array:24 [
  "pii" => "S2173572723001662"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2023.10.006"
  "estado" => "S300"
  "fechaPublicacion" => "2023-11-01"
  "aid" => "1926"
  "copyright" => "Elsevier España, S.L.U. and SEMICYUC"
  "copyrightAnyo" => "2023"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2023;47:676-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569123002553"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2023.08.007"
      "estado" => "S300"
      "fechaPublicacion" => "2023-11-01"
      "aid" => "1926"
      "copyright" => "Elsevier España, S.L.U. y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Med Intensiva. 2023;47:676-7"
      "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" => "La figura del Coordinador de <span class="elsevierStyleItalic">Patient Blood Management</span>&#44; &#191;nos posicionamos&#63;"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "676"
            "paginaFinal" => "677"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Patient Blood Management Coordinator&#44; shall we position ourselves&#63;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Kapil Laxman Nanwani-Nanwani, Mar&#237;a Gero Escapa, Ainhoa Serrano L&#225;zaro, Manuel Quintana D&#237;az"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Kapil Laxman"
                "apellidos" => "Nanwani-Nanwani"
              ]
              1 => array:2 [
                "nombre" => "Mar&#237;a"
                "apellidos" => "Gero Escapa"
              ]
              2 => array:2 [
                "nombre" => "Ainhoa"
                "apellidos" => "Serrano L&#225;zaro"
              ]
              3 => array:2 [
                "nombre" => "Manuel"
                "apellidos" => "Quintana D&#237;az"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572723001662"
          "doi" => "10.1016/j.medine.2023.10.006"
          "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/S2173572723001662?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002553?idApp=WMIE"
      "url" => "/02105691/0000004700000011/v1_202310232124/S0210569123002553/v1_202310232124/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572723000668"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.05.008"
    "estado" => "S300"
    "fechaPublicacion" => "2023-11-01"
    "aid" => "1880"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:678-9"
    "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" => "Multiple fistulization and atrioventricular block in a patient with infective endocarditis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "678"
          "paginaFinal" => "679"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Fistulizaci&#243;n m&#250;ltiple y bloqueo auriculoventricular en un paciente con endocarditis infecciosa"
        ]
      ]
      "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" => 934
              "Ancho" => 1348
              "Tamanyo" => 109887
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ram&#243;n Mula Mart&#237;nez, Manuela Santos Parralo, Gaspar Tuero Le&#243;n"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Mula Mart&#237;nez"
            ]
            1 => array:2 [
              "nombre" => "Manuela"
              "apellidos" => "Santos Parralo"
            ]
            2 => array:2 [
              "nombre" => "Gaspar"
              "apellidos" => "Tuero Le&#243;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569123000955"
        "doi" => "10.1016/j.medin.2023.04.011"
        "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/S0210569123000955?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723000668?idApp=WMIE"
    "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723000668/v1_202310301741/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572723001297"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.07.008"
    "estado" => "S300"
    "fechaPublicacion" => "2023-11-01"
    "aid" => "1905"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2023;47:675-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Can we use national registries to predict discharge reports&#63;&#58; An example with the ENVIN and RETRAUCI registries"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "675"
          "paginaFinal" => "676"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Podemos utilizar los registros nacionales para predecir el informe de alta&#63;&#58; ejemplo con los registros ENVIN y RETRAUCI"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Marcos Valiente Fern&#225;ndez, Amanda Lesmes Gonz&#225;lez de Aledo, Isa&#237;as Mart&#237;n Bad&#237;a, Francisco de Paula Delgado Moya"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Marcos"
              "apellidos" => "Valiente Fern&#225;ndez"
            ]
            1 => array:2 [
              "nombre" => "Amanda"
              "apellidos" => "Lesmes Gonz&#225;lez de Aledo"
            ]
            2 => array:2 [
              "nombre" => "Isa&#237;as"
              "apellidos" => "Mart&#237;n Bad&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco de Paula"
              "apellidos" => "Delgado Moya"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001297?idApp=WMIE"
