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"apellidos" => "Celda Moret" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Anestesia, Reanimación y Tratamiento del dolor, Consorci Hospital General Universitari de València, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Ginecología y Obstetricia, Consorci Hospital General Universitari de València, Valencia, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Urgencias, Consorci Hospital General Universitari de València, Valencia, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Qué hemos hecho en nuestra UCI deAanestesia para mantener la comunicación en la pandemia?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The 3 human groups involved in healthcare are patients, their families and medical professionals. Communication between these groups is an essential part of healing and care. We all know that proper communication between professionals, patients, and family members helps generate a climate of safety, trust and respect, and facilitates joint decision-making. During the Covid-19 crisis, isolation has changed the way families communicate with their relatives and with medical professionals.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The first challenge faced by the members of our anaesthesia ICU was to learn how to communicate with families over the phone. The health psychology unit released the "CARE-NOS" guide, which emphasizes the need to feel part of a team, explains how to detect painful emotions and how to handle them, and also stresses the need to use the right tone when communicating verbally, using simple words while transmitting hope and assertiveness. A telephone extension was made available to communicate with professionals and families who needed to talk to us.</p><p id="par0015" class="elsevierStylePara elsevierViewall">We also implemented two initiatives to facilitate communication between family members and their relatives admitted to the anaesthesia ICU. These initiatives were implemented both in the COVID ICU (47 beds) and the non-COVID ICU (13 beds), after obtaining authorization and informed consent. A group of 16 volunteer nurses, auxiliary nurses and orderlies, "SIEMPRE CONECTADOS” [stay connected], made WhatsApp® (Menlo Park, Ca, USA) video calls using mobile phones provided by the Polytechnic University of Valencia and the Valencia City Council’s "Las Naves” centre for innovation in order to enable the first isolated patients to contact with their relatives. They cared for 103 ICU and general ward patients (55% male, mean age 72 years). Five percent of the video calls enabled families to say farewell to patients with a mean age of 87 years. This initiative was inspired by similar solutions already implemented in Italy and the Community of Madrid.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The "A TU LADO” [by your side] initiative implemented by a group of volunteers from the gynaecology and nursing service facilitated calls from family members to patients who were not physically able to answer a video call or who preferred a more relaxed way of communicating with their loved ones. Each day they drew up a list of patients whose families were contacted and asked to provide an email address to which they could be sent a document with information on the procedure for sending and reading letters. Messages were kept strictly confidential, and could only be accessed by the person in charge, who destroyed the letter after reading it. In some cases, the patients transmitted their feelings and messages to their families through the volunteers. Patients who were at the end of their lives or in situations of special vulnerability received other types of letters where relatives could say goodbye (these letters were called "CON MUCHO AMOR” [with much love]). All such letters were read to the patients in strict confidentiality, taking care to always respect and comply with the family’s instructions. All the families (more than 200 letters) of the patients admitted to the COVID and non-COVID ICUs were contacted, and of these 36 maintained contact with their relatives on a daily basis throughout their stay in the ICU, and 6 received “with much love” letters enabling family members to say goodbye.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Humanization is based on the principle of patient autonomy, on the notion of total quality care and patient safety, and on the universal human values recognized in the Declaration of the Rights of Man and of the Citizen. Total quality care is based on 3 inseparable principles: the patient, their family and the healthcare professionals. New technologies have made it possible to improve communication between these 3 human groups and contribute to improving quality, patient safety and professional satisfaction. Our response to the pandemic has been a good example of these principles.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Mateo Rodríguez E, López Alarcón MD, Baixauli Soria C, Celda Moret MÁ. ¿Qué hemos hecho en nuestra UCI de Anestesia para mantener la comunicación en la pandemia? Rev Esp Anestesiol Reanim. 2020;67:484–485.</p>" ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006700000008/v1_202011120617/S2341192920301177/v1_202011120617/en/main.assets" "Apartado" => array:4 [ "identificador" => "66474" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Director" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006700000008/v1_202011120617/S2341192920301177/v1_202011120617/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192920301177?idApp=UINPBA00004N" ]
Journal Information
Vol. 67. Issue 8.
Pages 484-485 (October 2020)
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Vol. 67. Issue 8.
Pages 484-485 (October 2020)
Letter to the Director
What have we done in our anesthesia ICU to maintain communication in the pandemic?
¿Qué hemos hecho en nuestra UCI deAanestesia para mantener la comunicación en la pandemia?
E. Mateo Rodrígueza,
, M.D. López Alarcóna, C. Baixauli Soriab, M.Á. Celda Moretc
Corresponding author
a Servicio de Anestesia, Reanimación y Tratamiento del dolor, Consorci Hospital General Universitari de València, Valencia, Spain
b Servicio de Ginecología y Obstetricia, Consorci Hospital General Universitari de València, Valencia, Spain
c Servicio de Urgencias, Consorci Hospital General Universitari de València, Valencia, Spain
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