Letter to the Editor
Reply to “Consensus document on tracheotomy in patients with COVID-19”
Respuesta a «Documento de consenso de la traqueotomía en pacientes con COVID-19»
a Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, Spain
b Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain
c Vicepresidente de la SEORL-CCC, Madrid, Spain
d Servicio de ORL, Hospital Clínic, Barcelona, Spain
e Vicepresidenta de la Comisión Nacional de Anestesiología, Reanimación y Terapéutica del Dolor, Spain
f Presidenta de la Sociedad Catalana de Anestesiología, Reanimación y Terapéutica del Dolor (SCARTD), Spain
Read
5079
Timeswas read the article
1825
Total PDF
3254
Total HTML
Share statistics
array:24 [ "pii" => "S2173572721000217" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.06.012" "estado" => "S300" "fechaPublicacion" => "2021-05-01" "aid" => "1558" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "copyrightAnyo" => "2020" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2021;45:254-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0210569120302515" "issn" => "02105691" "doi" => "10.1016/j.medin.2020.06.021" "estado" => "S300" "fechaPublicacion" => "2021-05-01" "aid" => "1558" "copyright" => "Elsevier España, S.L.U. y SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2021;45:254-5" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Respuesta a «Documento de consenso de la traqueotomía en pacientes con COVID-19»" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "254" "paginaFinal" => "255" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Reply to «Consensus document on tracheotomy in patients with COVID-19»" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M.C. Martín Delgado, M. Bernal-Sprekelsen, R. Villalonga Vadell" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M.C." "apellidos" => "Martín Delgado" ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Bernal-Sprekelsen" ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Villalonga Vadell" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173572721000217" "doi" => "10.1016/j.medine.2020.06.012" "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/S2173572721000217?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120302515?idApp=WMIE" "url" => "/02105691/0000004500000004/v1_202104150922/S0210569120302515/v1_202104150922/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173572721000199" "issn" => "21735727" "doi" => "10.1016/j.medine.2021.02.003" "estado" => "S300" "fechaPublicacion" => "2021-05-01" "aid" => "1390" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Intensiva. 2021;45:256-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Intensive Medicine</span>" "titulo" => "Renobronchial abscess. Sepsis secondary to complicated renoureteral colic" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "256" "paginaFinal" => "257" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Absceso renobronquial. Sepsis secundaria a cólico renoureteral complicado" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 592 "Ancho" => 580 "Tamanyo" => 37969 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0040" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Computed tomography abscessogram.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Pérez Torres, C. Arenas Mazarrota, M. Valdivia de la Fuente" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Pérez Torres" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Arenas Mazarrota" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Valdivia de la Fuente" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569119302062" "doi" => "10.1016/j.medin.2019.09.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569119302062?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572721000199?idApp=WMIE" "url" => "/21735727/0000004500000004/v1_202104220744/S2173572721000199/v1_202104220744/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173572721000205" "issn" => "21735727" "doi" => "10.1016/j.medine.2020.05.011" "estado" => "S300" "fechaPublicacion" => "2021-05-01" "aid" => "1528" "copyright" => "Elsevier España, S.L.U. and SEMICYUC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Intensiva. 2021;45:253-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to Consensus document on tracheotomy in patients with COVID 19" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "253" "paginaFinal" => "254" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a Documento de consenso de la traqueotomía en pacientes con COVID 19" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1147 "Ancho" => 900 "Tamanyo" => 136258 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0195" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Use of the protective box during a tracheostomy procedure in a patient with COVID-19.