<?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>S2448-89092024000200090</article-id>
<article-id pub-id-type="doi">10.35366/116317</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Utilidad de la musicoterapia en la Unidad de Cuidados Críticos]]></article-title>
<article-title xml:lang="en"><![CDATA[Music therapy in the Critical Care Unit]]></article-title>
<article-title xml:lang="pt"><![CDATA[Utilidade da musicoterapia na Unidade de Terapia Intensiva]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera Chávez]]></surname>
<given-names><![CDATA[Manuel José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valero Vidal]]></surname>
<given-names><![CDATA[Paulina María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Nieto]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozada Hernandez]]></surname>
<given-names><![CDATA[Edgard Efren]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad del Bajío  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Valle de México  ]]></institution>
<addr-line><![CDATA[Querétaro ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Guanajuato  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>Mexico</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>2</numero>
<fpage>90</fpage>
<lpage>92</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000200090&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000200090&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  reportes de intervenciones no farmacológicas parecen beneficiar a pacientes en cuidados críticos sin efectos secundarios, dentro de estas intervenciones la basada en música.  Objetivo:  estudiar el efecto de la musicoterapia activa en pacientes de cuidados críticos de las unidades de segundo y tercer nivel de atención. Mediante monitoreo/registro de parámetros fisiológicos.  Material y métodos:  estudio prospectivo de dos grupos 1) Unidad Tercer Nivel (Unidad de Cuidados Intensivos [UCI], 17 camas) 2) Unidad Segundo Nivel (UCI, 10 camas), población estudio muestra conveniencia 10 pacientes adultos (cinco de tercer nivel y cinco de segundo nivel). Para la unidad de tercer nivel, los participantes recibieron una sesión de musicoterapia por 30 minutos con la canción Weightless de Marconi Union® administrada a 15 decibeles con audífonos blandos para cada paciente por cinco días; para los de segundo nivel de atención, la selección musical fue cama Stryker intouch® ambientación en cama, por 30 minutos, por cinco días. Durante la sesión se monitorizó la frecuencia cardiaca, la presión arterial no invasiva, el acoplamiento a ventilación mecánica definido como no más de cinco respiraciones fuera de las programadas por minuto, sin evento de tos y Pmax no mayor a 40.  Resultados:  después de las intervenciones, se identificaron disminuciones significativas en los pacientes de la UCI de segundo nivel en la frecuencia cardiaca (FC) de 95.6 (13.48) a 81.52 (10.15), p &lt; 0.001; en la presión arterial sistólica (PAS) de 120.04 (11.24) a 109.72 (10.05), p &lt; 0.001; en la presión arterial diastólica (PAD) de 72.72 (6.97) a 66.7 (5.74), p = 0.0007; y en las asincronías disminuyeron de 2 (2-4) a 0 (0-1), p &lt; 0.001. En los pacientes de la UCI de tercer nivel, las disminuciones que se identificaron fueron: en FC de 85.4 (7.02) a 76.6 (5.56), p &lt; 0.001; en la PAS de 111.18 (10.3) a 112 (10.36), p = 0.48; en la PAD de 75.08 (3.36) a 68.64 (7), p = 0.0001; y en las asincronías de 1 (1-3) a 0 (0-1), p &lt; 0.0001.  Conclusiones:  la musicoterapia como intervención no farmacológica mostró disminuciones significativas en variables fisiológicas. Se requieren más estudios de este tipo con mayor número de pacientes para demostrar este tipo de resultados en una población mayor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  reports of non-pharmacological interventions seem to benefit critical care patients without side effects, within these interventions the music-based one.  Objective:  to study the effect of active music therapy in critical care patients from second and third level care units. Through monitoring / recording of physiological parameters.  