PBM: Now more than ever necessary

García-Erce, J.A.; Jericó, C.; Abad-Motos, A.; Rodríguez García, J.; Antelo Caamaño, M.L.; Domingo Morera, J.M.; Sola Lapeña, C.; Arroyo, J.L.; Fernández Fuertes, F.; Zalba Marcos, S.; Cerdán Rodríguez, G.; Laso Morales, M.J.; Bueno Cabrera, J.L.; Chica, E.; Recasens, V.; Zabalegui, A.; Balen, E.; Urrechaga, E.; Abad-Gurumeta, A.; Quintana Díaz, M.
doi:10.1016/j.redare.2021.03.016
 array:24 [
  "pii" => "S2341192922000920"
  "issn" => "23411929"
  "doi" => "10.1016/j.redare.2021.03.016"
  "estado" => "S300"
  "fechaPublicacion" => "2022-06-01"
  "aid" => "1343"
  "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
  "copyrightAnyo" => "2021"
  "documento" => "article"
  "crossmark" => 1
  "subdocumento" => "fla"
  "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2022;69:351-4"
  "abierto" => array:3 [
    "ES" => false
    "ES2" => false
    "LATM" => false
  ]
  "gratuito" => false
  "lecturas" => array:1 [
    "total" => 0
  ]
  "Traduccion" => array:1 [
    "es" => array:19 [
      "pii" => "S003493562100181X"
      "issn" => "00349356"
      "doi" => "10.1016/j.redar.2021.03.018"
      "estado" => "S300"
      "fechaPublicacion" => "2022-06-01"
      "aid" => "1343"
      "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
      "documento" => "article"
      "crossmark" => 1
      "subdocumento" => "fla"
      "cita" => "Rev Esp Anestesiol Reanim. 2022;69:351-4"
      "abierto" => array:3 [
        "ES" => false
        "ES2" => false
        "LATM" => false
      ]
      "gratuito" => false
      "lecturas" => array:1 [
        "total" => 0
      ]
      "es" => array:11 [
        "idiomaDefecto" => true
        "cabecera" => "<span class="elsevierStyleTextfn">Art&#237;culo especial</span>"
        "titulo" => "PBM&#58; Ahora m&#225;s que nunca es necesario"
        "tienePdf" => "es"
        "tieneTextoCompleto" => "es"
        "paginas" => array:1 [
          0 => array:2 [
            "paginaInicial" => "351"
            "paginaFinal" => "354"
          ]
        ]
        "titulosAlternativos" => array:1 [
          "en" => array:1 [
            "titulo" => "PBM&#58; Now more than ever necessary"
          ]
        ]
        "contieneTextoCompleto" => array:1 [
          "es" => true
        ]
        "contienePdf" => array:1 [
          "es" => true
        ]
        "resumenGrafico" => array:2 [
          "original" => 0
          "multimedia" => array:7 [
            "identificador" => "fig0010"
            "etiqueta" => "Figura 2"
            "tipo" => "MULTIMEDIAFIGURA"
            "mostrarFloat" => true
            "mostrarDisplay" => false
            "figura" => array:1 [
              0 => array:4 [
                "imagen" => "gr2.jpeg"
                "Alto" => 2077
                "Ancho" => 1714
                "Tamanyo" => 270454
              ]
            ]
            "descripcion" => array:1 [
              "es" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">a&#41; Evoluci&#243;n del consumo de alb&#250;mina e inmunoglobulina&#46; b&#41; Evoluci&#243;n de la &#171;autosuficiencia&#187; de hemoderivados plasm&#225;ticos 2011-2019 en Espa&#241;a &#40;inmunoglobuina&#44; alb&#250;mina y factor VIII&#41;&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Autosuficiencia&#58; &#171;capacidad de una naci&#243;n o regi&#243;n de satisfacer las necesidades cl&#237;nicas de sangre&#44; hemocomponentes y hemoderivados de toda la poblaci&#243;n a partir de sangre&#47;plasma proveniente de los propios ciudadanos&#187;&#46;</p>"
            ]
          ]
        ]
        "autores" => array:1 [
          0 => array:2 [
            "autoresLista" => "J&#46;A&#46; Garc&#237;a-Erce, C&#46; Jeric&#243;, A&#46; Abad-Motos, J&#46; Rodr&#237;guez Garc&#237;a, M&#46;L&#46; Antelo Caama&#241;o, J&#46;M&#46; Domingo Morera, C&#46; Sola Lape&#241;a, J&#46;L&#46; Arroyo, F&#46; Fern&#225;ndez Fuertes, S&#46; Zalba Marcos, G&#46; Cerd&#225;n Rodr&#237;guez, M&#46;J&#46; Laso Morales, J&#46;L&#46; Bueno Cabrera, E&#46; Chica, V&#46; Recasens, A&#46; Zabalegui, E&#46; Balen, E&#46; Urrechaga, A&#46; Abad-Gurumeta, M&#46; Quintana D&#237;az"
            "autores" => array:20 [
              0 => array:2 [
                "nombre" => "J&#46;A&#46;"
                "apellidos" => "Garc&#237;a-Erce"
              ]
              1 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Jeric&#243;"
              ]
              2 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Abad-Motos"
              ]
              3 => array:2 [
                "nombre" => "J&#46;"
                "apellidos" => "Rodr&#237;guez Garc&#237;a"
              ]
              4 => array:2 [
                "nombre" => "M&#46;L&#46;"
                "apellidos" => "Antelo Caama&#241;o"
              ]
              5 => array:2 [
                "nombre" => "J&#46;M&#46;"
                "apellidos" => "Domingo Morera"
              ]
              6 => array:2 [
                "nombre" => "C&#46;"
                "apellidos" => "Sola Lape&#241;a"
              ]
              7 => array:2 [
                "nombre" => "J&#46;L&#46;"
                "apellidos" => "Arroyo"
              ]
              8 => array:2 [
                "nombre" => "F&#46;"
                "apellidos" => "Fern&#225;ndez Fuertes"
              ]
              9 => array:2 [
                "nombre" => "S&#46;"
                "apellidos" => "Zalba Marcos"
              ]
              10 => array:2 [
                "nombre" => "G&#46;"
                "apellidos" => "Cerd&#225;n Rodr&#237;guez"
              ]
              11 => array:2 [
                "nombre" => "M&#46;J&#46;"
                "apellidos" => "Laso Morales"
              ]
              12 => array:2 [
                "nombre" => "J&#46;L&#46;"
                "apellidos" => "Bueno Cabrera"
              ]
              13 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Chica"
              ]
              14 => array:2 [
                "nombre" => "V&#46;"
                "apellidos" => "Recasens"
              ]
              15 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Zabalegui"
              ]
              16 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Balen"
              ]