    "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723001297/v1_202310301741/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "The Patient Blood Management Coordinator&#44; shall we position ourselves&#63;"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "676"
        "paginaFinal" => "677"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Kapil Laxman Nanwani-Nanwani, Mar&#237;a Gero Escapa, Ainhoa Serrano L&#225;zaro, Manuel Quintana D&#237;az"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Kapil Laxman"
            "apellidos" => "Nanwani-Nanwani"
            "email" => array:1 [
              0 => "kapilnanwani@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" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Mar&#237;a"
            "apellidos" => "Gero Escapa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ainhoa"
            "apellidos" => "Serrano L&#225;zaro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Manuel"
            "apellidos" => "Quintana D&#237;az"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario La Paz&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Instituto de Investigaci&#243;n del Hospital Universitario La Paz &#40;IdiPAZ&#41;&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario de Burgos&#44; Burgos&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La figura del Coordinador de Patient Blood Management&#44; &#191;nos posicionamos&#63;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient blood management &#40;PBM&#41;&#44; translated into Spanish as &#34;Gesti&#243;n de la Sangre del Paciente&#34; &#40;GSP&#41;&#44; is a multidisciplinary strategy to preserve and optimize a patient&#39;s red blood cell mass&#44; avoid unnecessary transfusions&#44; and use the medical and surgical interventions available rationally according to the best available evidence&#46; Therefore&#44; PBM focuses on 3 pillars with over 100 procedures described&#58; comprehensive management of anemia &#40;detection and treatment&#41;&#44; minimization of unnecessary or iatrogenic blood loss &#40;medical-surgical hemostasis and blood conservation strategies&#41;&#44; and optimization of physiological tolerance to anemia and rational transfusion practices &#40;restrictive transfusion thresholds&#44; optimization of hemodynamics&#44; and oxygen consumption&#47;transport&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The implementation of PBM is cost-effective and associated with a reduction of blood transfusions up to 39&#37;&#44; along with a lower mortality rate&#44; and transfusion-related complications &#40;length of stay&#44; readmissions&#44; rates of infection&#44; and renal failure&#44; among others&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;4</span></a> The advantages of PBM programs are so significant that the World Health Organization &#40;WHO&#41; and the Council of Europe recommend their implementation&#46; However&#44; the reality is that the adoption of these recommendations is very heterogeneous in our country&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Additionally&#44; blood components and blood products are becoming increasingly limited resources&#44; and their inappropriate use goes against the altruistic spirit that surrounds blood donation in Spain&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Therefore&#44; we believe that the creation of the role of &#34;PBM Coordinator&#34; in each hospital is a matter of civil and professional responsibility&#44; similar to the already existing and functioning roles of coordinator of Antimicrobial Stewardship Programs &#40;ASP&#41; or the transplant coordinator&#44; which is consistent with the existing national program of the Maturity Assessment Model in PBM &#40;MAPBM&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In essence&#44; this role would work on 2 fronts&#58; providing training and clinical advice on PBM at hospital level&#46; It would involve a complex task including multiple medical and surgical specialties working together to optimize and rationalize the use of blood components and blood products in hospitalized patients&#44; whether in hospital wards&#44; emergency areas&#44; and especially in critical care units&#44; as we saw in a study published in <span class="elsevierStyleItalic">Medicina Intensiva</span> on transfusion practices being highly heterogeneous and subject to optimization&#44; especially in chronic critically ill patients&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Having this role taken over by an intensivist is a matter of attitude and commitment&#46; Shall we position ourselves&#63;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Funding"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-08-18"
    "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" => "Multimodal Patient Blood Management program based on a three-pillar strategy&#58; A systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46;C&#46; Althoff"
                            1 => "H&#46; Neb"
                            2 => "E&#46; Herrmann"
                            3 => "K&#46;M&#46; Trentino"
                            4 => "L&#46; Vernich"
                            5 => "C&#46; F&#252;llenbach"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/SLA.0000000000003095"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Surg"