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Pérez Acosta, D. González Romero, L. Santana-Cabrera" "autores" => array:3 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Pérez Acosta" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "González Romero" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Santana-Cabrera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0210569120301790" "doi" => "10.1016/j.medin.2020.05.012" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569120301790?idApp=WMIE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572721000205?idApp=WMIE" "url" => "/21735727/0000004500000004/v1_202104220744/S2173572721000205/v1_202104220744/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Reply to “Consensus document on tracheotomy in patients with COVID-19”" "tieneTextoCompleto" => true "saludo" => "Dear Editor:" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "254" "paginaFinal" => "255" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.C. Martín Delgado, M. Bernal-Sprekelsen, R. Villalonga Vadell" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M.C." "apellidos" => "Martín Delgado" "email" => array:1 [ 0 => "mcmartindelgado@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "M." "apellidos" => "Bernal-Sprekelsen" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] 2 => array:3 [ "nombre" => "R." "apellidos" => "Villalonga Vadell" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">f</span>" "identificador" => "aff0030" ] ] ] ] "afiliaciones" => array:6 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Intensiva, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Universidad Francisco de Vitoria, Pozuelo de Alarcón, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Vicepresidente de la SEORL-CCC, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de ORL, Hospital Clínic, Barcelona, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Vicepresidenta de la Comisión Nacional de Anestesiología, Reanimación y Terapéutica del Dolor, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] 5 => array:3 [ "entidad" => "Presidenta de la Sociedad Catalana de Anestesiología, Reanimación y Terapéutica del Dolor (SCARTD), Spain" "etiqueta" => "f" "identificador" => "aff0030" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Respuesta a «Documento de consenso de la traqueotomía en pacientes con COVID-19»" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We wish to thank the warm welcome to “Consensus document on tracheostomy in patients with COVID-19”<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and congratulate the authors on their quest for tools to reduce the risk of health professionals while managing these patients.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We agree that we should be extra-cautious with patients infected with SARS-CoV-2, especially while performing high-risk procedures. Specific recommendations on the use of personal protection equipment (PPE) for every particular clinical situation have been established. The risk of contagion involved in procedures like intubation, tracheostomy or bronchoscopy and the reduced availability of PPE has triggered the design of devices that act as barriers to reduce the risk of contagion.</p><p id="par0015" class="elsevierStylePara elsevierViewall">The so-called “aerosol box” was initially designed to intubate patients with COVID-19 in an attempt to reduce the spread of unwanted aerosols.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Its use has been controversial ever since with limitations like complexity in cases of difficult airways, limited movements for operators and technicians, difficulties placing or repositioning the device in emergency cases (even damaging the patient), reduced visibility, possibility of cross contamination if the device has not been properly disinfected or risk of contagion during its retrieval.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Other barrier devices like plastic screens have been used with greater maneuverability and visualization or suction systems to reduce the viral load and spread of aerosols.</p><p id="par0020" class="elsevierStylePara elsevierViewall">From these experiences different prototypes of devices have been developed. Their ergonomics, shape, size, and type of material have improved. Their initial design has changed and adapted to the actual clinical needs. Also, some of the limitations described above have been solved. The use of more flexible curve-shaped materials has improved visibility and avoided cleaning issues. New access ports have been added that technicians and assistants can use or sealing machines have been introduced to reduce the risk of viral particle spread or systems to increase the stability of the devices.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The use of all these barriers has extended to procedures like tracheostomy (as the authors say) and other experiences.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Actually, they improve the safety of one of the most risky and common procedures often performed during these months in patients with COVID-19.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Despite the continuous improvement in the design of these devices, the apparent greater safety and confidence of health professionals should not minimize the precautions that still need to be observed in the use of PPE and other standard protection measures. Therefore, health professionals should be properly trained in the use of these devices. Simulation can be an excellent tool to validate these devices during the training process of health professionals.