<?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>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2025000200135</article-id>
<article-id pub-id-type="doi">10.4321/s1134-928x2025000200011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia y seguridad en el uso del sevoflurano tópico como tratamiento en úlceras cutáneas. Revisión de alcance]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy and safety in the use of topical sevoflurane as a treatment for chronic ulcers. Scoping review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rumbo-Prieto]]></surname>
<given-names><![CDATA[José María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benavent-Colás]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Gálvez]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arantón-Areosa]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de A Coruña Departamento de Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[A Coruña ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Complejo Hospitalario Universitario de Ferrol  ]]></institution>
<addr-line><![CDATA[Ferrol A Coruña]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Comité Consultivo de la GNEAUPP Cátedra de Estudios Avanzados en Heridas GNEAUPP-FSJJ ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Servicio Valenciano de Salud Consorcio Hospital General Universitario de Valencia ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Católica San Antonio de Murcia Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[Guadalupe Murcia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Área Sanitaria de Ferrol Centro de Salud de Narón ]]></institution>
<addr-line><![CDATA[Narón A Coruña]]></addr-line>
<country>España</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,GNEAUPP Cátedra de Estudios Avanzados en Heridas GNEAUPP-FSJJ ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>135</fpage>
<lpage>146</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2025000200135&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2025000200135&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2025000200135&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Revisar la literatura publicada sobre el uso, eficacia y seguridad del sevoflurano, con el fin de determinar los beneficios y limitaciones que aporta este fármaco al tratamiento de las úlceras cutáneas, a la seguridad del paciente y a su riesgo laboral.  Metodología:  Revisión sistemática exploratoria con pregunta PICO. Se consultaron 5 bases de datos de ciencias de la salud (PubMed, EMBASE, CINAHL, Scopus y Web of Science). Se siguieron las fases del flujograma PRISMA y se aplicaron los criterios de revisión sistemática del manual del Joanna Briggs Institute.  Resultados:  Se revisaron 27 artículos de características heterogéneas por tipo de lesión y aplicación clínica. Se observó efecto analgésico local en úlceras vasculares de la extremidad inferior, en úlceras por presión y úlceras tumorales con pautas de 1 ml/cm2. No se observó efecto biocida in vivo en los estudios revisados. Hay indicios de un efecto favorecedor de la cicatrización, pero su nivel de evidencia no es suficiente. Respecto a su seguridad, se constatan efectos adversos locales transitorios de tipo leve como prurito, eritema y calor en el área de la lesión, así como existencia potencial de riesgo laboral al aplicar sevoflurano tópico en heridas.  Conclusiones:  No hay una recomendación de evidencia fuerte que avale la eficacia y seguridad del sevoflurano tópico por la baja calidad de los estudios publicados, y se debe usar de forma limitada y bajo la premisa de &#8220;uso compasivo&#8221;. Las líneas de experimentación con nuevas formulaciones farmacológicas del sevoflurano en formato gel y en microesferas resultan prometedoras para su uso rutinario de cara al futuro.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To review the published literature on the use, efficacy, and safety of sevoflurane in order to determine the benefits and limitations this drug offers in the treatment of skin ulcers, patient safety, and occupational risks.  Methodology:  Exploratory systematic review using a PICO question framework. 5 health science databases were consulted (PubMed, EMBASE, CINAHL, Scopus, and Web of Science). The PRISMA flowchart phases were followed, and the systematic review criteria from the Joanna Briggs Institute manual were applied.  Results:  A total of 27 articles with heterogeneous characteristics regarding the type of lesions and clinical applications were reviewed. A local analgesic effect was observed in vascular ulcers of the lower extremities, pressure ulcers, and tumoral ulcers using protocols of 1 ml/cm². No in vivo biocidal effect was observed in the reviewed studies. There are indications of a healing-promoting effect, but the level of evidence is insufficient. Regarding safety, transient mild adverse local effects such as pruritus, erythema, and warmth in the lesion area were documented, as well as a potential occupational risk associated with applying topical sevoflurane to wounds.  Conclusions:  There is no strong evidence-based recommendation supporting the efficacy and safety of topical sevoflurane due to the low quality of the published studies. Its use should be limited and based on the premise of &#8220;compassionate use.&#8221; Experimental lines exploring new sevoflurane pharmaceutical formulations in gel and microsphere formats appear promising for routine use in the future.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Úlcera cutánea]]></kwd>
<kwd lng="es"><![CDATA[sevoflurano]]></kwd>
<kwd lng="es"><![CDATA[analgesia]]></kwd>
<kwd lng="es"><![CDATA[microbicida tópico]]></kwd>
<kwd lng="es"><![CDATA[exposición profesional]]></kwd>
<kwd lng="en"><![CDATA[Skin ulcer]]></kwd>
<kwd lng="en"><![CDATA[sevoflurane]]></kwd>
<kwd lng="en"><![CDATA[analgesia]]></kwd>
<kwd lng="en"><![CDATA[topical microbicide]]></kwd>
<kwd lng="en"><![CDATA[occupational exposure]]></kwd>
</kwd-group>
</article-meta>
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