National survey on perioperative monitoring of direct oral anticoagulants: MonACOD survey

Igualada, J.; Ferrandis, R.; Gómez-Luque, J.A.; Cassinello, C.; Hidalgo, F.; Llau, J.V.

doi:10.1016/j.redare.2024.04.014

array:23 ["pii" => "S2341192924000829" "issn" => "23411929" "doi" => "10.1016/j.redare.2024.04.014" "estado" => "S300" "fechaPublicacion" => "2024-10-01" "aid" => "1618" "copyrightAnyo" => "2024" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2024;71:628-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:18 [ "pii" => "S0034935624000677" "issn" => "00349356" "doi" => "10.1016/j.redar.2024.02.002" "estado" => "S300" "fechaPublicacion" => "2024-10-01" "aid" => "1618" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Esp Anestesiol Reanim. 2024;71:628-30" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "CARTA AL DIRECTOR" "titulo" => "Encuesta nacional sobre la monitorización perioperatoria de anticoagulantes orales directos: encuesta MonACOD" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "628" "paginaFinal" => "630" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "National survey on perioperative monitoring of direct oral anticoagulants: MonACOD survey" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3921 "Ancho" => 2175 "Tamanyo" => 390149 ] ] "descripcion" => array:1 [ "es" => "Conocimiento de los métodos cuantitativos disponibles para la monitorización de los ACOD y disponibilidad horaria para su realización. ACOD: anticoagulantes orales directos; anti-Xa: antifactor X activado; anti-IIa: antifactor II activado." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Igualada, R. Ferrandis, J.A. Gómez-Luque, C. Cassinello, F. Hidalgo, J.V. Llau" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Igualada" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Ferrandis" ] 2 => array:2 [ "nombre" => "J.A." "apellidos" => "Gómez-Luque" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Cassinello" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Hidalgo" ] 5 => array:2 [ "nombre" => "J.V." "apellidos" => "Llau" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341192924000829" "doi" => "10.1016/j.redare.2024.04.014" "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/S2341192924000829?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0034935624000677?idApp=UINPBA00004N" "url" => "/00349356/0000007100000008/v1_202410020513/S0034935624000677/v1_202410020513/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341192923002044" "issn" => "23411929" "doi" => "10.1016/j.redare.2023.12.007" "estado" => "S300" "fechaPublicacion" => "2024-10-01" "aid" => "1553" "copyright" => "Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2024;71:631-2" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "Image of the month" "titulo" => "Valsalva sinus aneurysm leading to spontaneous closure in congenital ventricular septal defect" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "631" "paginaFinal" => "632" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Aneurisma del seno de Valsalva causante de cierre espontáneo de defecto del tabique ventricular congénito" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3028 "Ancho" => 1874 "Tamanyo" => 553846 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "A: Transesophageal echocardiogram: right SVA (white arrow) protruding into the RV and dynamically closing the VSD. B: Flow through the VSD (white arrow). C: CT: the VSD masked by SVA. D: right SVA (black arrow) prolapsing into the RV. E: Surgical image of the right SVA (white arrow) and perimembranous VSD (red arrow). F: Inverted aneurysmal ruptured (white arrow) into the RV." ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "B. Segura-Méndez, R. Arnold, Y. Carrascal" "autores" => array:3 [ 0 => array:2 [ "nombre" => "B." "apellidos" => "Segura-Méndez" ] 1 => array:2 [ "nombre" => "R." "apellidos" => "Arnold" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Carrascal" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0034935623002682" "doi" => "10.1016/j.redar.2023.03.009" "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/S0034935623002682?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192923002044?idApp=UINPBA00004N" "url" => "/23411929/0000007100000008/v1_202410020528/S2341192923002044/v1_202410020528/en/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S2341192924000635" "issn" => "23411929" "doi" => "10.1016/j.redare.2024.04.002" "estado" => "S300" "fechaPublicacion" => "2024-10-01" "aid" => "1609" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Revista Española de Anestesiología y Reanimación (English Version). 