</p><p id="par0035" class="elsevierStylePara elsevierViewall">This necessary innovation in times of high tension and healthcare system collapse should consolidate in the near future to make sure that these medical devices are regulated, manufactured, assessed, and used according to common quality and safety standards and without new risks. To that end, multidisciplinary teams should provide their clinical experience and technological know-how to the design and manufacture processes of these devices.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Their implementation into the routine clinical practice should be accompanied by clinical results that prove their effectiveness reducing the rates of infection or the quantitative viral loads in PPE and in the environment without compromising the safety of the procedures for which they were designed in the first place.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors confirm that no funding was received while conducting this study.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Martín Delgado MC, Bernal-Sprekelsen M, Villalonga Vadell R. Respuesta a «Documento de consenso de la traqueotomía en pacientes con COVID-19». Med Intensiva. 2021;45:254–255.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Consensus document of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC), the Spanish Society of Otorhinolaryngology and Head and Neck Surgery (SEORL-CCC) and the Spanish Society of Anesthesiology and Resuscitation (SEDAR) on tracheotomy in patients with COVID-19 infection" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.C. Martín Delgado" 1 => "F.X. Avilés-Jurado" 2 => "J. álvarez Escudero" 3 => "C. Aldecoa Álvarez-Santuyano" 4 => "C. de Haro López" 5 => "P. Díaz de Cerio Canduela" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.medin.2020.05.002" "Revista" => array:2 [ "tituloSerie" => "Med Intensiva" "fecha" => "2020" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Barrier enclosure during endotracheal intubation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "R. Canelli" 1 => "C.W. Connor" 2 => "M. Gonzalez" 3 => "A. Nozari" 4 => "R. Ortega" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMc2007589" "Revista" => array:3 [ "tituloSerie" => "N Engl J Med" "fecha" => "2020" "volumen" => "382" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "More on barrier enclosure during endotracheal intubation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "W.H. Rosenblatt" 1 => "J.D. Sherman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMc2012960" "Revista" => array:5 [ "tituloSerie" => "N Engl J Med" "fecha" => "2020" "volumen" => "382" "paginaInicial" => "e69" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32369279" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Opening the discussion on a closed intubation box" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.W. Bai" 1 => "A. Ravi" 2 => "L. Notario" 3 => "M. Choi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.tacc.2020.06.004" "Revista" => array:2 [ "tituloSerie" => "Trends Anaesth Crit Care" "fecha" => "2020" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Barrier device prototype for open tracheotomy during COVID-19 pandemic" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "W. Alves Filho" 1 => "T.S. Pontes Grangeiro Teles" 2 => "M.R. Studart da Fonseca" 3 => "F.J. Farias Pereira Filho" 4 => "G. Monteiro Pereira" 5 => "A.B. Moura Pontes" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.anl.2020.05.003" "Revista" => array:4 [ "tituloSerie" => "Auris Nasus Larynx" "fecha" => "2020" "volumen" => "S0385–8146" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33875272" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735727/0000004500000004/v1_202104220744/S2173572721000217/v1_202104220744/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/21735727/0000004500000004/v1_202104220744/S2173572721000217/v1_202104220744/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572721000217?idApp=WMIE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 9 | 12 |
| 2024 October | 67 | 51 | 118 |
| 2024 September | 68 | 30 | 98 |
| 2024 August | 96 | 50 | 146 |
| 2024 July | 71 | 34 | 105 |
| 2024 June | 75 | 44 | 119 |
| 2024 May | 79 | 31 | 110 |
| 2024 April | 97 | 37 | 134 |
| 2024 March | 93 | 33 | 126 |
| 2024 February | 78 | 49 | 127 |
| 2024 January | 81 | 37 | 118 |
| 2023 December | 49 | 34 | 83 |
| 2023 November | 77 | 56 | 133 |
| 2023 October | 51 | 31 | 82 |
| 2023 September | 46 | 37 | 83 |
| 2023 August | 47 | 18 | 65 |
| 2023 July | 61 | 23 | 84 |
| 2023 June | 55 | 20 | 75 |
| 2023 May | 75 | 30 | 105 |
| 2023 April | 39 | 24 | 63 |
| 2023 March | 79 | 44 | 123 |
| 2023 February | 63 | 34 | 97 |
| 2023 January | 45 | 24 | 69 |
| 2022 December | 89 | 39 | 128 |
| 2022 November | 87 | 55 | 142 |
| 2022 October | 105 | 60 | 165 |
| 2022 September | 87 | 45 | 132 |
| 2022 August | 69 | 57 | 126 |
| 2022 July | 66 | 51 | 117 |
| 2022 June | 63 | 45 | 108 |
| 2022 May | 63 | 45 | 108 |
| 2022 April | 63 | 57 | 120 |
| 2022 March | 92 | 74 | 166 |
| 2022 February | 75 | 45 | 120 |
| 2022 January | 92 | 40 | 132 |
| 2021 December | 122 | 53 | 175 |
| 2021 November | 91 | 63 | 154 |
| 2021 October | 143 | 118 | 261 |
| 2021 September | 83 | 64 | 147 |
| 2021 August | 111 | 68 | 179 |
| 2021 July | 47 | 10 | 57 |
| 2021 June | 35 | 13 | 48 |
| 2021 May | 79 | 19 | 98 |
| 2021 April | 97 | 24 | 121 |
Show all
