<?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>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572019000400013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Terapia combinada en la profilaxis de las náuseas y vómitos postoperatorios en cirugía laparoscópica]]></article-title>
<article-title xml:lang="en"><![CDATA[Combined therapy and prophylaxis in postoperative nausea and vomiting in laparoscopic surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Veitía Wilson]]></surname>
<given-names><![CDATA[Eduardo Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Leyva]]></surname>
<given-names><![CDATA[Ludmila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amable Días]]></surname>
<given-names><![CDATA[Tatiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Romero]]></surname>
<given-names><![CDATA[Misdrialis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Martínez]]></surname>
<given-names><![CDATA[Ignasio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central "Dr. Carlos J. Finlay"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital "Celestino Hernández Robau"  ]]></institution>
<addr-line><![CDATA[Santa Clara, Villa Clara ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>48</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572019000400013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572019000400013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572019000400013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las náuseas y vómitos postoperatorios representan un problema frecuente tanto para el paciente como para el médico anestesiólogo. Se estima que la incidencia está en un 25 a 30 % de los pacientes postoperados.  Objetivo:  Profundizar en los conocimientos relacionados con la terapia combinada en la profilaxis de las náuseas y vómitos postoperatorios.  Métodos:  Se realizó una revisión de los artículos publicados en las bases de datos Pubmed, Scielo, Medline y Cochrane, relacionados con el tema.  Desarrollo: La naturaleza multifactorial de las náuseas y vómitos postoperatorios requiere de un enfoque multimodal para su tratamiento, el cual debe ser profiláctico más que terapéutico, con el objetivo de minimizar el riesgo. No es factible modificar sustancialmente las variables dependientes del paciente y de la intervención quirúrgica, pero se puede influir directamente sobre las anestésicas. En varios estudios se han identificado los diferentes factores de riesgo para náuseas y vómitos postoperatorios y a partir de estos se han desarrollado modelos predictivos que permiten evaluar la probabilidad del evento.  Conclusiones:  Las náuseas y vómitos postoperatorios constituyen un fenómeno frecuente en el postoperatorio. Para su profilaxis es recomendable el uso de terapias combinadas (antidopaminérgicos, antihistamínicos, anticolinérgicos, antagonistas de la serotonina, esteroides y antagonistas de la neurokinina-1) dado su componente multifactorial. Esta forma de afrontar dicho problema permite disminuir la frecuencia de estos síntomas, las complicaciones postoperatorias y facilitar la recuperación más inmediata del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Postoperative nausea and vomiting represent a frequent problem for both the patient and the anesthesiologist. It is estimated that the incidence of these are present in 25-30% of postoperative patients.  Objective:  To go deepen in the knowledge related to physiopathology and combination therapy in the prophylaxis of postoperative nausea and vomiting.  Method: A bibliographic review was made of the articles published in the Pubmed, Scielo, Medline and Cochrane data bases, related to the topic, belonging to authors dedicated to the study of this problem.  Development:  The multifactorial nature of postoperative nausea and vomiting requires a multimodal approach to its treatment, which should be prophylactic rather than therapeutic, with the objective of minimizing risk. It is not reasonable to modify the dependent variables of the patient and of the surgical intervention, but it is possible to directly influence the anesthetics. In several studies, the different risk factors for PONV have been identified and, from these, predictive models have been developed to evaluate the probability of the event.  Conclusions: postoperative nausea and vomiting are a frequent phenomenon in the postoperative period. For its prophylaxis the use of combination therapies (antidopaminergic, antihistaminic, anticholinergic, serotoninantagonists, steroids and neurokinin-1 antagonists) is recommended, givenits multifactorial component. This way of dealing with this problema allows us to reduce the frequency of these symptoms, postoperative complications and facilitate the patient's most immediate recovery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[antieméticos]]></kwd>
<kwd lng="es"><![CDATA[náuseas y vómitos postoperatorios]]></kwd>
<kwd lng="es"><![CDATA[escala de riesgo de náuseas y vómitos postoperatorios]]></kwd>
<kwd lng="en"><![CDATA[antiemetic]]></kwd>
<kwd lng="en"><![CDATA[postoperative nauseas and vomiting]]></kwd>
<kwd lng="en"><![CDATA[risk score]]></kwd>
</kwd-group>
</article-meta>
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