<?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>2221-2450</journal-id>
<journal-title><![CDATA[Revista CENIC Ciencias Biológicas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. CENIC Cienc. Biol]]></abbrev-journal-title>
<issn>2221-2450</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Investigaciones Científicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24502022000200140</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio de post-comercialización de la bupivacaína hiperbárica en pacientes intervenidos quirúrgicamente en el Instituto Pedro Kourí]]></article-title>
<article-title xml:lang="en"><![CDATA[Study of post commercialization of hyperbaric bupivacaine in patients undergoing surgery in the Institute Pedro Kouri]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios Piloto]]></surname>
<given-names><![CDATA[Ironel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Blanco]]></surname>
<given-names><![CDATA[Danays]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<given-names><![CDATA[Leidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gravier Hernández]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tarragó Portelles]]></surname>
<given-names><![CDATA[Sury Saday]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Milián Díaz]]></surname>
<given-names><![CDATA[Lazara de la Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón Rodríguez]]></surname>
<given-names><![CDATA[Ileana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rabeiro Martinez]]></surname>
<given-names><![CDATA[Carlos Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gil del Valle]]></surname>
<given-names><![CDATA[Lizette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto &#8220;Pedro Kourí&#8221; (IPK)  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,BIOCUBAFARMA Laboratorios Liorad ]]></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>53</volume>
<numero>2</numero>
<fpage>140</fpage>
<lpage>147</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24502022000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24502022000200140&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24502022000200140&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los Anestésicos Locales (AL) de la familia monoamidas se han convertido en el grupo de mayor demanda durante la realización de procedimientos quirúrgicos debido a una menor incidencia de reacciones adversas en el metabolismo del ser humano. Dentro de este grupo se encuentra la bupivacaína. En Cuba, existe una nueva formulación de este fármaco con registro CECMED en el 2014, ahora con presentación hiperbárica, por lo que se realizó un estudio de post comercialización de tipo observacional descriptivo prospectivo, en las diferentes intervenciones quirúrgicas realizadas en el Instituto de Medicina Tropical Pedro Kourí (IPK) desde julio 2018 a febrero de 2019. La bupivacaína hiperbárica administrada por vía espinal subaracnoidea, fue utilizada como anestésico de elección en 21 de las intervenciones realizadas durante este período. El 71,4 % de los pacientes operados presentaron algún antecedente patológico, siendo los más frecuentes la hipertensión arterial, asma bronquial, diabetes mellitus y la infección por VIH. El 57,15% de los pacientes llevaban como tratamiento de base uno o dos medicamentos, el 9,5 % más de dos medicamentos y el 33 % no llevaban tratamiento alguno. La anestesia fue efectiva en 20 de las intervenciones realizadas y solo en un paciente no lo fue, resultado que pudiera estar relacionado con fallos en la técnica de administración (bajo volumen del fármaco y baja velocidad de administración del mismo), pero no con la calidad intrínseca del producto. Estos resultados demostraron que la bupivacaína hiperbárica de fabricación cubana, proporcionó una efectiva y segura analgesia quirúrgica en los pacientes estudiados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Local Anesthetics (LA) of the monoamide family have become the group of greatest demand during surgical procedures due to a lower incidence of adverse reactions in the metabolism of human beings. Bupivacaine belongs to this group. In Cuba, there is a new formulation of this drug register in CECMED at 2014, now with hyperbaric presentation, for which a prospective descriptive post commercialization study was carried out in the different surgical interventions performed at the Pedro Kourí Institute of Tropical Medicine (IPK) since July 2018 to February 2019. Hyperbaric bupivacaine administered via the spinal subarachnoid route was used as the anesthetic of choice in 21 of the interventions performed during this period. 71.4% of the operated patients presented some pathological history, the most frequent being arterial hypertension, bronchial asthma, diabetes mellitus and HIV infection, respectively. The 57.15% of the patients used one or two medications as their basic treatment, 9.5% more than two medications and 33% had no treatment at all. Anesthesia was effective in 20 of the interventions performed and it was not in only one patient, a result that could be related to failures in the administration technique (low volume of the drug and low speed of drug administration), but not with the quality intrinsic to the product. These results demonstrated that Cuban-made hyperbaric bupivacaine provided effective and safe surgical analgesia in studied patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[bupivacaína]]></kwd>
<kwd lng="es"><![CDATA[anestésicos locales]]></kwd>
<kwd lng="es"><![CDATA[farmacovigilancia]]></kwd>
<kwd lng="en"><![CDATA[bupivacaine]]></kwd>
<kwd lng="en"><![CDATA[local anesthetics]]></kwd>
<kwd lng="en"><![CDATA[pharmacovigilance]]></kwd>
</kwd-group>
</article-meta>
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