              17 => array:2 [
                "nombre" => "E&#46;"
                "apellidos" => "Urrechaga"
              ]
              18 => array:2 [
                "nombre" => "A&#46;"
                "apellidos" => "Abad-Gurumeta"
              ]
              19 => array:2 [
                "nombre" => "M&#46;"
                "apellidos" => "Quintana D&#237;az"
              ]
            ]
          ]
        ]
      ]
      "idiomaDefecto" => "es"
      "Traduccion" => array:1 [
        "en" => array:9 [
          "pii" => "S2341192922000920"
          "doi" => "10.1016/j.redare.2021.03.016"
          "estado" => "S300"
          "subdocumento" => ""
          "abierto" => array:3 [
            "ES" => false
            "ES2" => false
            "LATM" => false
          ]
          "gratuito" => false
          "lecturas" => array:1 [
            "total" => 0
          ]
          "idiomaDefecto" => "en"
          "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922000920?idApp=UINPBA00004N"
        ]
      ]
      "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S003493562100181X?idApp=UINPBA00004N"
      "url" => "/00349356/0000006900000006/v1_202205240628/S003493562100181X/v1_202205240628/es/main.assets"
    ]
  ]
  "itemSiguiente" => array:19 [
    "pii" => "S234119292200097X"
    "issn" => "23411929"
    "doi" => "10.1016/j.redare.2021.03.017"
    "estado" => "S300"
    "fechaPublicacion" => "2022-06-01"
    "aid" => "1314"
    "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "rev"
    "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2022;69:355-9"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Review</span>"
      "titulo" => "Use of a single dose of 70<span class="elsevierStyleHsp" style=""></span>mg&#47;kg chloral hydrate as a hypnotic in nuclear magnetic resonance&#46; A prospective study of 3132 cases"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "355"
          "paginaFinal" => "359"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Uso de hidrato de cloral a dosis &#250;nica de 70<span class="elsevierStyleHsp" style=""></span>mg&#47;kg como hipn&#243;tico en resonancia magn&#233;tica nuclear&#46; Estudio prospectivo de 3&#46;132 casos"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "J&#46;M&#46; Sistac Ballar&#237;n, J&#46; Sol&#233; Guixes, M&#46;J&#46; Groizard Botella, J&#46;M&#46; Sistac Palac&#237;n"
          "autores" => array:4 [
            0 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Sistac Ballar&#237;n"
            ]
            1 => array:2 [
              "nombre" => "J&#46;"
              "apellidos" => "Sol&#233; Guixes"
            ]
            2 => array:2 [
              "nombre" => "M&#46;J&#46;"
              "apellidos" => "Groizard Botella"
            ]
            3 => array:2 [
              "nombre" => "J&#46;M&#46;"
              "apellidos" => "Sistac Palac&#237;n"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0034935621001353"
        "doi" => "10.1016/j.redar.2021.03.008"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935621001353?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S234119292200097X?idApp=UINPBA00004N"
    "url" => "/23411929/0000006900000006/v1_202207050820/S234119292200097X/v1_202207050820/en/main.assets"
  ]
  "itemAnterior" => array:19 [
    "pii" => "S2341192922001007"
    "issn" => "23411929"
    "doi" => "10.1016/j.redare.2021.05.014"
    "estado" => "S300"
    "fechaPublicacion" => "2022-06-01"
    "aid" => "1357"
    "copyright" => "Sociedad Espa&#241;ola de Anestesiolog&#237;a&#44; Reanimaci&#243;n y Terap&#233;utica del Dolor"
    "documento" => "article"
    "crossmark" => 1
    "subdocumento" => "fla"
    "cita" => "Revista Espa&#241;ola de Anestesiolog&#237;a y Reanimaci&#243;n &#40;English Version&#41;. 2022;69:345-50"
    "abierto" => array:3 [
      "ES" => false
      "ES2" => false
      "LATM" => false
    ]
    "gratuito" => false
    "lecturas" => array:1 [
      "total" => 0
    ]
    "en" => array:12 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>"
      "titulo" => "Preoperative nutritional status assessed using the CONUT tool and its relationship with the appearance of major postoperative complications"
      "tienePdf" => "en"
      "tieneTextoCompleto" => "en"
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "345"
          "paginaFinal" => "350"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Estado nutricional preoperatorio valorado mediante la herramienta CONUT y su relaci&#243;n con la aparici&#243;n de complicaciones mayores postoperatorias"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "en" => true
      ]
      "contienePdf" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A&#46; Mjertan, R&#46; M&#233;ndez Hern&#225;ndez, A&#46; Hern&#225;ndez-Aceituno, F&#46; Ramasco Rueda, A&#46; Planas Roca, A&#46; Santa Cruz Hernando"
          "autores" => array:6 [
            0 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Mjertan"
            ]
            1 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "M&#233;ndez Hern&#225;ndez"
            ]
            2 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Hern&#225;ndez-Aceituno"
            ]
            3 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Ramasco Rueda"
            ]
            4 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Planas Roca"
            ]
            5 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Santa Cruz Hernando"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "Traduccion" => array:1 [
      "es" => array:9 [
        "pii" => "S0034935621002115"
        "doi" => "10.1016/j.redar.2021.05.021"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => false
          "ES2" => false
          "LATM" => false
        ]
        "gratuito" => false
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "es"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935621002115?idApp=UINPBA00004N"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922001007?idApp=UINPBA00004N"
    "url" => "/23411929/0000006900000006/v1_202207050820/S2341192922001007/v1_202207050820/en/main.assets"
  ]
  "en" => array:18 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Special article</span>"
