<?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>S1028-48182021000300015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Anestesia para cirugía abdominal urgente en síndrome de Down y tetralogía Fallot no reparada]]></article-title>
<article-title xml:lang="en"><![CDATA[Anesthesia for urgent abdominal surgery in Down syndrome and unrepaired Fallot tetralogy]]></article-title>
<article-title xml:lang="pt"><![CDATA[Anestesia para cirurgia abdominal urgente na síndrome de Down e tetralogia de Fallot não reparada]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Piñón García]]></surname>
<given-names><![CDATA[Karell]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Almarales]]></surname>
<given-names><![CDATA[Claudio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pozo Romero]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa Borrell]]></surname>
<given-names><![CDATA[Mayda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Manuel Ascunce Domenech  ]]></institution>
<addr-line><![CDATA[ Camagüey]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>25</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182021000300015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la cirugía en pacientes con síndrome de Down y tetralogía de Fallot no reparada es infrecuente, pero en ocasiones el anestesiólogo debe prestar servicio a estos pacientes para cirugías de urgencia no cardiaca.  Presentación de caso:  paciente blanco, masculino, 36 años de edad, con antecedentes de síndrome de Down y tetralogía de Fallot no reparada, con dolor abdominal de tres días de evolución en epigastrio e irradiación a fosa ilíaca derecha, sin alivio al reposo ni a la administración de analgésicos; acompañado de náuseas, vómitos y síntomas catarrales.  Discusión:  fue valorado por cirugía y se diagnosticó abdomen agudo quirúrgico por posible apendicitis aguda y mediante anestesia general orotraqueal fue intervenido con resultados favorables.  Conclusiones:  la administración de anestesia general en la conducción anestesiológica del paciente con síndrome de Down y tetralogía de Fallot no reparada para cirugía abdominal urgente, permite resultados satisfactorios durante el proceder.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  surgery in patients with Down syndrome and unrepaired tetralogy of Fallot is infrequent, but sometimes the anesthesiologist must provide services to these patients for non-cardiac emergency surgeries.  Case presentation:  white male patient, 36 years old, with a history of Down syndrome and unrepaired Fallot's tetralogy, with abdominal pain of three days of evolution in the epigastrium and irradiation to the right iliac fossa, without relief at rest or at rest. administration of analgesics; accompanied by nausea, vomiting and catarrhal symptoms.  Discussion:  it was evaluated by surgery and an acute surgical abdomen was diagnosed for possible acute appendicitis and under general or tracheal anesthesia it was operated with favorable results.  Conclusions:  the administration of general anesthesia in the anesthesiological conduction of the patient with Down syndrome and unrepaired tetralogy of Fallot for urgent abdominal surgery allows satisfactory results during the procedure.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  a cirurgia em pacientes com síndrome de Down e tetralogia de Fallot não reparada é pouco frequente, mas às vezes o anestesiologista deve fornecer serviços a esses pacientes para cirurgias de emergência não cardíaca.  Apresentação do caso:  paciente branco do sexo masculino, 36 anos, com história de síndrome de Down e tetralogia de Fallot não corrigida, com dor abdominal de três dias de evolução em epigástrio e irradiação para fossa ilíaca direita, sem alívio em repouso ou na administração de analgésicos; acompanhada de náuseas, vômitos e sintomas catarrais.  Discussão:  foi avaliado cirurgicamente e diagnosticado abdome cirúrgico agudo para possível apendicite aguda e sob anestesia geral orotraqueal operado com resultados favoráveis.  Conclusões:  a administração de anestesia geral na condução anestesiológica do paciente com síndrome de Down e tetralogia de Fallot não reparada para cirurgia abdominal de urgência permite resultados satisfatórios durante o procedimento.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de Down]]></kwd>
<kwd lng="es"><![CDATA[Tetralogía de Fallot]]></kwd>
<kwd lng="es"><![CDATA[Anestesia general orotraqueal]]></kwd>
<kwd lng="en"><![CDATA[Down syndrome]]></kwd>
<kwd lng="en"><![CDATA[Tetralogy of Fallot]]></kwd>
<kwd lng="en"><![CDATA[or tracheal general anesthesia]]></kwd>
<kwd lng="pt"><![CDATA[Down syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Tetralogia de Fallot]]></kwd>
<kwd lng="pt"><![CDATA[Anestesia geral orotraqueal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Muller]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Capp]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Hill]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hoffer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Otworth]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[McQuillan]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anesthetic Management of Elderly Patients With Down Syndrome: A Case Report]]></article-title>
<source><![CDATA[Rev J Perianesth Nurs]]></source>
<year>2020</year>
<volume>35</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>243-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Farias]]></surname>
<given-names><![CDATA[MEL]]></given-names>
</name>
<name>
<surname><![CDATA[Lopes Neto]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Llapa-Rodríguez]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Special education of students with Down Syndrome for self-care]]></article-title>
<source><![CDATA[Rev Esc Anna Nery]]></source>
<year>2020</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martini]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bidondo]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Liascovich]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Barbero]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Groisman]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia del síndrome de Down al nacimiento en Argentina]]></article-title>
<source><![CDATA[Rev Salud Colectiva]]></source>
<year>2019</year>
<volume>15</volume>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz Cuéllar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Yokoyama Rebollar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Del Castillo Ruiz]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Genómica del síndrome de Down]]></article-title>
<source><![CDATA[Rev Acta Pediatr Mex]]></source>
<year>2016</year>
<volume>37</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>289-96</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abarca Zúñiga]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Piñar Sancho]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tetralogía de fallot en pediatría]]></article-title>
<source><![CDATA[Rev Méd Sinerg]]></source>
<year>2020</year>
<volume>5</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moncayo Torres]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández Duarte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tetralogía de Fallot: diagnóstico, cirugía correctiva y manejo postoperatorio en Unidad de Cuidados Intensivos Cardiológicos Pediátricos, presentación de caso clínico y revisión bibliográfica]]></article-title>
<source><![CDATA[Rev electrónica Ciencia Digital]]></source>
<year>2019</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>35-53</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández Vázquez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Melis Suárez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestesia para cirugía convencional en paciente con tetralogía de Fallot. Presentación de un caso]]></article-title>
<source><![CDATA[Rev Méd Electrón]]></source>
<year>2017</year>
<volume>39</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>346-52</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vidal Machado]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Ginarte]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestesia y Tetralogía de Fallot. Presentación de caso]]></article-title>
<source><![CDATA[Multimed]]></source>
<year>2014</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>160-71</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flórez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Anestesia y cuidados en las intervenciones quirúrgicas de las personas con síndrome de Down]]></article-title>
<source><![CDATA[Revista Síndrome de Down]]></source>
<year>2012</year>
<volume>29</volume>
<numero>114</numero>
<issue>114</issue>
<page-range>122-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Méndez]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Peñaloza Becerra]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz Hernández]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Márquez Flores]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Retos del abordaje neuroaxial en el paciente adulto con síndrome de Down sometido a cirugía ambulatoria]]></article-title>
<source><![CDATA[Rev Hosp Jua Mex]]></source>
<year>2013</year>
<volume>80</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>145-50</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
