<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022025000300154</article-id>
<article-id pub-id-type="doi">10.51481/amc.v67i3.1466</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uso de la compresión torácica anterior continua en el manejo del síndrome de distrés respiratorio del adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Use of Continuous Anterior Chest Compression in the Management of Adult Respiratory Distress Syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilla Cuadra]]></surname>
<given-names><![CDATA[Juan Ignacio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[Johnny Salas]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Segura]]></surname>
<given-names><![CDATA[Donato A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Neurocríticos]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Programa de Terapia Respiratoria]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caja Costarricense de Seguro Social Hospital Rafael Ángel Calderón Guardia Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2025</year>
</pub-date>
<volume>67</volume>
<numero>3</numero>
<fpage>154</fpage>
<lpage>157</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022025000300154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022025000300154&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022025000300154&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presenta el caso clínico de una paciente con trombosis de senos durales que desarrolló un síndrome de dificultad respiratoria aguda severo secundario a una neumonía con hipoxemia refractaria. Por su condición de fondo no era posible utilizar ventilación prono u oxigenación por membrana extracorpórea y se decidió manejar con compresión torácica continua, la cual resultó ser una terapia exitosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract We present the clinical case of a patient with dural sinus thrombosis who developed adult respiratory failure secondary to pneumonia with refractory hypoxemia. Because of her background condition it was not possible to use prone ventilation or extracorporeal membrane oxygenation. We decided to manage with continuous chest compression, this proved to be a successful therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de dificultad respiratoria]]></kwd>
<kwd lng="es"><![CDATA[ventilación mecánica]]></kwd>
<kwd lng="es"><![CDATA[pared torácica]]></kwd>
<kwd lng="es"><![CDATA[hipoxemia]]></kwd>
<kwd lng="es"><![CDATA[neumonía nosocomial]]></kwd>
<kwd lng="en"><![CDATA[respiratory distress syndrome]]></kwd>
<kwd lng="en"><![CDATA[mechanical ventilation]]></kwd>
<kwd lng="en"><![CDATA[thoracic wall]]></kwd>
<kwd lng="en"><![CDATA[hypoxia]]></kwd>
<kwd lng="en"><![CDATA[nosocomial pneumonia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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