    "titulo" => "PBM&#58; Now more than ever necessary"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "351"
        "paginaFinal" => "354"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "J&#46;A&#46; Garc&#237;a-Erce, C&#46; Jeric&#243;, A&#46; Abad-Motos, J&#46; Rodr&#237;guez Garc&#237;a, M&#46;L&#46; Antelo Caama&#241;o, J&#46;M&#46; Domingo Morera, C&#46; Sola Lape&#241;a, J&#46;L&#46; Arroyo, F&#46; Fern&#225;ndez Fuertes, S&#46; Zalba Marcos, G&#46; Cerd&#225;n Rodr&#237;guez, M&#46;J&#46; Laso Morales, J&#46;L&#46; Bueno Cabrera, E&#46; Chica, V&#46; Recasens, A&#46; Zabalegui, E&#46; Balen, E&#46; Urrechaga, A&#46; Abad-Gurumeta, M&#46; Quintana D&#237;az"
        "autores" => array:20 [
          0 => array:4 [
            "nombre" => "J&#46;A&#46;"
            "apellidos" => "Garc&#237;a-Erce"
            "email" => array:2 [
              0 => "ja.garcia.erce@navarra.es"
              1 => "jagarciaerce@gmail.com"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#42;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Jeric&#243;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Abad-Motos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Rodr&#237;guez Garc&#237;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">d</span>"
                "identificador" => "aff0020"
              ]
            ]
          ]
          4 => array:3 [
            "nombre" => "M&#46;L&#46;"
            "apellidos" => "Antelo Caama&#241;o"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">e</span>"
                "identificador" => "aff0025"
              ]
            ]
          ]
          5 => array:3 [
            "nombre" => "J&#46;M&#46;"
            "apellidos" => "Domingo Morera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">f</span>"
                "identificador" => "aff0030"
              ]
            ]
          ]
          6 => array:3 [
            "nombre" => "C&#46;"
            "apellidos" => "Sola Lape&#241;a"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">g</span>"
                "identificador" => "aff0035"
              ]
            ]
          ]
          7 => array:3 [
            "nombre" => "J&#46;L&#46;"
            "apellidos" => "Arroyo"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">h</span>"
                "identificador" => "aff0040"
              ]
            ]
          ]
          8 => array:3 [
            "nombre" => "F&#46;"
            "apellidos" => "Fern&#225;ndez Fuertes"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">i</span>"
                "identificador" => "aff0045"
              ]
            ]
          ]
          9 => array:3 [
            "nombre" => "S&#46;"
            "apellidos" => "Zalba Marcos"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">j</span>"
                "identificador" => "aff0050"
              ]
            ]
          ]
          10 => array:3 [
            "nombre" => "G&#46;"
            "apellidos" => "Cerd&#225;n Rodr&#237;guez"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">k</span>"
                "identificador" => "aff0055"
              ]
            ]
          ]
          11 => array:3 [
            "nombre" => "M&#46;J&#46;"
            "apellidos" => "Laso Morales"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">l</span>"
                "identificador" => "aff0060"
              ]
            ]
          ]
          12 => array:3 [
            "nombre" => "J&#46;L&#46;"
            "apellidos" => "Bueno Cabrera"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">m</span>"
                "identificador" => "aff0065"
              ]
            ]
          ]
          13 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Chica"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">n</span>"
                "identificador" => "aff0070"
              ]
            ]
          ]
          14 => array:3 [
            "nombre" => "V&#46;"
            "apellidos" => "Recasens"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">o</span>"
                "identificador" => "aff0075"
              ]
            ]
          ]
          15 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Zabalegui"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">p</span>"
                "identificador" => "aff0080"
              ]
            ]
          ]
          16 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Balen"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">q</span>"
                "identificador" => "aff0085"
              ]
            ]
          ]
          17 => array:3 [
            "nombre" => "E&#46;"
            "apellidos" => "Urrechaga"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">r</span>"
                "identificador" => "aff0090"
              ]
            ]
          ]
          18 => array:3 [
            "nombre" => "A&#46;"
            "apellidos" => "Abad-Gurumeta"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          19 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Quintana D&#237;az"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">s</span>"
                "identificador" => "aff0095"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:19 [
          0 => array:3 [
            "entidad" => "Banco de Sangre y Tejidos de Navarra&#44; Servicio Navarro de Salud&#44; Osasunbidea&#44; Pamplona&#44; Espa&#241;a&#44; Grupo Espa&#241;ol de Rehabilitaci&#243;n Multimodal &#40;GERM&#41;&#44; Instituto Aragon&#233;s de Ciencias de la Salud&#44; Zaragoza&#44; Espa&#241;a&#44; PBM Group&#44; Hospital La Paz Institute for Health Research &#40;IdiPAZ&#41;&#44; Madrid&#44; Spain"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Servicio de Medicina Interna&#44; Hospital Sant Joan Desp&#237; Barcelona&#44; Spain"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a&#44; Hospital Universitario Infanta Leonor de Madrid&#44; Grupo Espa&#241;ol de Rehabilitaci&#243;n Multimodal &#40;GERM&#41;&#44; Instituto Aragon&#233;s de Ciencias de la Salud&#44; Zaragoza&#44; Spain"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
          3 => array:3 [
            "entidad" => "Servicio de Medicina Preventiva&#44; Hospital Universitario Son Espases&#44; Palma de Mallorca&#44; Spain"
            "etiqueta" => "d"
            "identificador" => "aff0020"
