<?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>1726-6718</journal-id>
<journal-title><![CDATA[Revista Cubana de Anestesiología y Reanimación]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cuba anestesiol reanim]]></abbrev-journal-title>
<issn>1726-6718</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-67182021000200006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implementación del protocolo de recuperación acelerada en la histerectomía abdominal]]></article-title>
<article-title xml:lang="en"><![CDATA[Implementation of the accelerated recovery protocol in abdominal hysterectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soria Pérez]]></surname>
<given-names><![CDATA[Reynier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Agüero Martínez]]></surname>
<given-names><![CDATA[María Oslaida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Armas Mestre]]></surname>
<given-names><![CDATA[Joanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Núñez Alonso]]></surname>
<given-names><![CDATA[Yaelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Rodríguez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Julio M. Aristegui Villamil&#8221;  ]]></institution>
<addr-line><![CDATA[Cárdenas ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Hermanos Ameijeiras&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Comandante Faustino Pérez&#8221;  ]]></institution>
<addr-line><![CDATA[Matanzas ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>20</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182021000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182021000200006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182021000200006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  El perioperatorio en la cirugía electiva evoluciona para reducir el estrés inmunológico y metabólico causado por el trauma quirúrgico y lograr una recuperación temprana. Las enfermedades ginecológicas constituyen un problema de salud mundial, en la que la rehabilitación y reincorporación precoz a la cotidianeidad es fundamental en la disminución de la morbilidad. No existen guías y manuales en Cuba que brinden pautas metodológicas para la implementación de estos protocolos.  Objetivo:  Determinar la efectividad de la implementación de los protocolos de recuperación acelerada en pacientes sometidas a histerectomía abdominal.  Métodos:  Se realizó un estudio observacional analítico de casos-control, en pacientes sometidas a histerectomía abdominal en el Hospital General Docente &#8220;Julio M. Aristegui Villamil&#8221; en el año 2017. Se utilizaron las variables: grupos etáreos, tiempo de apertura de la vía oral, tiempo de inicio de la deambulación, tiempo de aparición del dolor, variación de la glicemia, presencia de náuseas, vómitos y complicaciones, estadía hospitalaria.  Resultados:  Predominó la edad entre 41 y 60 años en ambos grupos. En el grupo casos prevaleció la apertura de la vía oral en las primeras 4 h y la deambulación precoz según el esquema en las primeras 3 h. Se reportó mayor incidencia de dolor en el grupo control al igual que la variación de la glicemia, también reportándose náuseas, vómitos y complicaciones como fiebre e íleo paralítico. Se logró una estadía hospitalaria promedio de 24 h en el grupo de casos mientras que en el tradicional fue superior.  Conclusiones:  El protocolo de trabajo diseñado contribuyó a la recuperación precoz.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The perioperative period in elective surgery evolves up to reducing immune and metabolic stress caused by surgical trauma and achieving early recovery. Gynecological diseases are a global health concern in which rehabilitation and early return to daily life is essential in reducing morbidity. There are no guides and manuals in Cuba that provide methodological guidelines for the implementation of these protocols.  Objective:  To determine the effectiveness of implementing accelerated recovery protocols in patients undergoing abdominal hysterectomy.  Methods:  An analytical and observational case-control study was carried out in patients undergoing abdominal hysterectomy at Julio M. Aristegui Villamil General Teaching Hospital in 2017. The following variables were used: age groups, oral intake time, ambulation onset time, pain onset time, glycemic variation, presence of nausea, vomiting and complications, hospital stay.  Results:  Age between 41 and 60 years predominated in both groups. In the case group, there was a prevalence of oral intake time at four hours and of early ambulation, according to the scheme, within the first three hours. A higher incidence of pain was reported in the control group, together with glycemic variability, apart from reports of nausea, vomiting and complications such as fever and paralytic ileus. An average hospital stay of 24 hours was achieved in the case group, while it was longer in the traditional group.  Conclusions:  The designed work protocol contributed to early recovery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[recuperación acelerada]]></kwd>
<kwd lng="es"><![CDATA[ayuno]]></kwd>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[accelerated recovery]]></kwd>
<kwd lng="en"><![CDATA[fasting]]></kwd>
<kwd lng="en"><![CDATA[pain]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
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