<?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>S1988-348X2021000300010</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Sistemas de aspiración: incidencia en neumonía asociada a ventilación mecánica y efectos hemodinámicos]]></article-title>
<article-title xml:lang="en"><![CDATA[Suction systems: incidence of ventilator associated pneumonia and hemodynamic effects]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Palma]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón Vega]]></surname>
<given-names><![CDATA[Eugenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vidal Ortega]]></surname>
<given-names><![CDATA[Johana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Dr. Gustavo Fricke  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Valparaíso  ]]></institution>
<addr-line><![CDATA[ ]]></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>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1988-348X2021000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1988-348X2021000300010&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1988-348X2021000300010&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la neumonía asociada a ventilación mecánica se caracteriza por presentarse en pacientes con uso de vía aérea artificial, es la segunda causa de infección nosocomial en el paciente crítico, aumenta la mortalidad y los días de hospitalización. Los sistemas de aspiración forman parte de las medidas de prevención de este tipo de neumonía, además ambos presentan cambios en los parámetros hemodinámicos sin mantener un estándar claro respecto a superioridad sobre cada uno de estos.  Objetivos: realizar una comparación de los dos tipos de sistemas de aspiración y su relación con la NAVM y las complicaciones hemodinámicas relacionadas a través de una revisión sistemática.  Metodología: se realizó una revisión sistemática guiada por la formulación de una pregunta estructurada en base a formato PICO considerando el tipo de sistema de aspiración utilizado, incidencia de NAVM y complicaciones hemodinámicas asociadas.  Resultados: se incluyeron 12 artículos separados en dos grupos &#8211; relación entre sistemas de aspiración y neumonía asociada a ventilación mecánica y relación entre sistemas de aspiración e impacto en la hemodinamia &#8211;, se incluyeron estudios de 10 países, los rangos de edad media para ambos grupos radican entre los 62,54 años y 57,62 años. Del primer grupo la relación causal entre el tipo de sistema de aspiración y la presencia de neumonía asociada a ventilación mecánica no evidencia significancia sustancial (valor P&gt;0.05); en el segundo grupo se identifican en la mayoría de los documentos factores relacionados a cambios en la hemodinamia de acuerdo al tipo de sistema de aspiración utilizado como son alteraciones en saturación de oxígeno, frecuencia cardiaca y presión arterial media (valor P&gt;0.05) y en un grupo menor se identifican cambios en la saturación arterial de oxígeno.  Discusión y conclusión: no se logró determinar un impacto sobre cuál tipo de sistema de aspiración genera una mantención y/o disminución de la neumonía asociada a ventilación mecánica debido a la falta de significancia estadística, es relevante indicar que en la mayoría de las variables hemodinámicas existió una variación de los parámetros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: ventilation-associated pneumonial is characterized for presenting in patients with use of artificial airway, it is the second cause of nosocomial infection in critically ill patients, it increases mortality and days of hospitalization. Aspiration systems are part of the prevention measures for this type of pneumonia, in addition, both present changes in hemodynamic parameters without maintaining a clear standard regarding superiority over each other.  Objectives: to make a comparison of the two types of aspiration systems and their relationship with VAP and related hemodynamic complications through a systematic review.  Methodology: a systematic review was carried out guided by the formulation of a structured question based on the PICO format considering the type of aspiration system used, incidence of VAP and associated hemodynamic complications.  Results: there were included 12 articles separated into two groups - relationship between aspiration systems and pneumonia associated with mechanical ventilation and relationship between aspiration systems and impact on hemodynamics &#8211; there were included studies from 10 countries, the mean age ranges for both groups was between 62.54 years and 57.62 years. In the first group, the causal relationship between the type of aspiration system and the presence of pneumonia associated with mechanical ventilation does not show substantial significance (P value&gt; 0.05); In the second group, factors related to changes in hemodynamics are identified in most of the documents according to the type of suction system used, such as alterations in oxygen saturation, heart rate and mean arterial blood pressure (P value&gt; 0.05) and in a smaller group identifies changes in arterial oxygen saturation.  Discussion and conclusion: it was not possible to determine an impact on which type of aspiration system generates maintenance or reduction of ventilation-associated pneumonial due to the lack of statistical significance, it is relevant to indicate that in most of the hemodynamic variables there was a variation of the parameters.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Neumonía asociada al ventilador]]></kwd>
<kwd lng="es"><![CDATA[revisión sistemática]]></kwd>
<kwd lng="es"><![CDATA[hemodinamia]]></kwd>
<kwd lng="es"><![CDATA[cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[cuidados de enfermería]]></kwd>
<kwd lng="en"><![CDATA[ventilator &#8211; associated pneumonia]]></kwd>
<kwd lng="en"><![CDATA[systematic review]]></kwd>
<kwd lng="en"><![CDATA[hemodynamic]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="en"><![CDATA[nursing care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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