          ]
          4 => array:3 [
            "entidad" => "Servicio de Apoyo a la Gesti&#243;n Cl&#237;nica y Continuidad Asistencial&#44; Complejo Hospitalario de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "e"
            "identificador" => "aff0025"
          ]
          5 => array:3 [
            "entidad" => "Banco de Sangre y Tejidos de Arag&#243;n&#44; Zaragoza&#44; Spain"
            "etiqueta" => "f"
            "identificador" => "aff0030"
          ]
          6 => array:3 [
            "entidad" => "Banco de Sangre de La Rioja&#44; Logro&#241;o&#44; Spain"
            "etiqueta" => "g"
            "identificador" => "aff0035"
          ]
          7 => array:3 [
            "entidad" => "Banco de Sangre y Tejidos de Cantabria&#44; Santander&#44; Spain"
            "etiqueta" => "h"
            "identificador" => "aff0040"
          ]
          8 => array:3 [
            "entidad" => "Servicio Hematolog&#237;a y Hemoterapia&#44; Complejo Hospitalario Universitario Insular Materno Infantil&#44; Las Palmas de Gran Canaria&#44; Spain"
            "etiqueta" => "i"
            "identificador" => "aff0045"
          ]
          9 => array:3 [
            "entidad" => "Servicio de Hematolog&#237;a y Hemoterapia&#44; Hospital Garc&#237;a Orcoyen&#44; Estella &#40;Navarra&#41;&#44; Spain"
            "etiqueta" => "j"
            "identificador" => "aff0050"
          ]
          10 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a&#44; Hospital Garc&#237;a Orcoyen&#44; Estella &#40;Navarra&#41;&#44; Spain"
            "etiqueta" => "k"
            "identificador" => "aff0055"
          ]
          11 => array:3 [
            "entidad" => "Servicio de Anestesiolog&#237;a&#44; Hospital Universitario Parc Taul&#237;&#44; Sabadell&#44; Barcelona&#44; Spain"
            "etiqueta" => "l"
            "identificador" => "aff0060"
          ]
          12 => array:3 [
            "entidad" => "Servicio de Hematolog&#237;a y Hemoterapia&#44; Hospital Universitario Puerta de Hierro&#44; Majadahonda&#44; Madrid&#44; Spain"
            "etiqueta" => "m"
            "identificador" => "aff0065"
          ]
          13 => array:3 [
            "entidad" => "Servicio de Hematolog&#237;a y Hemoterapia&#44; Hospital Universitario de Getafe&#44; Getafe&#44; Spain"
            "etiqueta" => "n"
            "identificador" => "aff0070"
          ]
          14 => array:3 [
            "entidad" => "Servicio de Hematolog&#237;a y Hemoterapia&#44; Hospital Universitario Miguel Servet&#44; Zaragoza&#44; Spain"
            "etiqueta" => "o"
            "identificador" => "aff0075"
          ]
          15 => array:3 [
            "entidad" => "Servicio de An&#225;lisis Cl&#237;nico&#44; Complejo Hospitalario de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "p"
            "identificador" => "aff0080"
          ]
          16 => array:3 [
            "entidad" => "Servicio de Cirug&#237;a General&#44; Complejo Hospitalario de Navarra&#44; Pamplona&#44; Spain"
            "etiqueta" => "q"
            "identificador" => "aff0085"
          ]
          17 => array:3 [
            "entidad" => "Biocruces Bizkaia Research Institute&#44; Bilbao&#44; Spain"
            "etiqueta" => "r"
            "identificador" => "aff0090"
          ]
          18 => array:3 [
            "entidad" => "Servicio de Cuidados Intensivos&#44; Hospital Universitario La Paz&#44; PBM Group&#44; Hospital La Paz Institute for Health Research &#40;IdiPAZ&#41;&#44; Madrid&#44; Spain"
            "etiqueta" => "s"
            "identificador" => "aff0095"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "PBM&#58; Ahora m&#225;s que nunca es necesario"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 2077
            "Ancho" => 1714
            "Tamanyo" => 271846
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0060"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Evolution of albumin and immunoglobulin consumption&#46; &#40;b&#41; Evolution of &#8220;self-sufficiency&#8221; in plasma-derived medicinal products 2011&#8211;2019 in Spain &#40;immunoglobulin&#44; albumin and factor VIII&#41;&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Self-sufficiency&#58; &#8220;capacity of a nation or region to meet the demand for blood&#44; blood components and blood products of the entire population from blood&#47;plasma donated by the citizens themselves&#8221;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Be kind&#44; but be fierce&#46; You are</span><span class="elsevierStyleBold"><span class="elsevierStyleItalic">needed now more than ever</span></span><span class="elsevierStyleItalic">before&#46; Take up the mantle of change&#46; For this is your time&#46;</span></p><p id="par0010" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">Sir Winston</span><span class="elsevierStyleBold"><span class="elsevierStyleItalic">Churchill</span></span></p><p id="par0015" class="elsevierStylePara elsevierViewall">It has been more than a year since the appearance of COVID-19 in Wuhan &#40;China&#41; and 12 months since the first state of alarm was declared in Spain&#46; New vaccines have recently been authorized in Europe&#44; new variants of the virus have emerged&#44; and the accumulated incidence has again increased&#46; All this has compelled governments in Europe to re-introduce quarantine measure and to warn of an imminent fourth wave&#46; Despite the health and economic impact of COVID-19&#44; we cannot neglect other situation that may have been aggravated by the pandemic&#44; and will become apparent in the near future&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">JAMA</span> recently published a series of articles analysing and comparing the increase in excess deaths from COVID-19 and other causes during the first months of the pandemic in the US and other countries&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> In the US&#44; at least 33&#37; of the 20&#37; increase in expected deaths in the US&#44; for example&#44; was not directly attributed to COVID but to an increase in deaths associated with other diseases&#44; such as Alzheimer&#8217;s and cardiovascular disease&#46; The real <span class="elsevierStyleItalic">tsunami</span>&#44; after so many waves of COVID&#44; could be the