2024;71:627-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "Letter to the Director" "titulo" => "QT-prolongation in patients with severe COVID-19 is multicausal and not limited to anti-SARS-CoV-2 drugs" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "627" "paginaFinal" => "628" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La prolongación del intervalo QT en los pacientes con COVID-19 severa es multicausal y no se limita a los fármacos anti-SARS-CoV-2" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Finsterer, C. Stöllberger" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Finsterer" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Stöllberger" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S003493562400046X" "doi" => "10.1016/j.redar.2023.11.011" "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/S003493562400046X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192924000635?idApp=UINPBA00004N" "url" => "/23411929/0000007100000008/v1_202410020528/S2341192924000635/v1_202410020528/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "Letter to the Director" "titulo" => "National survey on perioperative monitoring of direct oral anticoagulants: MonACOD survey" "tieneTextoCompleto" => true "saludo" => "To the Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "628" "paginaFinal" => "630" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Igualada, R. Ferrandis, J.A. Gómez-Luque, C. Cassinello, F. Hidalgo, J.V. Llau" "autores" => array:6 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Igualada" "email" => array:1 [ 0 => "Jesusigualada18@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "R." "apellidos" => "Ferrandis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.A." "apellidos" => "Gómez-Luque" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Cassinello" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 4 => array:3 [ "nombre" => "F." "apellidos" => "Hidalgo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] 5 => array:3 [ "nombre" => "J.V." "apellidos" => "Llau" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "e" "identificador" => "aff0025" ] ] ] ] "afiliaciones" => array:5 [ 0 => array:3 [ "entidad" => "Hospital Universitario y Politécnico La Fe, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Hospital Universitario Virgen de la Victoria, Málaga, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Hospital Universitario Infanta Sofía, Madrid, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Clínica Universidad de Navarra, Navarra, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] 4 => array:3 [ "entidad" => "Hospital Universitario Doctor Peset, Valencia, Spain" "etiqueta" => "e" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Encuesta nacional sobre la monitorización perioperatoria de anticoagulantes orales directos: encuesta MonACOD" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3921 "Ancho" => 2175 "Tamanyo" => 383008 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Awareness of quantitative DOAC monitoring tests and availability." ] ] ] "textoCompleto" => "Direct oral anticoagulants (DOAC) are used in the prevention and treatment of thrombotic events. Patients are increasingly being treated with these drugs (1% of the Spanish population in 2021<a class="elsevierStyleCrossRef" href="#bib0005">1</a>), and if any of these patients need to undergo surgery or an invasive procedure, their DOAC therapy may need to be interrupted.Although different scientific societies have established safe interruption windows based on pharmacokinetic data for both scheduled surgery<a class="elsevierStyleCrossRef" href="#bib0010">2</a> and regional anaesthesia-analgesia techniques,<a class="elsevierStyleCrossRef" href="#bib0015">3</a> in order to maximise safety, plasma levels of DOACs should be monitored in patients with impaired kidney function; particularly when performing loco-regional techniques.<a class="elsevierStyleCrossRef" href="#bib0020">4</a>Following such specific recommendations can be problematic in clinical practice if clinicians are unsure of the type of test that should be performed or when testing is unavailable. We performed a survey to determine the real availability of specific DOAC monitoring tests in Spanish hospitals and the extent to which anaesthesiologists understand and use these tests. The Spanish Society of Anaesthesiology, Resuscitation and Pain Therapy (SEDAR) sent the survey questionnaire to all its members and also posted it on social media networks (Supplementary documentation 1 – Form).After a collection period of 5 months (March–July 2022), 152 responses from 100 hospitals were received. Clinicians were unaware that tests for specific DOACs were available (48% in the case of dabigatran and 31% in the case of anti-Xa) and in many centres these tests were unavailable (60% and 49% for dabigatran and anti-XA, respectively) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). In centres that were able to perform specific tests, they were mostly ordered in patients with acute bleeding or undergoing urgent surgery (31% in both cases), and were ordered per protocol only in 1% of cases.