<?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>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032019000300180</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Recomendaciones analgésicas en pacientes con obesidad y SAOS]]></article-title>
<article-title xml:lang="en"><![CDATA[Analgesic recommendations in patients with obesity and OSAS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villegas-Sotelo]]></surname>
<given-names><![CDATA[Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arceo-Tovar]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Pérez]]></surname>
<given-names><![CDATA[Francisco José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General «Dr. Rubén Leñero» Clínica Integral de Cirugía para la Obesidad y Enfermedades Metabólicas ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General «Dr. Rubén Leñero» Clínica Integral de Cirugía para la Obesidad y Enfermedades Metabólicas ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>42</volume>
<numero>3</numero>
<fpage>180</fpage>
<lpage>182</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032019000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032019000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032019000300180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El manejo del dolor agudo en paciente obeso plantea dos problemas: la elección de las técnicas analgésicas más eficaces y el monitoreo requerido para garantizar su seguridad. Las barreras para lograr eficacia y seguridad se deben a las alteraciones fisiopatológicas y anatómicas descritas a continuación: 1) las modificaciones farmacocinéticas y farmacodinámicas que originan una dosificación incorrecta, 2) síndrome de apnea obstructiva del sueño, 3) dolor musculoesquelético crónico, 4) trastornos psiquiátricos, 5) estado hiperalgésico por proceso proinflamatorio crónico. Las recomendaciones para la elección de una terapia analgésica se basan en la edad, el índice de masa corporal, el tipo de cirugía, las comorbilidades asociadas, la intensidad del dolor y la clase de fármaco. Estos esquemas pueden ser dosificados por peso, área de superficie corporal y dosis ajustadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The management of acute pain in obese patients poses two problems: choosing the most effective analgesic techniques and the monitoring required to guarantee their safety. The barriers to achieve efficacy and safety are due to the pathophysiological and anatomical alterations described below. 1) Pharmacokinetic and pharmacodynamic modifications cause incorrect dosing, 2) obstructive sleep apnea syndrome, 3) chronic musculoskeletal pain, 4) psychiatric disorders, 5) hyperalgesic state due to chronic proinflammatory process. Recommendations for choosing an analgesic therapy are based on: age, body mass index, type of surgery, associated morbidities, pain intensity and drug class. These strategies can be dosed by weight, body surface area and adjusted doses.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor postoperatorio]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[síndrome de apnea obstructiva del sueño]]></kwd>
<kwd lng="es"><![CDATA[cirugía bariátrica]]></kwd>
<kwd lng="en"><![CDATA[Postoperative pain]]></kwd>
<kwd lng="en"><![CDATA[obesity]]></kwd>
<kwd lng="en"><![CDATA[obstructive sleep apnea]]></kwd>
<kwd lng="en"><![CDATA[bariatric surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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