neglect&#44; delayed treatment&#44; or substandard treatment of other diseases&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">In Spain&#44; organ donation and transplant activity fell drastically in 2020&#44; leading to a foreseeable increase in overall mortality and a high rate of COVID-related mortality among recipients&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> Estimates suggest that during the first 12 weeks of peak disruption&#44; more than half a million scheduled surgeries were cancelled in Spain&#44; and over 28 million worldwide&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Concerns have also been raised about the consequences of delaying or suspending surgery &#8211; up to 80&#37; of colorectal cancer interventions were cancelled<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> &#8211; and the risk of substandard management of patients scheduled for cancer interventions and other surgeries&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> Surgery must continue&#44; and hospitals must be fully prepared in terms of material and human resources&#44; and make every attempt to ensure that patients undergo surgery in the best possible conditions&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#8211;7</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">Another consequence of COVID has been a reduction in the number of blood donations&#44; leading to a potential shortage of plasma-derived medicinal products in the medium term&#46; According to data from internal reports sent during the first wave of the pandemic&#44; between weeks 11 and 26 the number of blood donations fell by 20&#37; compared to 2018 figures &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#44; and by around 5&#37;&#8211;10&#37; annually &#40;estimate from personal conversation with the directors of blood transfusion centres&#44; in the absence of published data&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> At the start of 2021&#44; the disruptions caused by Storm Filomena further aggravated the shortage of blood products in some autonomous communities&#44; compelling regional authorities to launch &#8220;donation marathon&#8221; campaigns&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">Given the situation and the absence of effective treatment for COVID-19&#44; convalescent plasma therapy &#8211; hopefully hyperimmune &#8211; is one of the few options available&#44;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> and individuals that are COVID-immune or have recovered from the disease are now being asked to donate blood for this purpose&#46; This&#44; however&#44; could lead to a shortage of plasma-derived medicinal products for non-COVID patients next year&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The recent release of national blood donation and transfusion figures for 2019<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> have raised some concerns&#46; According to the annual reports issued by the Information System of the Ministry of Health&#44;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a> blood donations have fallen by 6&#46;6&#37; since 2010&#44; despite the increase in the population&#44; while consumption of albumin and immunoglobulin has increased by 58&#37; and 99&#46;6&#37;&#44; respectively&#44; since 2012 &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>a&#41;&#46; This serious imbalance&#44; according to these reports&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> has meant that in 2019 Spain is no longer &#8220;self-sufficient&#8221;&#44; defined as the &#8220;capacity of a nation or region to meet the demand for blood&#44; blood components and blood products of the entire population from blood&#47;plasma donated by the citizens themselves&#8221;&#44; as it has not been able to satisfy more than 59&#46;4&#37; of national consumption of albumin&#44; 33&#46;5&#37; of immunoglobulin&#44; and 60&#46;7&#37; of plasmatic factor VIII &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>b&#41;&#46; Based on Ministry data&#44;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> Spain has accumulated a deficit of around 10 million vials of Albuplan&#174; 20&#37;&#44; or between 4 and 10 times the annual production&#44; since 2011&#46; In 2019&#44; 265&#44;844 more litres of plasma &#40;more than a million more whole blood donations or about 440&#44;000 apheresis&#41; would have been needed to be self-sufficient in albumin alone&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0045" class="elsevierStylePara elsevierViewall">This is why action is needed now more than ever&#44;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> and measures must be introduced to promote a national patient blood management &#40;PBM&#41; programme&#46; It is not a matter of reducing blood consumption&#44; but rather of optimizing the use of blood to achieve the best&#44; most efficient&#44; clinical outcomes&#46;<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">10&#8211;12</span></a> The WHO has already urged all countries&#44; national health authorities&#44; and health providers to implement this call to action in June 2010&#46; The project launched by the European Commission led to the publication of 2 documents in March 2017<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a> that were distributed to all scientific societies&#44; hospital managers and health authorities&#46; In February 2020&#44; the WHO published the &#8220;WHO action framework to advance universal access to quality and safe blood and blood components for transfusion and plasma-derived medicinal products&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> The strategic objectives of the action framework include the implementation of PBM programmes<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> to avoid unnecessary blood transfusions&#44; standardise blood transfusion in clinical practice&#44; reduce the high rate of inappropriate and unnecessary transfusions&#44; and promote the treatment of anaemia and clotting disorders&#44; among others&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">We share the WHO&#8217;s concerns about the lack of access to safe&#44; quality-assured plasma-derived medicinal products&#44; and call on health