                        "fecha" => "2019"
                        "volumen" => "269"
                        "paginaInicial" => "794"
                        "paginaFinal" => "804"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30418206"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1201971212000367"
                          "estado" => "S300"
                          "issn" => "12019712"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A global definition of Patient Blood Management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Shander"
                            1 => "J&#46;F&#46; Hardy"
                            2 => "S&#46; Ozawa"
                            3 => "S&#46;L&#46; Farmer"
                            4 => "A&#46; Hofmann"
                            5 => "S&#46;M&#46; Frank"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1213/ANE.0000000000005873"
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesth Analg"
                        "fecha" => "2022"
                        "volumen" => "135"
                        "paginaInicial" => "476"
                        "paginaFinal" => "488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35147598"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "From blood saving programs to patient blood management and beyond"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Ripoll&#233;s-Melchor"
                            1 => "C&#46; Jeric&#243;-Alba"
                            2 => "M&#46; Quintana-D&#237;az"
                            3 => "J&#46;A&#46; Garc&#237;a-Erce"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medcli.2018.02.027"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2018"
                        "volumen" => "151"
                        "paginaInicial" => "368"
                        "paginaFinal" => "373"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29691060"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is a Patient Blood Management programme economically reasonable&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Hof"
                            1 => "S&#46; Choorapoikayil"
                            2 => "P&#46; Meybohm"
                            3 => "K&#46; Zacharowski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/ACO.0000000000001230"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Anaesthesiol"
                        "fecha" => "2023"
                        "volumen" => "36"
                        "paginaInicial" => "228"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/36728724"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a de la transfusi&#243;n sangu&#237;nea en los Servicios de Medicina Intensiva en Espa&#241;a&#58; &#171;Transfusion Day&#187;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Quintana-Diaz"
                            1 => "K&#46; Nanwani-Nanwani"
                            2 => "P&#46; Marcos-Neira"
                            3 => "A&#46; Serrano-L&#225;zaro"
                            4 => "R&#46; Juarez-Vela"
                            5 => "E&#46;M&#46; Andr&#233;s-Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2020.08.015"
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2022"
                        "volumen" => "46"
                        "paginaInicial" => "123"
                        "paginaFinal" => "9131"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723001662/v1_202310301741/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/21735727/0000004700000011/v1_202310301741/S2173572723001662/v1_202310301741/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001662?idApp=WMIE"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Letter to the Editor
The Patient Blood Management Coordinator, shall we position ourselves?
La figura del Coordinador de Patient Blood Management, ¿nos posicionamos?
Kapil Laxman Nanwani-Nanwania,b,
Corresponding author
kapilnanwani@gmail.com

Corresponding author.
, María Gero Escapac, Ainhoa Serrano Lázarod, Manuel Quintana Díaza,b
a Servicio de Medicina Intensiva, Hospital Universitario La Paz, Madrid, Spain
b Instituto de Investigación del Hospital Universitario La Paz (IdiPAZ), Madrid, Spain
c Servicio de Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain
d Servicio de Medicina Intensiva, Hospital Clínico Universitario de Valencia, Valencia, Spain
Read
837
Times
was read the article
339
Total PDF
498
Total HTML
Share statistics
 array:24 [
  "pii" => "S2173572723001662"
  "issn" => "21735727"
  "doi" => "10.1016/j.medine.2023.10.006"
  "estado" => "S300"
  "fechaPublicacion" => "2023-11-01"
  "aid" => "1926"
  "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
  "copyrightAnyo" => "2023"
  "documento" => "simple-article"
  "crossmark" => 1
  "subdocumento" => "cor"
  "cita" => "Med Intensiva. 2023;47:676-7"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S0210569123002553"
      "issn" => "02105691"
      "doi" => "10.1016/j.medin.2023.08.007"
      "estado" => "S300"
      "fechaPublicacion" => "2023-11-01"
      "aid" => "1926"
      "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; y SEMICYUC"
      "documento" => "simple-article"
      "crossmark" => 1
