CDATA[interacciones cardiopulmonares]]></kwd>
<kwd lng="es"><![CDATA[cardiopatía congénita]]></kwd>
<kwd lng="es"><![CDATA[shunt intracardiaco]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia respiratoria]]></kwd>
<kwd lng="en"><![CDATA[positive pressure ventilation]]></kwd>
<kwd lng="en"><![CDATA[cardiopulmonary interactions]]></kwd>
<kwd lng="en"><![CDATA[congenital heart disease]]></kwd>
<kwd lng="en"><![CDATA[intracardiac shunt]]></kwd>
<kwd lng="en"><![CDATA[respiratory failure]]></kwd>
<kwd lng="pt"><![CDATA[ventilação com pressão positiva]]></kwd>
<kwd lng="pt"><![CDATA[interações cardiopulmonares]]></kwd>
<kwd lng="pt"><![CDATA[cardiopatia congênita]]></kwd>
<kwd lng="pt"><![CDATA[shunt intracardíaco]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência respiratória]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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