authorities&#44; hospital managers and colleagues in Spain to optimise the use of blood and blood products&#46; This&#44; as recommended by the European Commission<a class="elsevierStyleCrossRefs" href="#bib0065"><span class="elsevierStyleSup">13&#44;14</span></a> and the WHO&#44;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">15</span></a> involves the urgent implementation of a state plasmapheresis programme and the development of mandatory PBM programmes in all public and private hospitals in Spain&#46; Now is the time to avoid future shortages of plasma-derived medicinal products due to low donation rates or unnecessary blood transfusions by introducing PBM programmes<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">12</span></a> and implementing all the PBM strategies recommended in ERAS guidelines<a class="elsevierStyleCrossRefs" href="#bib0030"><span class="elsevierStyleSup">6&#44;12&#44;16</span></a> across the board in the Spanish national healthcare system&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0055" class="elsevierStylePara elsevierViewall">The corresponding author has received financial support to attend congresses&#44; speakers fees and course fees&#44; and fees for teaching material from <span class="elsevierStyleGrantSponsor" id="gs0005">Uriach-Vifor</span>&#44; <span class="elsevierStyleGrantSponsor" id="gs0010">Sandoz</span>&#44; <span class="elsevierStyleGrantSponsor" id="gs0015">Zambon y Jansen</span>&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflict of interests</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors declare have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:4 [
        0 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Funding"
        ]
        1 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Conflict of interests"
        ]
        2 => array:2 [
          "identificador" => "xack615673"
          "titulo" => "Acknowledgements"
        ]
        3 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-01-13"
    "fechaAceptado" => "2021-03-30"
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#8902;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Garc&#237;a-Erce JA&#44; Jeric&#243; C&#44; Abad-Motos A&#44; Rodr&#237;guez Garc&#237;a J&#44; Antelo Caama&#241;o ML&#44; Domingo Morera JM&#44; et al&#46; PBM&#58; Ahora m&#225;s que nunca es necesario&#46; Rev Esp Anestesiol Reanim&#46; 2022&#59;69&#58;351&#8211;354&#46;</p>"
      ]
    ]
    "multimedia" => array:2 [
      0 => array:8 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1061
            "Ancho" => 1675
            "Tamanyo" => 204748
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0055"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Blood donation in Spain during the first wave of the COVID-19 pandemic&#46;</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Yellow line&#58; &#37; difference in donation each week compared to the weekly average in 2018&#46;</p>"
        ]
      ]
      1 => array:8 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 2077
            "Ancho" => 1714
            "Tamanyo" => 271846
          ]
        ]
        "detalles" => array:1 [
          0 => array:3 [
            "identificador" => "at0060"
            "detalle" => "Figure "
            "rol" => "short"
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">&#40;a&#41; Evolution of albumin and immunoglobulin consumption&#46; &#40;b&#41; Evolution of &#8220;self-sufficiency&#8221; in plasma-derived medicinal products 2011&#8211;2019 in Spain &#40;immunoglobulin&#44; albumin and factor VIII&#41;&#46;</p> <p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Self-sufficiency&#58; &#8220;capacity of a nation or region to meet the demand for blood&#44; blood components and blood products of the entire population from blood&#47;plasma donated by the citizens themselves&#8221;&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:16 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Excess deaths from COVID-19 and other causes&#44; March&#8211;July 2020"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "S&#46;H&#46; Woolf"
                            1 => "D&#46;A&#46; Chapman"
                            2 => "R&#46;T&#46; Sabo"
                            3 => "D&#46;M&#46; Weinberger"
                            4 => "L&#46; Hill"
                            5 => "D&#46;D&#46; Taylor"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2020.19545"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2020"
                        "volumen" => "324"
                        "paginaInicial" => "1562"
                        "paginaFinal" => "1564"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/33044483"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "COVID-19 and excess all-cause mortality in the US and 18 comparison countries"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Bilinski"
                            1 => "E&#46;J&#46; Emanuel"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2020.20717"
                      "Revista" => array:3 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2020"
                        "volumen" => "12"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dramatic impact of the COVID-19 outbreak on donation and transplantation activities in Spain"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "B&#46; Dom&#237;nguez-Gil"
                            1 => "E&#46; Coll"
                            2 => "J&#46; Ferrer-F&#224;brega"
                            3 => "J&#46; Brice&#241;o"
                            4 => "A&#46; R&#237;os"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ciresp.2020.04.012"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2020"
                        "volumen" => "98"
                        "paginaInicial" => "412"
                        "paginaFinal" => "414"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32362364"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Grupo de Trabajo&#8217; Recomendaciones para la programaci&#243;n de cirug&#237;a en condiciones de seguridad durante la pandemia COVID-19&#46; Programaci&#243;n de cirug&#237;a electiva segura en tiempos de COVID-19&#46; La importancia del trabajo colaborativo"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46; Arnal-Velasco"