      "subdocumento" => "cor"
      "cita" => "Med Intensiva. 2023;47:676-7"
      "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" => "La figura del Coordinador de <span class="elsevierStyleItalic">Patient Blood Management</span>&#44; &#191;nos posicionamos&#63;"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "676"
            "paginaFinal" => "677"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "The Patient Blood Management Coordinator&#44; shall we position ourselves&#63;"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "Kapil Laxman Nanwani-Nanwani, Mar&#237;a Gero Escapa, Ainhoa Serrano L&#225;zaro, Manuel Quintana D&#237;az"
            "autores" => array:4 [
              0 => array:2 [
                "nombre" => "Kapil Laxman"
                "apellidos" => "Nanwani-Nanwani"
              ]
              1 => array:2 [
                "nombre" => "Mar&#237;a"
                "apellidos" => "Gero Escapa"
              ]
              2 => array:2 [
                "nombre" => "Ainhoa"
                "apellidos" => "Serrano L&#225;zaro"
              ]
              3 => array:2 [
                "nombre" => "Manuel"
                "apellidos" => "Quintana D&#237;az"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2173572723001662"
          "doi" => "10.1016/j.medine.2023.10.006"
          "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/S2173572723001662?idApp=WMIE"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210569123002553?idApp=WMIE"
      "url" => "/02105691/0000004700000011/v1_202310232124/S0210569123002553/v1_202310232124/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S2173572723000668"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.05.008"
    "estado" => "S300"
    "fechaPublicacion" => "2023-11-01"
    "aid" => "1880"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "sco"
    "cita" => "Med Intensiva. 2023;47:678-9"
    "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" => "Multiple fistulization and atrioventricular block in a patient with infective endocarditis"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "678"
          "paginaFinal" => "679"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Fistulizaci&#243;n m&#250;ltiple y bloqueo auriculoventricular en un paciente con endocarditis infecciosa"
        ]
      ]
      "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" => 934
              "Ancho" => 1348
              "Tamanyo" => 109887
            ]
          ]
          "detalles" => array:1 [
            0 => array:3 [
              "identificador" => "at0005"
              "detalle" => "Figure "
              "rol" => "short"
            ]
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Ram&#243;n Mula Mart&#237;nez, Manuela Santos Parralo, Gaspar Tuero Le&#243;n"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "Ram&#243;n"
              "apellidos" => "Mula Mart&#237;nez"
            ]
            1 => array:2 [
              "nombre" => "Manuela"
              "apellidos" => "Santos Parralo"
            ]
            2 => array:2 [
              "nombre" => "Gaspar"
              "apellidos" => "Tuero Le&#243;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0210569123000955"
        "doi" => "10.1016/j.medin.2023.04.011"
        "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/S0210569123000955?idApp=WMIE"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723000668?idApp=WMIE"
    "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723000668/v1_202310301741/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S2173572723001297"
    "issn" => "21735727"
    "doi" => "10.1016/j.medine.2023.07.008"
    "estado" => "S300"
    "fechaPublicacion" => "2023-11-01"
    "aid" => "1905"
    "copyright" => "Elsevier Espa&#241;a&#44; S&#46;L&#46;U&#46; and SEMICYUC"
    "documento" => "simple-article"
    "crossmark" => 1
    "subdocumento" => "cor"
    "cita" => "Med Intensiva. 2023;47:675-6"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
      "titulo" => "Can we use national registries to predict discharge reports&#63;&#58; An example with the ENVIN and RETRAUCI registries"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "675"
          "paginaFinal" => "676"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "&#191;Podemos utilizar los registros nacionales para predecir el informe de alta&#63;&#58; ejemplo con los registros ENVIN y RETRAUCI"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "Marcos Valiente Fern&#225;ndez, Amanda Lesmes Gonz&#225;lez de Aledo, Isa&#237;as Mart&#237;n Bad&#237;a, Francisco de Paula Delgado Moya"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "Marcos"
              "apellidos" => "Valiente Fern&#225;ndez"
            ]
            1 => array:2 [
              "nombre" => "Amanda"
              "apellidos" => "Lesmes Gonz&#225;lez de Aledo"
            ]
            2 => array:2 [
              "nombre" => "Isa&#237;as"
              "apellidos" => "Mart&#237;n Bad&#237;a"
            ]
            3 => array:2 [
              "nombre" => "Francisco de Paula"
              "apellidos" => "Delgado Moya"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001297?idApp=WMIE"
