<?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>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000501221</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ayuno preoperatorio]]></article-title>
<article-title xml:lang="en"><![CDATA[Preoperative fasting]]></article-title>
<article-title xml:lang="pt"><![CDATA[Jejum pré-operatório]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Capote Guerrero.]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Labrada Tapia.]]></surname>
<given-names><![CDATA[Domingo Angel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa García.]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gorgoso Vázquez]]></surname>
<given-names><![CDATA[Ariadna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Celia Sánchez Manduley  ]]></institution>
<addr-line><![CDATA[Manzanillo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>5</numero>
<fpage>1221</fpage>
<lpage>1232</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000501221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000501221&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000501221&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La broncoaspiración es una de las complicaciones más temidas por parte de los anestesiólogos durante todo el periodo perioperatorio. Desde hace más de un siglo, con el propósito de evitar esta complicación, se ha implementado el ayuno preoperatorio, periodo en el cual el paciente no ingiere alimentos para disminuir el contenido gástrico. El objetivo de este artículo es realizar una revisión de los aspectos más destacados y actuales sobre el ayuno preoperatorio. Para lo cual se realizó una búsqueda manual y digital en diferentes bases de datos como MEDLINE, Scielo, IBECS y Cochrane, con los descriptores siguientes: ayuno preoperatorio, efectos del ayuno. Cuando surge el concepto de ayuno preoperatorio el paciente debía estar más de 8 horas sin alimentarse, provocando esto no solo sensación de hambre, sed, irritabilidad, sino que también provocaba serias alteraciones endocrinometabólicas. Según las últimas recomendaciones, basadas en la evidencia científica, se aconseja seguir los siguientes tiempos de ayuno quirúrgico: 2 h para líquidos claros, 4 h para leche materna, 6 h para la leche de vaca, 8 h para sólidos. En conclusión, se considera que un periodo prolongado sin ingerir alimentos antes de la intervención quirúrgica lejos de ser beneficioso es deletéreo para el buen pronóstico del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Bronchoa aspiration is one of the most feared complications by anesthesiologists throughout the perioperative period. For more than a century, in order to avoid this complication, preoperative fasting has been implemented, a period in which the patient does not eat food to decrease the gastric content. The purpose of this article is to review the highlights and current aspects of preoperative fasting. For which a manual and digital search was carried out in different databases such as MEDLINE, Scielo, IBECS and Cochrane, with the following descriptors: preoperative fasting, fasting effects. When the concept of preoperative fasting arises the patient had to spend more than 8 hours without feeding, causing this not only feeling hungry, thirsty, irritating, but also causing serious endocrine-metabolic alterations. According to the latest recommendations, based on scientific evidence, it is advised to follow the following times of surgical fasting: 2 h for clear liquids, 4 h for breast milk, 6 h for cow's milk, 8 h for solids. In conclusion, it is considered that an extended period without ingesting food before surgery far from being beneficial is deterreal for the patient's good prognosis.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO A aspiração de broncoa é uma das complicações mais temidas pelos anestesiologistas durante todo o período perioperatório. Há mais de um século, para evitar essa complicação, o jejum pré-operatório vem sendo implementado, período em que o paciente não come alimentos para diminuir o teor gástrico. O objetivo deste artigo é rever os destaques e os aspectos atuais do jejum pré-operatório. Para o qual foi realizada uma pesquisa manual e digital em diferentes bancos de dados como MEDLINE, Scielo, IBECS e Cochrane, com os seguintes descritores: jejum pré-operatório, efeitos de jejum. Quando surge o conceito de jejum pré-operatório, o paciente teve que passar mais de 8 horas sem se alimentar, fazendo com que isso não só se sentisse com fome, sede, irritando, mas também causando graves alterações endócrinas-metabólicas. De acordo com as últimas recomendações, com base em evidências científicas, é aconselhável seguir os seguintes tempos de jejum cirúrgico: 2h para líquidos claros, 4h para leite materno, 6h para leite de vaca, 8h para sólidos. Em conclusão, considera-se que um longo período sem ingerir alimentos antes da cirurgia longe de ser benéfico é distensão para o bom prognóstico do paciente.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ayuno preoperatorio]]></kwd>
<kwd lng="es"><![CDATA[Broncoaspiración]]></kwd>
<kwd lng="en"><![CDATA[Preoperative fasting]]></kwd>
<kwd lng="en"><![CDATA[Breathing]]></kwd>
<kwd lng="pt"><![CDATA[Jejum pré-operatório]]></kwd>
<kwd lng="pt"><![CDATA[Respiração]]></kwd>
</kwd-group>
</article-meta>
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<surname><![CDATA[Damasceno de Sousa Costa]]></surname>
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<article-title xml:lang=""><![CDATA[Estado nutricional y tiempo de ayuno perioperatorio versus complicaciones y tiempo de internamiento de pacientes quirúrgicos.]]></article-title>
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