<?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>S2448-89092024000800650</article-id>
<article-id pub-id-type="doi">10.35366/120011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Índice de respiración rápida superficial diafragmática como predictor de weaning exitoso de ventilación mecánica en pacientes neurocríticos]]></article-title>
<article-title xml:lang="en"><![CDATA[Rapid diaphragmatic superficial breathing index as a predictor of successful weaning of mechanical ventilation in neurocritical patients]]></article-title>
<article-title xml:lang="pt"><![CDATA[Índice respiratório rápido e superficial diafragmático como preditor de weaning exitoso da ventilação mecânica em pacientes neurócríticos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Lee]]></surname>
<given-names><![CDATA[Francisco Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubio Payan]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Trias Bonilla]]></surname>
<given-names><![CDATA[Idania Yael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera Rosas]]></surname>
<given-names><![CDATA[Manuel Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Culiacán «Dr. Bernardo J. Gastélum»  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>8</numero>
<fpage>650</fpage>
<lpage>658</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000800650&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000800650&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000800650&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la ventilación mecánica invasiva es un soporte vital en pacientes con insuficiencia respiratoria aguda en unidades de cuidados intensivos. Su uso prolongado está asociado con incremento de la morbilidad y mortalidad. El fracaso en el proceso de retirada de la ventilación mecánica afecta a 20% de los casos, teniendo un impacto en el curso clínico del paciente que se asocia con mortalidad en 50% de los mismos. Dentro de las múltiples herramientas y métodos para el éxito del weaning de reciente aplicación se integra la evaluación de la función diafragmática.  Objetivo:  analizar la asociación entre el índice de respiración rápida superficial diafragmática y el éxito en el proceso de weaning de la ventilación mecánica en pacientes neurocríticos.  Material y métodos:  estudio de carácter observacional, analítico, transversal y prospectivo realizado en pacientes orointubados con cuidados neurocríticos en la unidad de terapia intensiva. Tamaño de la muestra: los datos se analizarán con SPSS. Se usarán medidas de tendencia central y dispersión para variables cuantitativas, y frecuencias y porcentajes para cualitativas. Se aplicarán la prueba t de Student y &#967;2 o Fisher según corresponda. Las curvas Kaplan-Meier evaluarán diferencias en evolución y estancia hospitalaria. Valores de p &lt; 0.05 se considerarán significativos. Factibilidad: el número necesario de pacientes es viable, se cuenta con camas censables e insumos necesarios, el investigador cuenta con experiencia en la medición de las variables. No se requiere de un financiamiento externo.  Resultados:  se incluyeron 52 pacientes, 42.3% fueron mujeres y 57.7% hombres, con edad media de 37.2 años. Se observó un IMC promedio de 24.4, un puntaje promedio de Glasgow de 6.8 y estuvieron intubados un promedio de 5.2 días. A menor índice de Tobin (p = 0.003) y un porcentaje de fuga reducido (p = 0.000) se asoció con un mayor éxito en el weaning ventilatorio. El volumen tidal inspiratorio también mostró correlación positiva con el éxito (p = 0.001), al igual que la frecuencia respiratoria menor (p=0.003). Las mujeres presentaron mayores probabilidades de éxito en comparación con los hombres (p = 0.038). La tasa de éxito del weaning en la población estudiada fue de 90.4%.  Conclusiones:  índice de Tobin Diafragmático es un predictor de éxito del destete ventilatorio. Factores como edad, frecuencia respiratoria, volumen tidal y porcentaje de fuga son predictores del éxito en el destete ventilatorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  invasive mechanical ventilation is a vital support for patients with acute respiratory failure in intensive care units. Prolonged use is associated with increased morbidity and mortality. Failure in the weaning process affects 20% of cases, impacting the patient&#8217;s clinical course and being associated with 50% mortality. Among the various tools and methods for successful weaning, recent applications include the evaluation of diaphragmatic function.  Objective:  to analyze the association between the diaphragmatic rapid shallow breathing index and the success of the weaning process from mechanical ventilation in neurocritical patients.  