                            1 => "A&#46; Planas-Roca"
                            2 => "J&#46; Garc&#237;a-Fern&#225;ndez"
                            3 => "S&#46; Morales-Conde"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.redar.2020.12.004"
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Esp Anestesiol Reanim"
                        "fecha" => "2021"
                        "volumen" => "68"
                        "paginaInicial" => "62"
                        "paginaFinal" => "64"
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673618324863"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of the pandemic on surgical activity in colorectal cancer in Spain&#46; Results of a national survey"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "F&#46; De la Portilla de Juan"
                            1 => "M&#46;L&#46; Reyes D&#237;az"
                            2 => "I&#46; Ramallo Sol&#237;a"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2020"
                        "volumen" => "S0009-739X"
                        "paginaInicial" => "30265"
                        "paginaFinal" => "30267"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "http&#58;&#47;&#47;dx&#46;doi&#46;org&#47;10&#46;1016&#47;j&#46;ciresp&#46;2020&#46;07&#46;011"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#171;Back to the future&#187;&#58; after the pandemic we must intensify recovery"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Ram&#237;rez-Rodr&#237;guez"
                            1 => "J&#46;A&#46; Garc&#237;a Erce"
                            2 => "A&#46; Arroyo Sebasti&#225;n"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2020"
                        "volumen" => "S0009-739X"
                        "paginaInicial" => "30266"
                        "paginaFinal" => "30269"
                        "itemHostRev" => array:3 [
                          "pii" => "S1470204506707008"
                          "estado" => "S300"
                          "issn" => "14702045"
                        ]
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "http&#58;&#47;&#47;dx&#46;doi&#46;org&#47;10&#46;1016&#47;j&#46;ciresp&#46;2020&#46;07&#46;016"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Grupo de Trabajo Cirug&#237;a-AEC-COVID&#46; Position statement of the surgery-AEC-COVID Working Group of the Spanish Association of Surgeons on the planning of surgical activity during the second wave of the SARS-CoV-2 pandemic&#58; surgery must continue"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46;M&#46; Balibrea"
                            1 => "S&#46; Morales-Conde"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:2 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Cir Esp"
                        "fecha" => "2020"
                        "volumen" => "S0009-739X"
                        "paginaInicial" => "30348"
                        "paginaFinal" => "30351"
                      ]
                    ]
                    1 => array:1 [
                      "WWW" => array:1 [
                        "link" => "http&#58;&#47;&#47;dx&#46;doi&#46;org&#47;10&#46;1016&#47;j&#46;ciresp&#46;2020&#46;10&#46;013"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Ministerio de Sanidad&#44; Consumo y Bienestar Social&#46; Informe de actividad de centros y servicios de transfusi&#243;n 2019&#46; Madrid&#58; Ministerio de Sanidad&#44; Consumo y Bienestar Social&#59; 2020&#46; &#91;Accessed 3 January 2021&#93;&#46; Available from&#58; <a target="_blank" href="https://www.mscbs.gob.es/profesionales/saludPublica/medicinaTransfusional/indicadores/docs/Informe_Actividad2019.pdf">https&#58;&#47;&#47;www&#46;mscbs&#46;gob&#46;es&#47;profesionales&#47;saludPublica&#47;medicinaTransfusional&#47;indicadores&#47;docs&#47;Informe&#95;Actividad2019&#46;pdf</a>&#46;"
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Two patients with rituximab associated low gammaglobulin levels and relapsed covid-19 infections treated with convalescent plasma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "I&#46; Ormazabal V&#233;lez"
                            1 => "J&#46; Indur&#225;in Bermejo"
                            2 => "J&#46; Espinoza P&#233;rez"
                            3 => "L&#46; Imaz Aguayo"
                            4 => "M&#46; Delgado Ruiz"
                            5 => "J&#46;A&#46; Garc&#237;a-Erce"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.transci.2021.103104"
                      "Revista" => array:4 [
                        "tituloSerie" => "Transfus Apher Sci"
                        "fecha" => "2021"
                        "volumen" => "19"
                        "itemHostRev" => array:3 [
                          "pii" => "S147020451830860X"
                          "estado" => "S300"
                          "issn" => "14702045"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "International Foundation of Patient Blood Management &#40;IFPBM&#41; and Society for the Advancement of Blood Management &#40;SABM&#41; Work Group Essential Role of Patient Blood Management in a Pandemic&#58; a call for action"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Shander"
                            1 => "S&#46;M&#46; Goobie"
                            2 => "M&#46;A&#46; Warner"
                            3 => "M&#46; Aapro"
                            4 => "E&#46; Bisbe"
                            5 => "A&#46;A&#46; Perez-Calatayud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1213/ANE.0000000000004844"
                      "Revista" => array:7 [
                        "tituloSerie" => "Anesth Analg"
                        "fecha" => "2020"
                        "volumen" => "131"
                        "paginaInicial" => "74"
                        "paginaFinal" => "85"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32243296"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0140673620319528"
                          "estado" => "S300"
                          "issn" => "01406736"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of the application of the &#8220;Patient blood management&#8221; programme on the approach to elective hip and knee arthroplasties"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Zalba Marcos"
