<?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>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092016000500347</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Respiración de Biot. Fracaso de la extubación]]></article-title>
<article-title xml:lang="en"><![CDATA[Breathing Biot. Extubation failure]]></article-title>
<article-title xml:lang="pt"><![CDATA[Respiração de Biot. Falha na extubação]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Díaz]]></surname>
<given-names><![CDATA[Jesús Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flores Hernández]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Rodríguez]]></surname>
<given-names><![CDATA[Enrique Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peniche Moguel]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huanca Pacaje]]></surname>
<given-names><![CDATA[Juan Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calyeca Sánchez]]></surname>
<given-names><![CDATA[Verónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,IMSS Centro Médico Nacional «Adolfo Ruiz Cortines» UMAE, Núm. 14]]></institution>
<addr-line><![CDATA[Veracruz Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de PEMEX  ]]></institution>
<addr-line><![CDATA[Veracruz Veracruz]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Veracruzana Facultad de Medicina Campus Veracruz]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2016</year>
</pub-date>
<volume>30</volume>
<numero>5</numero>
<fpage>347</fpage>
<lpage>350</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092016000500347&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092016000500347&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092016000500347&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La ventilación mecánica (VM) prolongada incrementa el riesgo de complicaciones. Por otra parte, el retiro precoz de la misma expone al paciente a los riesgos que presentaba antes de iniciarla. El evento vascular cerebral (EVC)puede complicarse, requerir intubación y ventilación mecánica para soporte respiratorio. Presentamos el caso de un hombre de 76 años de edad con isquemia aguda a nivel de cerebelo que fracasó en la extubación a pesar de presentar parámetros objetivos correctos y adecuada tolerancia a la prueba de «pieza en T». Los parámetros que evalúan el éxito o fracaso de la extubación en el paciente neurológico son un problema no resuelto, hasta el día de hoy la escala de coma de Glasgow (ECG) es la variable asociada a buenos o malos resultados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Mechanical ventilation (MV) long increases the risk of complications, moreover early retirement of it exposes the patient to the risks presented before starting. Cerebral vascular event (CVE) can be complicated, requiring intubation and mechanical ventilation for respiratory support. We report the case of a male 76 years of age with acute ischemia cerebellar that failed extubation despite having objective parameters correct and proper tolerance test «T-piece». The parameters that evaluate the success or failure of extubation in neurological patient is an unresolved problem until today the Glasgow coma scale (GCS) is the variable associated with good or bad results.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A ventilação mecânica (VM) prolongada incrementa o risco de complicações, por outra parte, o retiro precoce da mesma, expõe o paciente aos riscos apresentados antes de começar. O acidente vascular cerebral (AVC) pode complicarse, necessitando de intubação e ventilação mecânica para suporte respiratório. Relatamos o caso de um paciente masculino de 76 anos de idade, com isquemia aguda a nível cerebelar que falharam na extubação apesar de ter parâmetros objetivos corretos e adecuada tolerância ao teste de tolerância correto do tubo «T». Os parâmetros que avaliam o sucesso ou fracasso de extubação em paciente neurológico é um problema não resolvido, até hoje a Escala de Coma de Glasgow (ECG) é a variável associada a resultados positivos ou negativos.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[escala de coma de Glasgow]]></kwd>
<kwd lng="es"><![CDATA[Unidad de Cuidados Intensivos]]></kwd>
<kwd lng="en"><![CDATA[Mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[Glasgow coma scale]]></kwd>
<kwd lng="en"><![CDATA[Intensive Care Unit]]></kwd>
<kwd lng="pt"><![CDATA[Ventilação mecânica]]></kwd>
<kwd lng="pt"><![CDATA[escala de coma de Glasgow]]></kwd>
<kwd lng="pt"><![CDATA[Unidade de Terapia Intensiva]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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