    "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723001297/v1_202310301741/en/main.assets"
  ]
  "en" => array:14 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>"
    "titulo" => "The Patient Blood Management Coordinator&#44; shall we position ourselves&#63;"
    "tieneTextoCompleto" => true
    "saludo" => "Dear Editor&#58;"
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "676"
        "paginaFinal" => "677"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "Kapil Laxman Nanwani-Nanwani, Mar&#237;a Gero Escapa, Ainhoa Serrano L&#225;zaro, Manuel Quintana D&#237;az"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "Kapil Laxman"
            "apellidos" => "Nanwani-Nanwani"
            "email" => array:1 [
              0 => "kapilnanwani@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" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "Mar&#237;a"
            "apellidos" => "Gero Escapa"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "Ainhoa"
            "apellidos" => "Serrano L&#225;zaro"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "Manuel"
            "apellidos" => "Quintana D&#237;az"
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:4 [
          0 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario La Paz&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Instituto de Investigaci&#243;n del Hospital Universitario La Paz &#40;IdiPAZ&#41;&#44; Madrid&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Universitario de Burgos&#44; Burgos&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Medicina Intensiva&#44; Hospital Cl&#237;nico Universitario de Valencia&#44; Valencia&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "La figura del Coordinador de Patient Blood Management&#44; &#191;nos posicionamos&#63;"
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Patient blood management &#40;PBM&#41;&#44; translated into Spanish as &#34;Gesti&#243;n de la Sangre del Paciente&#34; &#40;GSP&#41;&#44; is a multidisciplinary strategy to preserve and optimize a patient&#39;s red blood cell mass&#44; avoid unnecessary transfusions&#44; and use the medical and surgical interventions available rationally according to the best available evidence&#46; Therefore&#44; PBM focuses on 3 pillars with over 100 procedures described&#58; comprehensive management of anemia &#40;detection and treatment&#41;&#44; minimization of unnecessary or iatrogenic blood loss &#40;medical-surgical hemostasis and blood conservation strategies&#41;&#44; and optimization of physiological tolerance to anemia and rational transfusion practices &#40;restrictive transfusion thresholds&#44; optimization of hemodynamics&#44; and oxygen consumption&#47;transport&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The implementation of PBM is cost-effective and associated with a reduction of blood transfusions up to 39&#37;&#44; along with a lower mortality rate&#44; and transfusion-related complications &#40;length of stay&#44; readmissions&#44; rates of infection&#44; and renal failure&#44; among others&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;3&#44;4</span></a> The advantages of PBM programs are so significant that the World Health Organization &#40;WHO&#41; and the Council of Europe recommend their implementation&#46; However&#44; the reality is that the adoption of these recommendations is very heterogeneous in our country&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Additionally&#44; blood components and blood products are becoming increasingly limited resources&#44; and their inappropriate use goes against the altruistic spirit that surrounds blood donation in Spain&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Therefore&#44; we believe that the creation of the role of &#34;PBM Coordinator&#34; in each hospital is a matter of civil and professional responsibility&#44; similar to the already existing and functioning roles of coordinator of Antimicrobial Stewardship Programs &#40;ASP&#41; or the transplant coordinator&#44; which is consistent with the existing national program of the Maturity Assessment Model in PBM &#40;MAPBM&#41;&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">In essence&#44; this role would work on 2 fronts&#58; providing training and clinical advice on PBM at hospital level&#46; It would involve a complex task including multiple medical and surgical specialties working together to optimize and rationalize the use of blood components and blood products in hospitalized patients&#44; whether in hospital wards&#44; emergency areas&#44; and especially in critical care units&#44; as we saw in a study published in <span class="elsevierStyleItalic">Medicina Intensiva</span> on transfusion practices being highly heterogeneous and subject to optimization&#44; especially in chronic critically ill patients&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Having this role taken over by an intensivist is a matter of attitude and commitment&#46; Shall we position ourselves&#63;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Funding</span><p id="par0035" class="elsevierStylePara elsevierViewall">None declared&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:3 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Conflicts of interest"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Funding"