                            1 => "I&#46; Plaja Mart&#237;"
                            2 => "M&#46;L&#46; Antelo Caama&#241;o"
                            3 => "J&#46; Mart&#237;nez de Morentin Garraza"
                            4 => "M&#46;L&#46; Abinzano Guill&#233;n"
                            5 => "E&#46; Mart&#237;n Rodr&#237;guez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.medcli.2020.01.037"
                      "Revista" => array:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2020"
                        "volumen" => "155"
                        "paginaInicial" => "425"
                        "paginaFinal" => "433"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "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:5 [
                        "tituloSerie" => "Med Clin &#40;Barc&#41;"
                        "fecha" => "2018"
                        "volumen" => "151"
                        "paginaInicial" => "368"
                        "paginaFinal" => "373"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib0065"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Commission&#46; Directorate-General for Health and Food Safety&#46; Supporting patient blood management &#40;PBM&#41; in the EU&#46; A practical implementation guide for hospitals&#46; &#91;Accessed 13 January 2021&#93;&#46; Available from&#58; <a target="_blank" href="https://ec.europa.eu/health/sites/health/files/blood_tissues_organs/docs/2017_eupbm_hospitals_en.pdf">https&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;health&#47;sites&#47;health&#47;files&#47;blood&#95;tissues&#95;organs&#47;docs&#47;2017&#95;eupbm&#95;hospitals&#95;en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "European Commission&#46; Directorate-General for Health and Food Safety&#46; Building national programmes of Patient Blood Management &#40;PBM&#41; in the EU&#46; A guide for health authorities&#46; Bruselas&#58; European Comission&#59; 2017 &#91;Accessed 13 January 2021&#93;&#46; Available from&#58; <a target="_blank" href="https://ec.europa.eu/health/sites/health/files/blood_tissues_organs/docs/2017_eupbm_authorities_en.pdf">https&#58;&#47;&#47;ec&#46;europa&#46;eu&#47;health&#47;sites&#47;health&#47;files&#47;blood&#95;tissues&#95;organs&#47;docs&#47;2017&#95;eupbm&#95;authorities&#95;en&#46;pdf</a>&#46;"
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib0075"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "WHO&#46; Action framework to advance universal access to safe&#44; effective and quality assured blood products&#46; Organizaci&#243;n Mundial de la Salud&#59; 2020 &#91;Accessed 13 January 2021&#93;&#46; Available from&#58; <a target="_blank" href="https://www.who.int/publications/i/item/action-framework-to-advance-uas-bloodprods-978-92-4-000038-4">https&#58;&#47;&#47;www&#46;who&#46;int&#47;publications&#47;i&#47;item&#47;action-framework-to-advance-uas-bloodprods-978-92-4-000038-4</a>&#46;"
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Is it time to integrate patient blood management in ERAS guidelines&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46; Casans Franc&#233;s"
                            1 => "J&#46; Ripoll&#233;s Melchor"
                            2 => "J&#46;M&#46; Calvo Vecino"
                            3 => "Grupo Espa&#241;ol de Rehabilitaci&#243;n Multimodal Germ&#47;ERAS-Spain"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.redar.2014.12.005"
                      "Revista" => array:7 [
                        "tituloSerie" => "Rev Esp Anestesiol Reanim"
                        "fecha" => "2015"
                        "volumen" => "62"
                        "paginaInicial" => "61"
                        "paginaFinal" => "63"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25605130"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0302283819301113"
                          "estado" => "S300"
                          "issn" => "03022838"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
    "agradecimientos" => array:1 [
      0 => array:4 [
        "identificador" => "xack615673"
        "titulo" => "Acknowledgements"
        "texto" => "<p id="par0065" class="elsevierStylePara elsevierViewall">Dr&#46; Ino Fornet&#46; Anesthesiology and Resuscitation Service&#46; Hospital Universitario Puerta de Hierro Majadahonda &#40;Madrid&#41;&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Dr&#46; Javier Ripoll&#233;s Melchor&#46; Anesthesiology Service&#46; Hospital Universitario Infanta Leonor de Madrid&#46; Grupo Espa&#241;ol de Rehabilitaci&#243;n Multimodal &#40;GERM&#41;&#46; Instituto Aragon&#233;s de Ciencias de la Salud &#40;Zaragoza&#41;&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">Dr&#46; Inma Roig&#46; Servicio de Hematolog&#237;a&#46; Hospital Parc Taul&#237; &#40;Sabadell&#41;&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Dr&#46; Carlos Areal&#46; Axencia Galega de Sangue&#44; &#211;rganos e Tecidos &#40;Santiago de Compostela&#41;&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Dr&#46; &#205;&#241;igo Rom&#243;n Alonso&#46; Servicio de Hematolog&#237;a y Hemoterapia&#46; Hospital Marqu&#233;s de Valdecilla &#40;Santander&#41;&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Dr&#46; Jos&#233; Manuel Ram&#237;rez&#46; Servicio de Cirug&#237;a General&#46; Hospital Cl&#237;nico Universitario &#40;Zaragoza&#41;&#46; Grupo Espa&#241;ol de Rehabilitaci&#243;n Multimodal &#40;GERM&#41;&#46; Instituto Aragon&#233;s de Ciencias de la Salud &#40;Zaragoza&#41;&#46;</p>"
        "vista" => "all"
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/23411929/0000006900000006/v1_202207050820/S2341192922000920/v1_202207050820/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "47200"
    "tipo" => "SECCION"
    "en" => array:2 [
      "titulo" => "Special article"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "en"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006900000006/v1_202207050820/S2341192922000920/v1_202207050820/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192922000920?idApp=UINPBA00004N"
]
Indexed in:

Follow us:

Subscribe:

Article

Indexed in:

Follow us:

Subscribe:

Article

Subscribe to our newsletter
