<?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>0120-3347</journal-id>
<journal-title><![CDATA[Colombian Journal of Anestesiology]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. anestesiol.]]></abbrev-journal-title>
<issn>0120-3347</issn>
<publisher>
<publisher-name><![CDATA[SCARE-Sociedad Colombiana de Anestesiología y Reanimación]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-33472019000100057</article-id>
<article-id pub-id-type="doi">10.1097/cj9.0000000000000092</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effectiveness and safety of exclusive spinal anesthesia with bupivacaine versus femoral sciatic block during the postoperative period of patients having undergone knee arthroscopy: systematic review]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectividad y seguridad de la anestesia espinal exclusiva con bupivacaína vs el bloqueo ciático femoral en el postoperatorio de pacientes llevados a artroscopia de rodilla: revisión sistemática]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Calderón-Ochoa]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa-Oliveros]]></surname>
<given-names><![CDATA[Anderson]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rincón-Plata]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinto-Quiñones]]></surname>
<given-names><![CDATA[Isaías]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud School of Medicine ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud School of Medicine Department of Orthopedics and Traumatology]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital de San José Unit of Orthopedics ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud School of Medicine Department of Anesthesiology]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de San José Unit of Anesthesiology ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>47</volume>
<numero>1</numero>
<fpage>57</fpage>
<lpage>68</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-33472019000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-33472019000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-33472019000100057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Spinal anesthesia (SA) and sciatic-femoral nerve block are the most widely used anesthesia techniques for knee arthroscopy; however, there is still some controversy with regard to which anesthetic procedure offers improved safety, better pain control, and higher patient satisfaction.  Objective: To assess the effectiveness of exclusive SA with bupivacaine versus sciatic-femoral nerve block, regardless of the drug, during the postoperative period of patients having undergone knee arthroscopy, through a systematic review of the scientific literature.  Methods: A search of Randomized Clinical Trials was conducted in a number of databases including Ovid, Cochrane, Embase, Lilacs, Open Grey, ClinicalTrials.gov, and academic Google. The snowball technique was also used to identify additional trials. The design of the search strategy included Boolean operators and considered studies in English, Spanish, and Portuguese, with no date restrictions. The information is presented in narrative form.  Results: The search identified 478 studies, of which 3 met the eligibility criteria. The effectiveness was evaluated based on total anesthesia time and rescue analgesia. Safety was evaluated with heart rate monitoring and time to first micturition. Patient satisfaction was identified through surveys to measure the acceptance of the anesthetic technique.  Conclusion: SA is effective as assessed based on the motor-sensory blockade effect and pain control, but its adverse events shall be taken into consideration when making a decision. The anesthetic techniques of the peripheral sciatic-femoral nerve block present less undesirable side effects than spinal analgesia and provide better postoperative pain control.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La anestesia espinal y el bloqueo de nervios ciático-femoral son las técnicas de anestesia regional más utilizadas para la artroscopia de rodilla, sin embargo, existe controversia en relación a qué procedimiento anestésico ofrece mayor seguridad, mejor control del dolor y satisfacción del paciente.  Objetivo: Evaluar la efectividad de la anestesia espinal exclusiva con bupivacaína vs el bloqueo de nervio ciático -femoral sin distinción de fármaco en el postoperatorio de pacientes intervenidos con artroscopia de rodilla, a través de una revisión sistemática de la literatura científica.  Métodos: se realizó una búsqueda de Ensayos Clínicos Aleatorizados en las bases de datos Ovid, Cochrane, Embase, Lilacs, al igual que en Open Grey, ClinicalTrials.gov y Google académico, también se utilizó la técnica bola de nieve para encontrar estudios adicionales. El diseño de la estrategia de búsqueda incluyó operadores boleanos y consideró estudios en inglés, español y portugués, sin restricción de fecha. La información se presenta de forma narrativa.  Resultados: la búsqueda identificó 478 estudios de los cuales tres cumplieron los criterios de elegibilidad. La efectividad fue valorada con el tiempo total de anestesia y analgesia de rescate. La seguridad fue evaluada con monitoreo de frecuencia cardiaca y tiempo de primera micción. La satisfacción del paciente se indagó a través de encuestas de aceptación de la técnica anestésica.  Conclusiones: la anestesia espinal resulta efectiva valorada por el efecto de bloqueo motor-sensitivo y control del dolor, pero sus eventos adversos deben ser considerados en la selección. Las técnicas anestésicas de bloqueo periférico del nervio ciático-femoral presentan menos efectos indeseables que la analgesia espinal y ofrecen un mejor control del dolor postoperatorio.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Arthroscopy]]></kwd>
<kwd lng="en"><![CDATA[Knee]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia]]></kwd>
<kwd lng="en"><![CDATA[Spinal]]></kwd>
<kwd lng="en"><![CDATA[Nerve Block]]></kwd>
<kwd lng="en"><![CDATA[Bupivacaine]]></kwd>
<kwd lng="es"><![CDATA[Artroscopía]]></kwd>
<kwd lng="es"><![CDATA[Rodilla]]></kwd>
<kwd lng="es"><![CDATA[Anestesia Raquídea]]></kwd>
<kwd lng="es"><![CDATA[Bloqueo Nervioso]]></kwd>
<kwd lng="es"><![CDATA[Bupivacaína]]></kwd>
</kwd-group>
</article-meta>
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