Material and methods:  this is an observational, analytical, cross-sectional, and prospective study conducted on orotracheally intubated neurocritical patients in the Intensive Care Unit. Sample size: data will be analyzed using SPSS. Measures of central tendency and dispersion will be used for quantitative variables, and frequencies and percentages for qualitative variables. The Student&#8217;s t-test and &#967;2 or Fisher&#8217;s test will be applied as appropriate. Kaplan-Meier curves will evaluate differences in evolution and hospital stay. Values of p &lt; 0.05 will be considered significant. Feasibility: the required number of patients is feasible, with sufficient beds and necessary supplies. The researcher has experience in measuring the variables. External funding is not required.  Results:  a total of 52 patients were included, 42.3% were women and 57.7% men, with a mean age of 37.2 years. The average BMI was 24.4, the mean Glasgow score was 6.8, and they were intubated for an average of 5.2 days. A lower Tobin index (p = 0.003) and reduced leakage percentage (p = 0.000) were associated with greater success in ventilator weaning. Inspiratory tidal volume also showed a positive correlation with success (p = 0.001), as did a lower respiratory rate (p = 0.003). Women had a higher likelihood of success compared to men (p = 0.038). The overall success rate of weaning in the studied population was 90.4%.  Conclusions:  diaphragmatic Rapid Shallow Index is a predictor of successful ventilator weaning. Factors such as age, respiratory rate, tidal volume, and leakage percentage are predictors of successful ventilator weaning.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a ventilação mecânica invasiva é suporte vital em pacientes com insuficiência respiratória aguda nas unidades de terapia intensiva. Seu uso prolongado está associado ao aumento da morbimortalidade. A falha no processo de retirada da ventilação mecânica afeta 20% dos casos, tendo impacto na evolução clínica do paciente que está associada à mortalidade em 50% deles. Dentro das múltiplas ferramentas e métodos para o sucesso do weaning recentemente aplicados, integra-se a avaliação da função diafragmática.  Objetivo:  analisar a associação entre o índice diafragmático de respiração rápida e superficial e o sucesso no processo de weaning da ventilação mecânica em pacientes neurocríticos.  Material e métodos:  estudo observacional, analítico, transversal e prospectivo realizado em pacientes orointubados com cuidados neurocríticos na Unidade de Terapia Intensiva. Tamanho da amostra: os dados serão analisados com SPSS. Serão utilizadas medidas de tendência central e dispersão para variáveis quantitativas, e frequências e porcentagens para variáveis &#8203;&#8203;qualitativas. O teste t de Student e o teste &#967;2 ou Fisher serão aplicados conforme apropriado. As curvas de Kaplan-Meier avaliarão diferenças na evolução e permanência hospitalar. Valores de p &lt; 0.05 serão considerados significativos. Viabilidade: o número necessário de pacientes é viável, existem leitos censitários e insumos necessários, o pesquisador tem experiência na mensuração das variáveis. Não é necessário financiamento externo.  Resultados:  foram incluídos 52 pacientes, 42.3% do sexo feminino e 57.7% do sexo masculino, com idade média de 37.2 anos. Observou-se um IMC médio de 24.4, um escore médio de Glasgow de 6.8 e permaneceram intubados por uma média de 5.2 dias. Um índice de Tobin mais baixo (p = 0.003) e um percentual de vazamento reduzido (p = 0.000) foram associados a um maior sucesso no weaning ventilatório. O volume corrente inspiratório também foi positivamente correlacionado com o sucesso (p = 0.001), assim como a frequência respiratória mais baixa (p = 0.003). As mulheres apresentaram maior probabilidade de sucesso em comparação com os homens (p = 0.038). A taxa de sucesso do weaning na população do estudo foi de 90.4%.  Conclusões:  o índice diafragmático de tobin é um indicador de sucesso do weaning ventilatório. Fatores como idade, frequência respiratória, volume corrente e porcentagem de vazamento são preditores do sucesso do weaning ventilatório.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Tobin]]></kwd>
<kwd lng="es"><![CDATA[excursión diafragmática]]></kwd>
<kwd lng="es"><![CDATA[D-RBSI]]></kwd>
<kwd lng="es"><![CDATA[weaning ventilatorio]]></kwd>
<kwd lng="en"><![CDATA[Tobin]]></kwd>
<kwd lng="en"><![CDATA[diaphragmatic excursion]]></kwd>
<kwd lng="en"><![CDATA[D-RBSI]]></kwd>
<kwd lng="en"><![CDATA[ventilatory weaning]]></kwd>
<kwd lng="pt"><![CDATA[tobin]]></kwd>
<kwd lng="pt"><![CDATA[excursão diafragmática]]></kwd>
<kwd lng="pt"><![CDATA[D-RBSI]]></kwd>
<kwd lng="pt"><![CDATA[weaning ventilatório]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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