<?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>0864-0300</journal-id>
<journal-title><![CDATA[Revista Cubana de Investigaciones Biomédicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Invest Bioméd]]></abbrev-journal-title>
<issn>0864-0300</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-03002021000200016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Posicionamiento prono en el soporte ventilatorio invasivo del síndrome de dificultad respiratoria aguda por COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Prone positioning for invasive ventilation support in acute respiratory distress syndrome due to COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Perón]]></surname>
<given-names><![CDATA[José Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Izquierdo]]></surname>
<given-names><![CDATA[Mario Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de las Fuerzas Armadas Revolucionarias  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de la Habana Facultad de Ciencias Médicas de Mayabeque ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>40</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-03002021000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-03002021000200016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-03002021000200016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Una característica de los pacientes con síndrome de dificultad respiratoria aguda asociada a la COVID -19, sobre todo los más graves, es la presencia de hipoxemia refractaria, que puede demandar terapia adyuvante a la ventilación mecánica artificial, entre ellos, el posicionamiento prono del paciente.  Objetivo:  Exponer la evidencia disponible sobre los cambios producidos en el sistema respiratorio por la implementación del posicionamiento prono en pacientes con soporte ventilatorio invasivo por síndrome de dificultad respiratoria aguda asociado a la COVID -19 y su impacto sobre la mortalidad.  Métodos:  Se realizó una revisión bibliográfica temática, observacional y retrospectiva, en el período comprendido de febrero a julio del 2020. Se utilizó el motor de búsqueda Google Académico y posteriormente se consultaron las bases de datos bibliográficas: CUMED, LILACS, SciELO, PubMed/Medline, EBSCO, Cochrane Library y Web of Science. En la estrategia de búsqueda se emplearon como palabras clave: &#8220;posición prona&#8221;, &#8220;síndrome de distrés respiratorio agudo&#8221;, &#8220;ventilación mecánica&#8221;, según el descriptor de Ciencias de la Salud (DeCS). Los criterios de selección incluyeron artículos en idiomas inglés y español, de procedencia extranjera o nacional, en la temática consecuente con las palabras clave utilizadas, fecha de publicación en la presente centuria y de preferencia durante el último quinquenio.  Conclusiones:  Las guías actuales recomiendan el establecimiento precoz de la ventilación mecánica invasiva en posición prono para pacientes con síndrome de dificultad respiratoria aguda moderado -grave, inducido por COVID-19 durante 12 a 16 horas diarias, con el fin de mejorar la oxigenación, el reclutamiento pulmonar y la disminución de la mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  A characteristic of patients with acute respiratory distress syndrome associated to COVID-19, particularly the most severely affected, is the presence of refractory hypoxemia, which may require adjuvant therapy alongside artificial mechanical ventilation, including prone positioning of the patient.  Objective:  Present the available evidence about the changes undergone by the respiratory system with the implementation of prone positioning in patients with invasive ventilation support due to acute respiratory distress associated to COVID-19, as well as its impact on mortality.  Methods:  An observational retrospective bibliographic review about the topic was conducted from February to July 2020, initially with the search engine Google Scholar, and then in the bibliographic databases CUMED, LILACS, SciELO, PubMed/Medline, EBSCO, Cochrane Library and Web of Science. The search was based on key terms such as "prone position", "acute respiratory distress syndrome", "mechanical ventilation", obtained from the Health Sciences Descriptors (DeCS). Selection criteria included papers written in English or Spanish, of a foreign or national origin, about the topic suggested by the search terms used, published in the present century, preferably in the last five years.  Conclusions:  Current guidelines recommend early use of invasive mechanical ventilation in prone position for patients with COVID-19-induced moderate-severe acute respiratory distress syndrome for 12-16 hours daily to improve oxygenation and pulmonary recruitment, and reduce mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[posición prona]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[Sars-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[síndrome de distrés respiratorio agudo]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="en"><![CDATA[prone position]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="en"><![CDATA[acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
</kwd-group>
</article-meta>
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