<?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>S2448-89092023000800624</article-id>
<article-id pub-id-type="doi">10.35366/115218</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto de la musicoterapia en el índice analgesia-nocicepción en pacientes con ventilación mecánica]]></article-title>
<article-title xml:lang="en"><![CDATA[Effect of musical therapy on the analgesia-nociception index, in mechanically ventilated patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Efeito da musicoterapia no índice de analgesia-nocicepção em pacientes em ventilação mecânica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Huerta Arellano]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rentería Díaz]]></surname>
<given-names><![CDATA[Faustino Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerón Díaz]]></surname>
<given-names><![CDATA[Ulises Wilfrido]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Español  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>8</numero>
<fpage>624</fpage>
<lpage>629</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000800624&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000800624&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000800624&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el índice de analgesia-nocicepción (ANI) evalúa el equilibrio de la respuesta del sistema nervioso autónomo ante los estímulos y se perfila como una herramienta para evaluar el efecto de la musicoterapia en los enfermos críticos.  Objetivo:  evaluar el efecto de la música en el valor de ANI en pacientes con ventilación mecánica invasiva.  Material y métodos:  estudio prospectivo y analítico en enfermos con ventilación mecánica y RASS de -3 a -1, sometidos a musicoterapia a través de audífonos, por un periodo de 30 minutos. Se midió el valor de ANI (promedio de 240 segundos) antes de la intervención musical, a los 5 y 30 minutos.  Resultados:  se realizaron 33 mediciones en 11 pacientes, observando un descenso del nivel de ANI a los 5 minutos de -14.4 puntos (RIQ -20.5 a -5.5; p = 0.091), y de -0.55 (RIQ -15.5 a 5; p = 0.962) a los 30 minutos, con una correlación positiva (r = 0.371).  Conclusiones:  la musicoterapia no demostró una diferencia significativa en la variación del valor de ANI. Se necesitan más estudios con una mayor población para demostrar el potencial beneficio en pacientes críticos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  the analgesia-nociception index (ANI) evaluates de equilibrium of the autonomous nervous system response to stimuli and is an emerging tool to assess the effect of musical therapy in critically ill patients.  Objective:  to evaluate the effect of music on the ANI score in patients under invasive mechanical ventilation.  Material and methods:  prospective analytic study in critically ill patients with mechanical ventilation and a RASS score of -3 to -1, subjected to musical therapy through headphones, for a 30-minute period. The ANI score was measured (average of 240 seconds), before the musical intervention, at 5 and 30 minutes.  Results:  we performed 33 measurements in 11 patients, observing a decrease in the ANI level at 5 minutes of -14.4 points (IQR -20.5 to -5.5; p = 0.091), and -0.55 (IQR -15.5 to 5; p = 0.962) at 30 minutes, with a positive correlation (r = 0.371).  Conclusions:  music therapy did not demonstrate a significant difference in the variation of the ANI value. More studies are needed, with a larger population to demonstrate the potential benefit in critically ill patients.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  o índice de analgesia-nocicepção (ANI) avalia o equilíbrio da resposta do sistema nervoso autônomo a estímulos e vem despontando como ferramenta para avaliar o efeito da musicoterapia em pacientes em estado crítico.  Objetivo:  avaliar o efeito da música no valor do ANI em pacientes sob ventilação mecânica invasiva.  Material e métodos:  estudo prospectivo e analítico em pacientes com ventilação mecânica e RASS de -3 a -1, submetidos à musicoterapia através de fones de ouvido, por um periodo de 30 minutos. O valor do ANI (média de 240 segundos) foi medido antes da intervenção musical, aos 5 e 30 minutos.  Resultados:  analizaram-se 33 medidas em 11 pacientes, observando-se diminuição do nível de ANI aos 5 minutos de -14.4 pontos (RIQ -20.5 a -5.5; p = 0.091) e -0.55 (RIQ -15.5 a 5; p = 0.962 ) aos 30 minutos, com correlação positiva (r = 0.371).  Conclusões:  a musicoterapia não demonstrou diferença significativa na variação do valor do ANI. São necessários mais estudos, com uma população maior para demonstrar o benefício potencial em pacientes em estado crítico.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[índice de analgesia-nocicepción]]></kwd>
<kwd lng="es"><![CDATA[monitoreo]]></kwd>
<kwd lng="es"><![CDATA[medicina crítica]]></kwd>
<kwd lng="es"><![CDATA[unidad de terapia intensiva]]></kwd>
<kwd lng="es"><![CDATA[musicoterapia]]></kwd>
<kwd lng="en"><![CDATA[analgesia-nociception index]]></kwd>
<kwd lng="en"><![CDATA[monitoring]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[musical therapy]]></kwd>
<kwd lng="pt"><![CDATA[índice de analgesia-nocicepção]]></kwd>
<kwd lng="pt"><![CDATA[monitorização]]></kwd>
<kwd lng="pt"><![CDATA[medicina crítica]]></kwd>
<kwd lng="pt"><![CDATA[unidade de terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[musicoterapia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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