<?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>S2448-87712018000300063</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Bloqueo epidural cervical para hemitiroidectomia en paciente con miastenia Gravis]]></article-title>
<article-title xml:lang="en"><![CDATA[Cervical block for hemithyroidectomy in a patient with Gravis myasthenia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rincon Sánchez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escalante Elías]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pizaña Vázquez]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lucio Medina]]></surname>
<given-names><![CDATA[IM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Matamoros &#8220;Dr. Alfredo Pumarejo Lafaurie&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Matamoros &#8220;Dr. Alfredo Pumarejo Lafaurie&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Matamoros &#8220;Dr. Alfredo Pumarejo Lafaurie.&#8221; Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Autónoma de Tamaulipas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<fpage>63</fpage>
<lpage>67</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-87712018000300063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-87712018000300063&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-87712018000300063&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La miastenia gravis (MG) es una alteración de la placa neuromuscular, adquirida y autoinmune; cuya incidencia se estima en 85/100,000, la cual se caracteriza por debilidad muscular, ya sea en un grupo de músculos o generalizada (1). El uso de relajantes neuromusculares y opioides, juega un papel importante en el restablecimiento de la ventilación espontánea de estos pacientes, y en la prevención de un soporte ventilatorio postoperatorio. El uso de técnicas regionales en pacientes que requieren someterse a procedimientos quirúrgicos, disminuye el uso de medicamentos, complicaciones y la necesidad de apoyo ventilatorio. Reportamos el caso de un paciente femenino sometido a hemitiroidectomia, tratada mediante bloqueo epidural cervical y anestesia general, sin el empleo de relajantes musculares, minimizando el uso de opioides.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Gravis Myasthenia (MG) is an alteration of the acquired and autoimmune neuromuscular plate; whose incidence is estimated at 85/100,000, which is characterized by muscle weakness, whether in a group of muscles or generalized (1). The use of relaxing neuromuscular and opioids, plays an important role in the restoration of spontaneous ventilation of these patients, and in the prevention of postoperative ventilatory support. The use of regional techniques in patients requiring to undergo surgical procedures, reduces the use of medications, complications and the need for ventilatory support. We report the case of a female patient for hemitiroidectomia, she received a block cervical plus general anesthesia, without the use of relaxing muscles, minimizing the use of opioids.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Miastenia gravis]]></kwd>
<kwd lng="es"><![CDATA[enfermedad neuromuscular autoinmuine]]></kwd>
<kwd lng="es"><![CDATA[hemitiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[bloqueo cervical]]></kwd>
<kwd lng="es"><![CDATA[anestesia general relajantes muscylaresm piridostigmina]]></kwd>
<kwd lng="en"><![CDATA[myasthenia gravis]]></kwd>
<kwd lng="en"><![CDATA[a neuromuscular autoimmune disease hemitiroidectomia]]></kwd>
<kwd lng="en"><![CDATA[cervical block]]></kwd>
<kwd lng="en"><![CDATA[relaxing muscles]]></kwd>
<kwd lng="en"><![CDATA[Pyridostigmine]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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