was read the article
array:24 [ "pii" => "S2173572718301036" "issn" => "21735727" "doi" => "10.1016/j.medine.2017.08.012" "estado" => "S300" "fechaPublicacion" => "2018-06-01" "aid" => "1107" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2017" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:322-3" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 928 "formatos" => array:3 [ "EPUB" => 159 "HTML" => 313 "PDF" => 456 ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572718301061" "issn" => "21735727" "doi" => "10.1016/j.medine.2017.11.002" "estado" => "S300" "fechaPublicacion" => "2018-06-01" "aid" => "1149" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:323" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1015 "formatos" => array:3 [ "EPUB" => 219 "HTML" => 377 "PDF" => 419 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "In reply to “Improvement opportunities for communication in the ICU”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "323" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En respuesta a «Oportunidades de mejora de la comunicación en UCI»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.M. Furqan, S. Zakaria" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M.M." "apellidos" => "Furqan" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Zakaria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210569117302310" "doi" => "10.1016/j.medin.2017.08.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117302310?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301061?idApp=WMIE" "url" => "/21735727/0000004200000005/v1_201805310404/S2173572718301061/v1_201805310404/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173572718301012" "issn" => "21735727" "doi" => "10.1016/j.medine.2017.04.009" "estado" => "S300" "fechaPublicacion" => "2018-06-01" "aid" => "1067" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Med Intensiva. 2018;42:319-21" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1143 "formatos" => array:3 [ "EPUB" => 202 "HTML" => 504 "PDF" => 437 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Near fatal bronchospasm and bradycardia after carbetocin administration" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "319" "paginaFinal" => "321" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Broncoespasmo y bradicardia grave posterior a la administración de carbetocina" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1649 "Ancho" => 2504 "Tamanyo" => 140815 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Pulmonary mechanics.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "O.R. Pérez-Nieto, J.A. Castañón-González, I.M. Lima-Lucero, L.A. Gorordo Delsol" "autores" => array:4 [ 0 => array:2 [ "nombre" => "O.R." "apellidos" => "Pérez-Nieto" ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Castañón-González" ] 2 => array:2 [ "nombre" => "I.M." "apellidos" => "Lima-Lucero" ] 3 => array:2 [ "nombre" => "L.A. Gorordo" "apellidos" => "Delsol" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210569117301481" "doi" => "10.1016/j.medin.2017.04.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117301481?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301012?idApp=WMIE" "url" => "/21735727/0000004200000005/v1_201805310404/S2173572718301012/v1_201805310404/en/main.assets" ] "asociados" => array:1 [ 0 => array:19 [ "pii" => "S2173572718301061" "issn" => "21735727" "doi" => "10.1016/j.medine.2017.11.002" "estado" => "S300" "fechaPublicacion" => "2018-06-01" "aid" => "1149" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2018;42:323" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1015 "formatos" => array:3 [ "EPUB" => 219 "HTML" => 377 "PDF" => 419 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "In reply to “Improvement opportunities for communication in the ICU”" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "323" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "En respuesta a «Oportunidades de mejora de la comunicación en UCI»" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.M. Furqan, S. Zakaria" "autores" => array:2 [ 0 => array:2 [ "nombre" => "M.M." "apellidos" => "Furqan" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Zakaria" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0210569117302310" "doi" => "10.1016/j.medin.2017.08.007" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569117302310?