<?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>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462016000500325</article-id>
<article-id pub-id-type="doi">10.1016/j.bmhimx.2016.07.003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ecocardiografía funcional en cuidados intensivos neonatales: experiencia en un hospital de tercer nivel]]></article-title>
<article-title xml:lang="en"><![CDATA[Functional echocardiography in the neonatal intensive care unit; experience in a tertiary level hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Benítez]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra-Becerra]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Hospital Español de México Departamento de Pediatría ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Departamento de Cardiología ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>73</volume>
<numero>5</numero>
<fpage>325</fpage>
<lpage>330</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462016000500325&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462016000500325&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462016000500325&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción: El Hospital Infantil de México es un hospital de tercer nivel y centro de referencia nacional que cuenta con una unidad de cuidados intensivos neonatales (UCIN), en la cual la toma de decisiones se realiza en base a parámetros clínicos y datos como la frecuencia respiratoria, frecuencia cardiaca, tensión arterial, gasto urinario y nivel de lactato. El Ecocardiograma Funcional (EcoF) es un estudio que permite complementar los datos hemodinámicos de estos pacientes, logrando una integración de parámetros clínicos y hemodinámicos con el objetivo de mejorar las decisiones terapeúticas y evolución de los pacientes.  Metodología: Estudio descriptivo prospectivo sobre la implementación del EcoF en pacientes de la UCIN durante el período de agosto a octubre del 2015 en el Hospital Infantil de México Federico Gómez. Las variables fueron la edad gestacional, los diagnósticos de ingreso, peso, las indicaciones para realizar el estudio y los días de vida en el momento del estudio. En cada estudio se determinaron los parámetros ecocardiográficos que conforman el EcoF, se anotaron las modificaciones al tratamiento posterior al estudio y se realizó un nuevo control a las 24 horas para determinar la evolución del paciente.  Resultados: Se realizaron un total de 30 estudios en 15 pacientes durante el período previamente señalado. La media de edad a la que se realizó el estudio ecocardiográfico fue de 9.6 días de vida (28-2 días). En un 66% el rango de semanas de gestación fue entre 37 a 42 y con una media de peso de 2583 g (4000-1010 g). El diagnóstico más frecuente de los pacientes valorados fue síndrome de dificultad respiratoria y prematurez (26.6%). La indicación más frecuente para solicitar el estudio fue inestabilidad hemodinámica y sepsis representando el 53.3%. En 11 pacientes (73.3%) hubo modificaciones al tratamiento posterior al EcoF, con mejoría en 10 casos en el control que se realizó a las 24 horas.  Conclusiones: La EF es una herramienta útil en UCIN aportando información complementaria que apoya las decisiones terapéuticas. Hace falta la diseminación de programas de formación y acreditación conforme a las recomendaciones existentes para asegurar un uso correcto y seguro de esta técnica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Background: The Hospital Infantil de Mexico Federico Gómez is a tertiary level hospital with a neonatal intensive care unit (NICU), which is one of the most important units in the treatment of newborn's diseases in México. In this unit, the decisions are taken based on some clinic parameters such as respiratory rate, heart rate, arterial pressure, urinary output and lactate levels. The functional echocardiography is a useful tool which improves the hemodynamic evaluation and decisions in neonatal care. Data on its use in neonatal units in Mexico is lacking.  Methods: A prospective study conducted in NICU patients during 3 months from August to October 2015 at the Hospital Infantil de Mexico Federico Gómez. Gestational age, birth weight, admission criteria, days of life at examination, indication for functional echocardiography and changes in treatment were evaluated and finally, we performed a new study 24 hours later. Echocardiographic evaluation included: assessment of presence/hemodynamic significance of PDA; myocardial function: ejection fraction/shortening fraction, left ventricular output, right ventricular output, systemic blood flow; and signs of pulmonary hypertension.  Results: 30 echocardiographic studies were performed in 15 patients. The average age was 9.6 days, the variability in gestational ages were 37 to 42 weeks; the average weight was 2.583 kg. The most frequent diagnosis was respiratory distress, and the principal indications for echocardiography were hemodynamic instability and sepsis (53.3%). In 11 cases (73.3%), the treatment was modified posteriorly to functional echocardiography, and in 10 cases we observed improvements in the 24 hours after control.  Conclusions: Functional echocardiography is a useful tool in NICU, which may assist with clinical decision-making.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Newborns]]></kwd>
<kwd lng="en"><![CDATA[Sepsis]]></kwd>
<kwd lng="en"><![CDATA[Hemodinamic instability]]></kwd>
<kwd lng="en"><![CDATA[Functional echocardiography]]></kwd>
<kwd lng="es"><![CDATA[Recién nacidos]]></kwd>
<kwd lng="es"><![CDATA[Sepsis]]></kwd>
<kwd lng="es"><![CDATA[Inestabilidad hemodinámica]]></kwd>
<kwd lng="es"><![CDATA[Ecocardiograma funcional]]></kwd>
</kwd-group>
</article-meta>
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