<?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>S1726-67182020000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tromboprofilaxis y anestesia regional]]></article-title>
<article-title xml:lang="en"><![CDATA[Thromboprophylaxis and regional anesthesia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Martín]]></surname>
<given-names><![CDATA[Miguel Liván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Real]]></surname>
<given-names><![CDATA[Eivet]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Tamayo]]></surname>
<given-names><![CDATA[Marcelino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Crespo]]></surname>
<given-names><![CDATA[Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Docente &#8220;Abel Santamaría Cuadrado&#8221;  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Comandante Pinares&#8221;  ]]></institution>
<addr-line><![CDATA[Artemisa ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>19</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182020000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182020000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La tromboprofilaxis y las técnicas neuroaxiales con fines analgésicos y anestésicos son un binomio muy frecuente en la anestesiología moderna, así como el empleo de fármacos anticoagulantes y antiagregantes plaquetarios por enfermedades asociadas.  Objetivo:  Exponer los aspectos fundamentales a tener en cuenta ante pacientes en los que se realizarán técnicas de anestesia neuroaxial y utilizan anticoagulantes y/o antiagregantes plaquetarios como profilaxis de la enfermedad tromboembólica.  Métodos:  Se realizó una búsqueda de la bibliografía publicada en bases de datos indexadas en Infomed como Hinari, Ebsco, Scielo, Pubmed, Cubmed, Cocrhane; en idioma español e inglés con un periodo de cuatro años, desde 2016 hasta 2019. Se revisa y exponen aspectos tales como las condiciones mínimas para asegurar una adecuada hemostasia; incidencia de la hemorragia espinal; protocolos de seguridad para evitar complicaciones hemorrágicas; y las consideraciones farmacológicas sobre los anticoagulantes y antiagregantes plaquetarios en las técnicas regionales.  Conclusiones:  Se hace necesario cumplir las medidas que eviten la aparición de hematoma espinal en los pacientes tomadores de anticoagulantes y antiagregantes plaquetarios. Es necesario tener en cuenta la valoración individual de cada paciente, lo que se basa en la variabilidad inter- e intraindividual que posibilita tomar la mejor decisión en cada caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Thromboprophylaxis and neuroaxial techniques for analgesic and anesthetic purposes are a very common binomial of modern anesthesiology, as well as the use of anticoagulants and platelet antiaggregants for associated diseases.  Objective:  To present the fundamental aspects to be considered in patients on whom neuroaxial anesthetic techniques will be performed and with whom anticoagulants and/or platelet antiaggregants are used as a prophylaxis of thromboembolic disease.  Methods:  A search was carried for the bibliography published in Infomed indexed databases, such as Hinari, Ebsco, Scielo, Pubmed, Cubmed, Cocrhane, in Spanish and English, within a period of four years, from 2016 to 2019. Some aspects are reviewed and presented such as minimum conditions to ensure adequate hemostasis, incidence of spinal cord hemorrhage, safety protocols to avoid hemorrhagic complications, and pharmacological considerations on anticoagulants and platelet antiaggregants in regional techniques.  Conclusions:  It is necessary to comply with measures that prevent the onset of spinal cord hematoma in patients taking anticoagulants and platelet antiaggregants. It is necessary to take into account each patient&#8217;s individual assessment, which is based on the inter- and intra-individual variability that makes it possible to make the best decision in each case.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tromboprofilaxis]]></kwd>
<kwd lng="es"><![CDATA[anticoagulación]]></kwd>
<kwd lng="es"><![CDATA[antiagregación plaquetaria]]></kwd>
<kwd lng="es"><![CDATA[anestesia neuroaxial]]></kwd>
<kwd lng="en"><![CDATA[thromboprophylaxis]]></kwd>
<kwd lng="en"><![CDATA[anticoagulation]]></kwd>
<kwd lng="en"><![CDATA[platelet antiaggregation]]></kwd>
<kwd lng="en"><![CDATA[neuroaxial anesthesia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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