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301061?idApp=WMIE" "url" => "/21735727/0000004200000005/v1_201805310404/S2173572718301061/v1_201805310404/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Improvement opportunities for communication in the ICU" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "322" "paginaFinal" => "323" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Á. Estella" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Á." "apellidos" => "Estella" "email" => array:1 [ 0 => "litoestella@hotmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Gestión Clínica de Medicina Intensiva, Hospital del SAS de Jerez, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Oportunidades de mejora de la comunicación en UCI" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">I have read with interest the article published by Furqan and Zakaria<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> about the implementation of strategies to improve communication. The authors suggest the participation in ICU communication of a social worker or specialized nursing, even have cited experiences with the incorporation of experts in bioethics to perform this function. In my opinion, I am not clear that such actions necessarily lead to improvements in this area. Studies referenced were performed in a health system with different financing that Spanish model. Benefits with respect to the decrease of the ICU length of stay can be influenced by this factor and by the limitation of support treatment decisions. It is difficult to understand that communication influences ICU length of stay when the primary objective of this process must be different: to respect and to promote the autonomy of the patient and to minimize the anxiety of suffering a serious illness reinforcing the necessary confidence in the relationship of the health team-patient. Effective communication in the ICU is a chronically outstanding issue,<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a> It is indisputable that training in this field is deficient, communication has to be a skill to acquire in Intensive Care<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> with equal importance among others like management of septic shock or mechanical ventilation.</p><p id="par0010" class="elsevierStylePara elsevierViewall">But I have doubts about whether the inclusion of these professionals actually improves communication in clinical practice.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> It seems to me fundamental that the intensivist should lead the information procedure, including nurses, patients and their families in bedside rounds to provide direct dialogue and to reduce the occurrence of miscommunication. The complexity of the treatments established in the ICU, diagnostic tests results, clinical changes and prognosis of the critical patient can hardly be explained by the social worker with more rigour than the intensivist. It should not be a rule that the physician has less communicative capacity than other specialists, rational and emotional elements must be at the same time in the effective communication.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Intensivist must be trained in values, ethical behaviour leads to conquest the trust of his patients and relatives, this conquest is not achieved in a day nor can be obtained alone. It requires time, accompaniment and teamwork with the nursing and other trained professionals.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The era of conscious sedation<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a> must lead us to abandon topics about the incapacity of the critically ill patient. Being sick, intubated or receiving invasive treatments is not synonymous of incapacity. When it is not possible to communicate with the patient we will do it with their relatives with special dedication through an assertive, close and coordinated team capable of understanding the emotions that disturb the capacity of decision.</p><p id="par0025" class="elsevierStylePara elsevierViewall">As reported in the article, the variability in communication to critical patients and their relatives is a frequently perceived problem, non-technical skills in ICU are relatively neglected. Not all professionals communicate equally, then it is not only a problem of specialization or training, not even of experience. A more complex and integrative process based on critically ill patient values is required.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0035" class="elsevierStylePara elsevierViewall">No conflict of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Challenges in the implementation of strategies to increase communication and enhance patient and family centered care in the ICU" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.M. Furqan" 1 => "S. Zakaria" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2017.01.011" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva" "fecha" => "2017" "volumen" => "41" "paginaInicial" => "365" "paginaFinal" => "367" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28318678" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Half the families of intensive care unit patients experience inadequate communication with physicians" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Azoulay" 1 => "S. Chevret" 2 => "G. Leleu" 3 => "F. Pochard" 4 => "M. Barboteu" 5 => "C. Adrie" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Crit Care Med" "fecha" => "2000" "volumen" => "28" "paginaInicial" => "3044" "paginaFinal" => "3049" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10966293" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fellows
