<?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>S1726-67182022000200007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Presión de distensión alveolar: su asociación a la mortalidad y protección pulmonar en pacientes ventilados]]></article-title>
<article-title xml:lang="en"><![CDATA[Alveolar distension pressure: association to mortality and pulmonary protection in ventilated patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuba Naranjo]]></surname>
<given-names><![CDATA[Arian Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Remón]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nuñez Verdecia]]></surname>
<given-names><![CDATA[Ildris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de Maracaibo  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Oncología y Radiobiología  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>21</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1726-67182022000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1726-67182022000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1726-67182022000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La ventilación mecánica artificial es una medida terapéutica de soporte vital aplicada en contextos clínicos como el síndrome de distrés respiratorio agudo. Por eso es necesario establecer parámetros de seguridad. La presión de distensión alveolar es una variable de interés en la protección pulmonar. Se usa para optimizar el volumen tidal de acuerdo con el tamaño del pulmón disponible durante el intercambio gaseoso. Refleja el grado de estiramiento pulmonar en cada ciclo respiratorio.  Objetivo:  Actualizar contenidos referentes a la presión de distensión alveolar en pacientes ventilados con distrés respiratorio agudo.  Método: Se realizó una pesquisa en Google Scholar, Pubmed/Medline, SciELO regional entre otros, bajo los términos: ventilación de protección pulmonar/variables, presión de distensión alveolar durante la ventilación/medición, relación de la presión de distensión alveolar y mortalidad en SDRA/resultados. Se seleccionaron 65 referencias que cumplieron los criterios de inclusión.  Resultados:  La evidencia actual asocia el hecho de mantener una excesiva presión de distención alveolar, a la mortalidad en pacientes ventilados con síndrome de distrés respiratorio. Permite identificar el riesgo de daño inducido por la ventilación y complicaciones pulmonares en otros escenarios clínicos. Se logra así mejoría en los objetivos y metas en la ventilación mecánica artificial.  Conclusiones: La presión de distensión alveolar está asociada con cambios en la supervivencia y ha demostrado ser el mediador clave en los efectos de la ventilación mecánica sobre los resultados del síndrome de distrés respiratorio agudo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Artificial mechanical ventilation is a life support therapeutic measure applied in clinical scenarios such as acute respiratory distress syndrome (ARDS). Therefore, to establish safety parameters is necessary. Alveolar distending pressure is a variable of interest in lung protection. It is used to optimize tidal volume according to the size of the lung available during gas exchange. It reflects the degree of lung stretch in each respiratory cycle.  Objective:  To update contents concerning alveolar distending pressure in ventilated patients with acute respiratory distress.  Methods:  A search was carried out in Google Scholar, Pubmed/Medline, regional SciELO, among others, under the terms ventilación de protección pulmonar/variables [lung-protective ventilation/variables], presión de distensión alveolar durante la ventilación/medición [alveolar distending pressure during ventilation/measurement], relación de la presión de distensión alveolar [relationship between alveolar distending pressure] and mortalidad en SDRA/resultados [ARDS mortality/results]. Sixty-five references that met the inclusion criteria were selected.  Results:  Current evidence associates the maintenance of excessive alveolar distending pressure with mortality in ventilated patients with respiratory distress syndrome. It allows to identify the risk of ventilator-induced damage and pulmonary complications in other clinical scenarios. It thus achieves improved goals and objectives in artificial mechanical ventilation.  Conclusions:  Alveolar distending pressure is associated with changes in survival and has been shown to be the key mediator in the effects of mechanical ventilation on acute respiratory distress syndrome outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[síndrome agudo de dificultad respiratoria del adulto]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[mortalidad]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[adult acute respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[mortality]]></kwd>
</kwd-group>
</article-meta>
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