<?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>1988-348X</journal-id>
<journal-title><![CDATA[Ene]]></journal-title>
<abbrev-journal-title><![CDATA[Ene.]]></abbrev-journal-title>
<issn>1988-348X</issn>
<publisher>
<publisher-name><![CDATA[Martín Rodríguez Álvaro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1988-348X2021000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistemas de aspiración de secreciones cerrados: indicaciones y cuidados]]></article-title>
<article-title xml:lang="en"><![CDATA[Closed secretion suctioning system: indications and care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Martín]]></surname>
<given-names><![CDATA[Irene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Clínico San Carlos  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1988-348X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1988-348X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1988-348X2021000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Los pacientes ingresados en Unidades de Cuidados Intensivos (UCI) que precisan ventilación mecánica invasiva aumentan la producción de secreciones bronquiales obstruyéndose la vía aérea. Por ello es necesaria la aspiración endotraqueal para eliminarlas, procedimiento invasivo que mejora permeabilidad y oxigenación. Existen dos métodos: Sistema de aspiración abierto (SAA) precisa desconectar del ventilador y Sistema cerrado (SAC) sin desconexión. Se realiza una revisión bibliográfica, con objetivo de encontrar evidencias científicas que acrediten la eficacia del uso del SAC y los riesgos que conlleva en pacientes adultos con intubación orotraqueal ingresados en UCI. Se concluye que el SAC puede mejorar la oxigenación (Recomendación IIB su uso en adultos con alta FIO2 o PEEP, o riesgo de colapso pulmonar), disminuye riesgo infección y limita la contaminación ambiental. Se propone la creación de un protocolo que asegure cumplimiento, indicación y realización correcta de la técnica, aumentando la seguridad del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Patients admitted to Intensive Care Units (ICU) who require invasive mechanical ventilation increase the production of bronchial secretions, obstructing the airway. Therefore, endotracheal aspiration is necessary to eliminate them, an invasive procedure that improves permeability and oxygenation. There are two methods: Open Aspiration System (SAA) requires disconnecting from the fan and Closed System (SAC) without disconnection. A bibliographic review is carried out, with the aim of finding scientific evidence that accredits the efficacy of the use of the SAC and the risks involved in adult patients with orotracheal intubation admitted to the ICU. It is concluded that SAC can improve oxygenation (Recommendation IIB its use in adults with high FIO2 or PEEP, or risk of lung collapse), risk of infection and limits environmental contamination. The creation of a protocol is proposed to ensure compliance, indication and correct performance of the technique, patient safety.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[aspiración de secreciones]]></kwd>
<kwd lng="es"><![CDATA[sistema cerrado de aspiración]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="en"><![CDATA[secretion suctioning]]></kwd>
<kwd lng="en"><![CDATA[closed suctioning system]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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