<?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>0028-3746</journal-id>
<journal-title><![CDATA[Neumología y cirugía de tórax]]></journal-title>
<abbrev-journal-title><![CDATA[Neumol. cir. torax]]></abbrev-journal-title>
<issn>0028-3746</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Neumología y Cirugía de Tórax; Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas; Sociedad Cubana de Neumología; Sociedad Paraguaya de Neumología; Sociedad Boliviana de Neumología.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0028-37462022000300197</article-id>
<article-id pub-id-type="doi">10.35366/111092</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Balón esofágico en ECMO: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Esophageal balloon in ECMO: clinical case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Zamora]]></surname>
<given-names><![CDATA[Venus Nefte]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maldonado-Beltrán]]></surname>
<given-names><![CDATA[Ismael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lugo-Goytia]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Cárdenas]]></surname>
<given-names><![CDATA[Carmen Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>81</volume>
<numero>3</numero>
<fpage>197</fpage>
<lpage>200</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0028-37462022000300197&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0028-37462022000300197&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0028-37462022000300197&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El síndrome de insuficiencia respiratoria grave, que no responde a las estrategias convencionales, se beneficia de la terapia de oxigenación por membrana extracorpórea venovenosa. Esta terapia puente se puede complementar con maniobras de ultraprotección pulmonar. La presión transpulmonar puede ayudar a reducir el riesgo de lesión pulmonar inducida por el ventilador debido al atelectrauma. Sin embargo, su beneficio queda por establecerse. Presentamos el caso de un hombre de 34 años con síndrome de insuficiencia respiratoria aguda severa en terapia de oxigenación por membrana extracorpórea venovenosa y ventilación protectora ultrapulmonar, con titulación de presión positiva al final de la espiración por presión transpulmonar. La oxigenación por membrana extracorpórea venovenosa fue decanulada con éxito después de la resolución adecuada del síndrome de insuficiencia respiratoria aguda. En este caso se pudo observar que una estrategia de ventilación que utiliza presiones esofágicas para estimar la presión transpulmonar mejora significativamente la oxigenación, la distensibilidad y minimiza la lesión pulmonar inducida por la ventilación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Severe respiratory distress syndrome, which does not respond to conventional strategies, benefits from veno-venous extracorporeal membrane oxygenation therapy. This bridging therapy can be complemented with lung ultra-protection maneuvers. Transpulmonary pressure may help reduce the risk of ventilator-induced lung injury due to atelectrauma. However, its benefit remains to be established. We present the case of a 34-year-old man with severe acute respiratory failure syndrome receiving veno-venous extracorporeal membrane oxygenation therapy and ultrapulmonary protective ventilation, with positive end-expiratory pressure titration by transpulmonary pressure. Veno-venous extracorporeal membrane oxygenation was successfully decannulated after adequate resolution of the acute respiratory distress syndrome. In this case, it was possible to observe that a ventilation strategy that uses esophageal pressures to estimate transpulmonary pressure significantly improves oxygenation, compliance, and minimizes ventilation-induced lung injury.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[síndrome de dificultad respiratoria aguda]]></kwd>
<kwd lng="es"><![CDATA[oxigenación por membrana extracorpórea]]></kwd>
<kwd lng="es"><![CDATA[balón esofágico]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[extracorporeal membrane oxygenation]]></kwd>
<kwd lng="en"><![CDATA[esophageal balloon]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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