tm) communication skills" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R.M. Arnold" 1 => "A.L. Back" 2 => "A.E. Barnato" 3 => "T.J. Prendergast" 4 => "L.L. Emlet" 5 => "I. Karpov" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jcrc.2014.11.016" "Revista" => array:7 [ "tituloSerie" => "J Crit Care" "fecha" => "2015" "volumen" => "30" "paginaInicial" => "250" "paginaFinal" => "254" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25535029" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0749806316002449" "estado" => "S300" "issn" => "07498063" ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The role of the social worker in the adult critical care unit: a systematic review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "K. Hartman-Shea" 1 => "A.P. Hahn" 2 => "J. Fritz Kraus" 3 => "G. Cordts" 4 => "J. Sevransky" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1080/00981389.2010.506411" "Revista" => array:6 [ "tituloSerie" => "Soc Work Health Care" "fecha" => "2011" "volumen" => "50" "paginaInicial" => "143" "paginaFinal" => "157" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21347983" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Guía de práctica clínica basada en la evidencia para el manejo de la sedoanalgesia en el paciente adulto críticamente enfermo" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Celis-Rodríguez" 1 => "C. Birchenall" 2 => "M.A. De la Cal" 3 => "G. Castorena Arellano" 4 => "A. Hernández" 5 => "D. Ceraso" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2013.04.001" "Revista" => array:6 [ "tituloSerie" => "Med Intensiva" "fecha" => "2013" "volumen" => "37" "paginaInicial" => "519" "paginaFinal" => "574" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23773859" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004200000005/v1_201805310404/S2173572718301036/v1_201805310404/en/main.assets" "Apartado" => array:4 [ "identificador" => "64604" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735727/0000004200000005/v1_201805310404/S2173572718301036/v1_201805310404/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572718301036?idApp=WMIE" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 12 | 20 |
2024 October | 30 | 45 | 75 |
2024 September | 29 | 30 | 59 |
2024 August | 35 | 43 | 78 |
2024 July | 30 | 30 | 60 |
2024 June | 30 | 39 | 69 |
2024 May | 28 | 25 | 53 |
2024 April | 37 | 26 | 63 |
2024 March | 30 | 23 | 53 |
2024 February | 40 | 30 | 70 |
2024 January | 26 | 33 | 59 |
2023 December | 22 | 39 | 61 |
2023 November | 22 | 28 | 50 |
2023 October | 29 | 27 | 56 |
2023 September | 21 | 39 | 60 |
2023 August | 18 | 22 | 40 |
2023 July | 25 | 25 | 50 |
2023 June | 19 | 15 | 34 |
2023 May | 29 | 30 | 59 |
2023 April | 20 | 21 | 41 |
2023 March | 37 | 36 | 73 |
2023 February | 22 | 29 | 51 |
2023 January | 15 | 24 | 39 |
2022 December | 31 | 40 | 71 |
2022 November | 27 | 30 | 57 |
2022 October | 40 | 30 | 70 |
2022 September | 28 | 35 | 63 |
2022 August | 25 | 47 | 72 |
2022 July | 18 | 31 | 49 |
2022 June | 16 | 21 | 37 |
2022 May | 23 | 33 | 56 |
2022 April | 26 | 36 | 62 |
2022 March | 26 | 42 | 68 |
2022 February | 19 | 24 | 43 |
2022 January | 20 | 35 | 55 |
2021 December | 33 | 47 | 80 |
2021 November | 18 | 32 | 50 |
2021 October | 39 | 62 | 101 |
2021 September | 15 | 26 | 41 |
2021 August | 12 | 33 | 45 |
2021 July | 17 | 35 | 52 |
2021 June | 22 | 31 | 53 |
2021 May | 27 | 49 | 76 |
2021 April | 67 | 69 | 136 |
2021 March | 35 | 32 | 67 |
2021 February | 29 | 19 | 48 |
2021 January | 30 | 22 | 52 |
2020 December | 24 | 14 | 38 |
2020 November | 13 | 16 | 29 |
2020 October | 22 | 28 | 50 |
2020 September | 32 | 33 | 65 |
2020 August | 13 | 18 | 31 |
2020 July | 17 | 15 | 32 |
2020 June | 24 | 22 | 46 |
2020 May | 20 | 13 | 33 |
2020 April | 23 | 16 | 39 |
2020 March | 8 | 13 | 21 |
2020 February | 21 | 37 | 58 |
2020 January | 23 | 33 | 56 |
2019 December | 17 | 23 | 40 |
2019 November | 30 | 27 | 57 |
2019 October | 22 | 15 | 37 |
2019 September | 21 | 31 | 52 |
2019 August | 14 | 16 | 30 |
2019 July | 17 | 26 | 43 |
2019 June | 8 | 10 | 18 |
2019 May | 30 | 32 | 62 |
2019 April | 13 | 31 | 44 |
2019 March | 11 | 22 | 33 |
2019 February | 15 | 27 | 42 |
2019 January | 14 | 28 | 42 |
2018 December | 39 | 30 | 69 |
2018 November | 18 | 64 | 82 |
2018 October | 7 | 9 | 16 |
2018 June | 1 | 2 | 3 |