<?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>S0484-79032024000400268</article-id>
<article-id pub-id-type="doi">10.35366/116234</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Recomendaciones para prescripción segura de opioides y otros fármacos para dolor en el tratamiento de dolor agudo en hospitalización]]></article-title>
<article-title xml:lang="en"><![CDATA[Recommendations for safe prescription of opioids and adjuvants for the treatment of acute pain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moisen-Moreno]]></surname>
<given-names><![CDATA[Christopher]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Vidal]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aban-Quijada]]></surname>
<given-names><![CDATA[Yuselmi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Médica Sur Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<fpage>268</fpage>
<lpage>272</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032024000400268&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032024000400268&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032024000400268&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la analgesia multimodal promueve el uso combinado de medicamentos para producir un efecto sinérgico y así reducir las dosis empleadas y los efectos adversos, incluyendo opioides y otros fármacos. En la actualidad no existen guías que recomienden a los hospitales el marco de seguridad en el que deben prescribirse estos fármacos fuera del área de quirófano.  Material y métodos:  se realizaron búsquedas en bases de datos académicas, sitios web especializados en guías de práctica clínica y guías de práctica clínica de múltiples instituciones hospitalarias, de hasta 15 años de antigüedad. Se crearon recomendaciones basadas en la información recopilada, que fueron revisadas por expertos y adaptadas a la normativa local del Hospital Médica Sur.  Resultados:  recomendaciones intrahospitalarias para la prescripción de analgésicos opioides y otros fármacos para el tratamiento de dolor agudo en hospitalización de Médica Sur; 11 recomendaciones para la prescripción de opioides, 10 para lidocaína y nueve para ketamina, alfa-2 agonistas y para sulfato de magnesio, cada uno.  Conclusiones:  reconocemos que cualquier proceso de construcción de guías tiene limitaciones, incluida la evidencia y opiniones contrastantes. La creación de recomendaciones para la prescripción proporciona un marco para limitar la variación no justificada en la prescripción de opioides y otros fármacos en el manejo de dolor agudo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  multimodal analgesia promotes the combined use of medications to produce a synergistic effect, thereby reducing the doses used and adverse effects, including opioids and other drugs. Currently, there are no guidelines recommending the safety framework for hospitals in which these drugs should be prescribed outside the operating room area.  Material and methods:  searches were conducted in academic databases, websites specializing in clinical practice guidelines, and clinical practice guidelines from multiple hospital institutions up to 15 years old. Recommendations based on the collected information were created, reviewed by experts, and adapted to the local regulations of Médica Sur Hospital.  Results:  in-hospital recommendations for the prescription of opioid analgesics and other drugs for the treatment of acute pain in Médica Sur hospitalization; 11 recommendations for the prescription of opioids, 10 for lidocaine, and 9 for ketamine, alpha-2 agonists, and magnesium sulfate, each.  Conclusions:  we recognize that any guideline development process has limitations, including evidence and contrasting opinions. Creating recommendations for prescription provides a framework to limit unjustified variation in the prescription of opioids and other drugs in the management of acute pain.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[opioides]]></kwd>
<kwd lng="es"><![CDATA[prescripción segura]]></kwd>
<kwd lng="es"><![CDATA[ketamina]]></kwd>
<kwd lng="es"><![CDATA[sulfato de magnesio]]></kwd>
<kwd lng="es"><![CDATA[lidocaína]]></kwd>
<kwd lng="en"><![CDATA[opioids]]></kwd>
<kwd lng="en"><![CDATA[safe prescription]]></kwd>
<kwd lng="en"><![CDATA[ketamine]]></kwd>
<kwd lng="en"><![CDATA[magnesium sulfate]]></kwd>
<kwd lng="en"><![CDATA[lidocaine]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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