<?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>1817-5996</journal-id>
<journal-title><![CDATA[Revista Cubana de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cuba Reumatol]]></abbrev-journal-title>
<issn>1817-5996</issn>
<publisher>
<publisher-name><![CDATA[Editorial CIMEQ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-59962019000100009</article-id>
<article-id pub-id-type="doi">10.5281/zenodo.2555861</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo del dolor en el postoperatorio de cirugías articulares. Nuevos enfoques]]></article-title>
<article-title xml:lang="en"><![CDATA[Pain management in joint surgeries postoperative period. New approache]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guamba Leiva]]></surname>
<given-names><![CDATA[Jenny Mabel Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera García]]></surname>
<given-names><![CDATA[Renato Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gallardo Aluisa]]></surname>
<given-names><![CDATA[Sandra Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales Cajas]]></surname>
<given-names><![CDATA[Emilie Libertad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pazmiño Jara]]></surname>
<given-names><![CDATA[Jhonny Danilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Especialidades Carlos Andrade Marin  ]]></institution>
<addr-line><![CDATA[ Pichincha]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Especialidades Carlos Andrade Marin  ]]></institution>
<addr-line><![CDATA[ Pichincha]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro de Salud Machachi-IESS  ]]></institution>
<addr-line><![CDATA[ Pichinhca]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro de Salud Machachi-IESS  ]]></institution>
<addr-line><![CDATA[ Pichincha]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,aff5  ]]></institution>
<addr-line><![CDATA[ Pichincha]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1817-59962019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1817-59962019000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1817-59962019000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el manejo del dolor junto con la reducción del estrés preoperatorio y la pronta rehabilitación, reducen a su vez la morbimortalidad postoperatoria y establecen la base del manejo presente del paciente quirúrgico.  Objetivo:  revisar los más recientes enfoques en el manejo del dolor en el postoperatorio de cirugías articulares.  Desarrollo:  la cirugía de grandes articulaciones como, por ejemplo, la artroplastia total de rodilla, se encuentra relacionada con dolor postoperatorio que se describe como intenso, pues hasta el 50 % de los casos necesitan el empleo de opioides u otros fármacos analgésicos para dominarlo de manera eficaz.  Conclusiones:  aunque la efectividad analgésica post-operatoria de ciertos fármacos, agregados al anestésico local en anestesia espinal, ha sido investigada en reemplazos articulares. Todavía no se ha determinado el verdadero rol de los fármacos coadyuvantes y las terapias no farmacológicas, y es necesario en un futuro una guía práctica centrada en la evidencia clínica para cada proceso, que circunscriba a la rehabilitación postquirúrgica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the management of pain together with the reduction of preoperative stress and early rehabilitation, in turn reduce postoperative morbidity and mortality and establish the basis of the current management of the surgical patient.  Objective:  to review the most recent pain management related approaches in the postoperative period of joint surgeries.  Development:  the surgery of large joints, such as total knee arthroplasty, is related to postoperative pain that is described as intense, since up to 50 % of cases require the use of opioids or other analgesic drugs to control it effectively.  Conclusions:  although the postoperative analgesic effectiveness of certain drugs, added to local anesthetics in spinal anesthesia, has been investigated in joint replacements, the true role of adjuvant drugs and non-pharmacological therapies has not yet been determined, and a practical guide focusing on the clinical evidence for each process, which circumscribes post-surgical rehabilitation, is necessary in the future.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[analgesia]]></kwd>
<kwd lng="es"><![CDATA[enfoques en el manejo del dolor]]></kwd>
<kwd lng="es"><![CDATA[dolor postoperatorio]]></kwd>
<kwd lng="es"><![CDATA[cirugías articulares]]></kwd>
<kwd lng="en"><![CDATA[analgesia]]></kwd>
<kwd lng="en"><![CDATA[approaches in pain management]]></kwd>
<kwd lng="en"><![CDATA[postoperative pain]]></kwd>
<kwd lng="en"><![CDATA[joint surgeries]]></kwd>
</kwd-group>
</article-meta>
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