Material and methods:  prospective study of two groups 1) Third Level Unit (17-bed ICU) Second Level Unit (10-bed ICU), study population shows convenience of 10 adult patients (five third level and five second level), for the third level unit level, participants received a 30-minute music therapy session consistent with the Marconi Union ® Weightless song administered at 15 decibels with soft headphones for each patient for five days; for the second level of care, the musical selection was Stryker intouch® bed setting in bed, for 30 minutes, for five days. During the session, heart rate, non-invasive blood pressure, coupling to mechanical ventilation were monitored, defined as no more than 5 breaths outside the programmed per minute, with no cough event and Pmax no greater than 40.  Results:  after the interventions, significant decreases were identified in the patients of a second level ICU in the heart rate (HR) from 95.6 (13.48) to 81.52 (10.15), p &lt; 0.001; in the systolic arterial pressure (SAP) of 120.04 (11.24) to 109.72 (10.05), p &lt; 0.001; in diastolic arterial pressure (DAP) from 72.72 (6.97) to 66.7 (5.74), p = 0.0007; and in asynchronies they decreased from 2 (2-4) to 0 (0-1), p &lt; 0.001. In the patients in a third-level ICU, the reductions that were identified were in the HR from 85.4 (7.02) to 76.6 (5.56), p &lt; 0.001; in the SAP from 111.18 (10.36) to 112 (10.36), p = 0.48; in the DAP from 75.08 (3.36) to 68.64 (7), p = 0.0001; and in asynchronies from 1 (1-3) to 0 (0-1) p &lt; 0.0001.  Conclusions:  music therapy as a non-pharmacological intervention showed significant decreases in physiological variables. More studies of this type with a greater number of patients are required to demonstrate this type of results in a larger population.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  relatos de intervenções não farmacológicas parecem beneficiar pacientes em cuidados intensivos sem efeitos colaterais, dentre essas intervenções aquela baseada na música.  Objetivo:  estudar o efeito da musicoterapia ativa em pacientes em estado crítico em unidades de segundo e terceiro nível. Através de monitoramento/registro de parâmetros fisiológicos.  Material e métodos:  estudo prospectivo de dois grupos 1) Unidade de Terceiro Nível (UTI 17 leitos) 2) Unidade de Segundo Nível (UTI 10 leitos), população de estudo de amostra de conveniência 10 pacientes adultos (5 terceiro nível/5 segundo nível), para a unidade de terceiro nível, os participantes receberam uma sessão de musicoterapia de 30 minutos consistente com a música Weightless Marconi Union® (1) administrada a 15 decibéis com fones de ouvido macios para cada paciente durante 5 dias; para os do segundo nível de atendimento, a seleção musical foi Stryker intouch® ambientadas na própria cama, por 30 minutos, durante 5 dias. Durante a sessão, foram monitorados frequência cardíaca, pressão arterial não invasiva, acoplamento à ventilação mecânica definida como não mais que 5 respirações fora das programadas por minuto, sem evento de tosse e PMax não superior a 40.  Resultados:  após as intervenções, foram identificadas diminuições significativas em pacientes de UTI de segundo nível na frequência cardíaca (FC) de 95.6 (13.48) para 81.52 (10.15) p &lt; 0.001, na pressão arterial sistêmica (PAS) de 120.04 (11.24) para 109.72 (10.05) p &lt; 0.001, na pressão arterial diastólica (PAD) de 72.72 (6.97) para 66.7 (5.74) p 0.0007 e nas assincronias diminuíram de 2 (2-4) para 0 (0-1) p &lt; 0.001. E em pacientes internados em UTI terciária, as diminuições identificadas foram no Fr de 85.4 (7.02) para 76.6 (5.56) p &lt; 0.001, na PAS de 111.18 (10.3) para 112 (10.36) p = 0.48, no TAD de 75.08 (3.36) a 68.64 (7) p = 0.0001 e nas assincronias de 1 (1-3) a 0 (0-1) p &lt; 0.0001.  Conclusões:  a musicoterapia como intervenção não farmacológica mostrou reduções significativas nas variáveis fisiológicas. Mais estudos deste tipo são necessários com um número maior de pacientes para demonstrar esses tipos de resultados em uma população maior.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[musicoterapia]]></kwd>
<kwd lng="es"><![CDATA[unidad de cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[paciente crítico]]></kwd>
<kwd lng="en"><![CDATA[music therapy]]></kwd>
<kwd lng="en"><![CDATA[intensive care unit]]></kwd>
<kwd lng="en"><![CDATA[critical patient]]></kwd>
<kwd lng="pt"><![CDATA[musicoterapia]]></kwd>
<kwd lng="pt"><![CDATA[unidade de terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[paciente crítico]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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