<?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>2448-8771</journal-id>
<journal-title><![CDATA[Anestesia en México]]></journal-title>
<abbrev-journal-title><![CDATA[Anest. Méx.]]></abbrev-journal-title>
<issn>2448-8771</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-87712017000100003</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Lidocaína tópica para prevenir el reflejo trigémino cardiaco durante cirugía de descompresión microvascular]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Castruita]]></surname>
<given-names><![CDATA[Víctor Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique-Carmona]]></surname>
<given-names><![CDATA[Luisa Piedad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Revuelta-Gutierrez]]></surname>
<given-names><![CDATA[Rogelio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Neurología y Neurocirugía &#8220;Manuel Velasco Suárez&#8221; Neuroanestesiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>29</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>7</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712017000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712017000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712017000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El reflejo trigémino cardiaco, es un reflejo del tallo cerebral, que manifiesta perturbaciones cardiacas súbitas, incluyendo bradicardia, hipotensión arterial, asistolia, apnea e hipermotilidad gástrica.  Objetivo:  Evaluar la aplicación tópica de lidocaína al 2% en la prevención de reflejo trigémino cardiaco, durante cirugía de descompresión microvascular.  Material y métodos:  se trata de un ensayo clínico controlado, aleatorizado. Se incluyeron once pacientes sometidos a cirugía de descompresión microvascular, los cuales fueron asignados a dos grupos. El grupo L con seis pacientes que recibieron lidocaína al 2% y el grupo SS con cinco pacientes que recibió solución salina. La forma de administración en ambos grupos, fue de manera tópica en el sitio quirúrgico. La variable principal del estudio fue, frecuencia de aparición del reflejo trigémino cardiaco, duración y severidad.  Resultados:  El reflejo trigémino cardiaco se presentó en uno de once pacientes (9%), del grupo de L. No se mostró diferencia estadística entre ambos grupos (p=0.545), su duración fue de 30 segundos y la severidad fue del 20 al 30%.  Conclusiones:  Este estudio parece soportar la evidencia de que lidocaína tópica al 2% no previene la aparición de reflejo trigémino cardiaco en cirugía de descompresión microvascular, aunque se requiere de más evidencia fuerte para emitir recomendaciones definitivas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Cardiac trigeminal reflex, is a reflection of the brain stem, which manifested sudden cardiac disturbances, including bradycardia, hypotension, apnea and asystole, gastric hypermobility.  Objective:  To assess the topical application of lidocaine to the 2% in the prevention of heart trigeminal reflection, during surgery of decompression microvascular.  Material and methods:  this is a controlled, clinical trial randomized. We included eleven patients undergoing microvascular decompression surgery, who were assigned to two groups. Group L with six patients who received lidocaine 2% and the SS Group with five patients who received saline. The form of administration in both groups, was of topical way in the surgical site. The main variable of the study was, frequency of cardiac trigeminal reflex, duration and severity.  Results:  The reflex trigeminal cardiac arose in one of eleven patients (9%) of the L group. No statistic differences were shown neither group. (p = 0.545), its duration was of 30 seconds and the severity was from the 20 to the 30%. Conclusions: This study seem to support the evidence that topical lidocaine 2% does not prevent the emergence of trigeminal cardiac réflex on microvascular decompression surgery, although strong evidence is required to issue definitive recommendations.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lidocaína]]></kwd>
<kwd lng="es"><![CDATA[reflejo trigémino cardiaco]]></kwd>
<kwd lng="es"><![CDATA[cirugía de descompresión microvascular]]></kwd>
<kwd lng="es"><![CDATA[neuralgia del trigémino]]></kwd>
<kwd lng="en"><![CDATA[lidocaine]]></kwd>
<kwd lng="en"><![CDATA[trigeminal reflex cardiac microvascular decompression]]></kwd>
<kwd lng="en"><![CDATA[trigeminal neuralgia surgery]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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