        ]
        2 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-08-18"
    "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" => "Multimodal Patient Blood Management program based on a three-pillar strategy&#58; A systematic review and meta-analysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46;C&#46; Althoff"
                            1 => "H&#46; Neb"
                            2 => "E&#46; Herrmann"
                            3 => "K&#46;M&#46; Trentino"
                            4 => "L&#46; Vernich"
                            5 => "C&#46; F&#252;llenbach"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/SLA.0000000000003095"
                      "Revista" => array:7 [
                        "tituloSerie" => "Ann Surg"
                        "fecha" => "2019"
                        "volumen" => "269"
                        "paginaInicial" => "794"
                        "paginaFinal" => "804"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30418206"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1201971212000367"
                          "estado" => "S300"
                          "issn" => "12019712"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A global definition of Patient Blood Management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Shander"
                            1 => "J&#46;F&#46; Hardy"
                            2 => "S&#46; Ozawa"
                            3 => "S&#46;L&#46; Farmer"
                            4 => "A&#46; Hofmann"
                            5 => "S&#46;M&#46; Frank"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1213/ANE.0000000000005873"
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesth Analg"
                        "fecha" => "2022"
                        "volumen" => "135"
                        "paginaInicial" => "476"
                        "paginaFinal" => "488"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35147598"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "From blood saving programs to patient blood management and beyond"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46; Ripoll&#233;s-Melchor"
                            1 => "C&#46; Jeric&#243;-Alba"
                            2 => "M&#46; Quintana-D&#237;az"
                            3 => "J&#46;A&#46; Garc&#237;a-Erce"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medcli.2018.02.027"
                      "Revista" => array:6 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2018"
                        "volumen" => "151"
                        "paginaInicial" => "368"
                        "paginaFinal" => "373"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29691060"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is a Patient Blood Management programme economically reasonable&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "L&#46; Hof"
                            1 => "S&#46; Choorapoikayil"
                            2 => "P&#46; Meybohm"
                            3 => "K&#46; Zacharowski"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/ACO.0000000000001230"
                      "Revista" => array:6 [
                        "tituloSerie" => "Curr Opin Anaesthesiol"
                        "fecha" => "2023"
                        "volumen" => "36"
                        "paginaInicial" => "228"
                        "paginaFinal" => "233"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/36728724"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiolog&#237;a de la transfusi&#243;n sangu&#237;nea en los Servicios de Medicina Intensiva en Espa&#241;a&#58; &#171;Transfusion Day&#187;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "M&#46; Quintana-Diaz"
                            1 => "K&#46; Nanwani-Nanwani"
                            2 => "P&#46; Marcos-Neira"
                            3 => "A&#46; Serrano-L&#225;zaro"
                            4 => "R&#46; Juarez-Vela"
                            5 => "E&#46;M&#46; Andr&#233;s-Esteban"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medin.2020.08.015"
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Intensiva"
                        "fecha" => "2022"
                        "volumen" => "46"
                        "paginaInicial" => "123"
                        "paginaFinal" => "9131"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/21735727/0000004700000011/v1_202310301741/S2173572723001662/v1_202310301741/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/21735727/0000004700000011/v1_202310301741/S2173572723001662/v1_202310301741/en/main.pdf?idApp=WMIE&text.app=https://medintensiva.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173572723001662?idApp=WMIE"
]
Article information
ISSN: 21735727
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 4 3 7
2024 October 54 42 96
2024 September 77 36 113
2024 August 70 42 112
2024 July 45 32 77
2024 June 72 32 104
2024 May 52 42 94
2024 April 37 34 71
2024 March 48 27 75
2024 February 38 47 85
2024 January 1 2 3

Follow this link to access the full text of the article

Idiomas
Medicina Intensiva (English Edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?