<?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>S0484-79032021000200105</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reacción de hipersensibilidad secundaria al uso de bloqueadores neuromusculares]]></article-title>
<article-title xml:lang="en"><![CDATA[Hypersensitivity reaction secondary to the use of neuromuscular blockers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes-Broqueet]]></surname>
<given-names><![CDATA[Rodner Ernesto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cordero-Escobar]]></surname>
<given-names><![CDATA[Idoris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Martínez]]></surname>
<given-names><![CDATA[Gisela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Díaz]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Clínico Quirúrgico «Hermanos Ameijeiras» Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico «Hermanos Ameijeiras» Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Quirúrgico «Hermanos Ameijeiras» Servicio de Anestesiología y Reanimación ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Clínico Quirúrgico «Hermanos Ameijeiras» Servicio de Investigaciones ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>105</fpage>
<lpage>109</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032021000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032021000200105&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032021000200105&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: La anafilaxia perioperatoria constituye una condición clínica potencialmente letal. La causa más frecuente se atribuye a los bloqueadores neuromusculares.  Objetivo:  Identificar la incidencia de reacciones anafilácticas secundarias al uso de bloqueadores neuromusculares.  Material y métodos:  Se realizó una investigación descriptiva, observacional, de corte transversal para evaluar la incidencia de reacciones anafilácticas secundarias al uso de bloqueantes neuromusculares. El estudio se realizó en el Hospital «Hermanos Ameijeiras» en el período comprendido entre enero de 2016 y diciembre de 2018.  Resultados:  Del total de intervenciones quirúrgicas electivas, 3,431 requirieron anestesia general y el uso de bloqueadores neuromusculares. Predominó el sexo femenino en 75% de los casos, el grupo etario de 60 años y más con 68 pacientes (32.7%), el estado físico ASA II, 98 pacientes (41.1%). La media del IMC fue de 22.7 ± 1.14. La media del tiempo quirúrgico fue de 190 ± 42.5 min. De todos los fármacos el más utilizado fue el atracurio en 90 pacientes (43.3%) seguido del vecuronio 79 (38.0%) y el rocuronio 39 (18.8%). El número de eventos adversos fue escaso. Sólo se encontraron cuatro, dos con atracurio (50%), uno con rocuronio y uno con vecuronio 25% respectivamente.  Conclusiones:  Se constató la presencia de reacciones anafilácticas por el uso de bloqueadores neuromusculares, mismas que se manifestaron en un corto período al inicio de la inducción. El atracurio presentó la mayor frecuencia y todas fueron de intensidad leve.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Perioperative anaphylaxis is a potentially lethal clinical condition. The most frequent cause is attributed to neuromuscular blockers.  Objective:  To identify the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers.  Material and methods:  A descriptive, observational, cross-sectional investigation was conducted to assess the incidence of anaphylactic reactions secondary to the use of neuromuscular blockers. The study was carried out at the «Hermanos Ameijeiras» Hospital, in the period between january 2016 and december 2018.  Results:  Of the total elective surgical interventions, 3,431 required general anesthesia and the use of neuromuscular blockers. The female sex predominated with 75%, the age group of 60 years and over with 68 patients (32.7%), ASA II physical condition, 98 patients (41.1%). The average BMI was 22.7 ± 1.14. The mean surgical time was 190 ± 42.5 min. Of all the drugs the most used was atracurium in 90 patients (43.3%), followed by vecuronium 79 (38.0%) and rocuronium 39 (18.8%). The number of adverse events was low. Only four were found, two with atracurium (50%), one with rocuronium and one with 25% vecuronium respectively.  Conclusions:  The presence of anaphylactic reactions was observed with the use of neuromuscular blockers, which occurred in a short period at the beginning of induction. The atracurium presented the highest frequency and all were of mild intensity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Reacciones anafilácticas perioperatorias]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="es"><![CDATA[bloqueadores neuromusculares]]></kwd>
<kwd lng="en"><![CDATA[Perioperative anaphylactic reactions]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
<kwd lng="en"><![CDATA[neuromuscular blockers]]></kwd>
</kwd-group>
</article-meta>
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