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>This is the first survey performed to determine the extent to which anaesthesiologists are aware of these tests and their availability in each hospital, and shows that many anaesthesiologists are unaware of the possibility of monitoring DOAC levels; particularly dabigatran and less so anti-Xa. The unavailability of testing is another striking finding, particularly when this information is combined with the time frame in which it is available: round the clock in only 8% and 18% of centres for dabigatran and anti-Xa, respectively.The first conclusion to be drawn from this survey is probably that training in such an important issue as DOAC monitoring (which is obviously deficient) needs to be stepped up: most anaesthesiologists do not follow existing recommendations because they are unaware of the existence of DOAC tests.This article describes the results of a survey sent from the Scientific Society (SEDAR). Surveys are frequently used in scientific research to rapidly obtain large data sets, and interpreting the results give researchers indirect insight into certain issues. Their value lies more in their target population group than in the opinion of individual respondents, and this is why SEDAR was informed of the aim of the survey, and agreed to send the questionnaire to its affiliates and post it on social networks. Therefore, although the result might not be fully representative because response was obviously voluntary, it does furnish us with information on an issue that has hitherto received little attention, and allows us to address the subject of improving understanding and monitoring of DOACs in a large sample of hospitals (28% of national hospitals with more than 300 beds).Despite its limitations, the results of this survey show the need to improve training and dissemination of DOAC monitoring in hospitals in general, and specifically in the perioperative period of patients with kidney failure. This lays the foundation for performing studies in which such monitoring is considered necessary." "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 3921 "Ancho" => 2175 "Tamanyo" => 383008 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "Awareness of quantitative DOAC monitoring tests and availability." ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Agencia Española de Medicamentos y Productos Sanitarios [Internet]. 2019 [Accessed 9 Feb 2023]. Utilización de medicamentos antitrombóticos en España. Available from: <a target="_blank" href="https://www.aemps.gob.es/medicamentos-de-uso-humano/observatorio-de-uso-de-medicamentos/utilizacion-de-medicamentos-antitromboticos-en-espana/">https://www.aemps.gob.es/medicamentos-de-uso-humano/observatorio-de-uso-de-medicamentos/utilizacion-de-medicamentos-antitromboticos-en-espana/</a>." ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Manejo perioperatorio y periprocedimiento del tratamiento antitrombótico: documento de consenso de SEC, SEDAR, SEACV, SECTCV, AEC, SECPRE, SEPD, SEGO, SEHH, SETH, SEMERGEN, SEMFYC, SEMG, SEMICYUC, SEMI, SEMES, SEPAR, SENEC, SEO, SEPA, SERVEI, SECOT y AEU" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D. Vivas" 1 => "I. Roldán" 2 => "R. Ferrandis" 3 => "F. Marín" 4 => "V. Roldán" 5 => "A. Tello-Montoliu" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Esp Cardiol." "fecha" => "2018" "volumen" => "71" "paginaInicial" => "553" "paginaFinal" => "564" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy. American Society of Regional Anesthesia and Pain Medicine. Evidence-based guidelines (Fourth Edition)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "T.T. Horlocker" 1 => "E. Vandermeuelen" 2 => "S.L. Kopp" 3 => "W. Gogarten" 4 => "L.R. Leffert" 5 => "H.T. Benzon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/AAP.0000000000000763" "Revista" => array:6 [ "tituloSerie" => "Reg Anesth Pain Med." "fecha" => "2018" "volumen" => "43" "paginaInicial" => "263" "paginaFinal" => "309" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29561531" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Regional anaesthesia in patients on antithrombotic drugs: Joint ESAIC/ESRA guidelines" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Kietaibl" 1 => "R. Ferrandis" 2 => "A. Godier" 3 => "J. Llau" 4 => "C. Lobo" 5 => "A.J. Macfarlane" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/EJA.0000000000001600" "Revista" => array:6 [ "tituloSerie" => "Eur J Anaesthesiol." "fecha" => "2022" "volumen" => "39" "paginaInicial" => "100" "paginaFinal" => "132" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/34980845" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000007100000008/v1_202410020528/S2341192924000829/v1_202410020528/en/main.assets" "Apartado" => array:4 [ "identificador" => "67196" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000007100000008/v1_202410020528/S2341192924000829/v1_202410020528/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192924000829?idApp=UINPBA00004N"]

ISSN: 2341-1929

Ver más Opción Open Access

Revista Española de Anestesiología y Reanimación has received its first journal Impact Factor (JCR) in 2023. Instructions for authors - Submit an article

Indexada en:

Web of Science, Emerging Sources Citation Index (WoS, Clarivate), PubMed/Medline, Scopus, EMBASE, IBECS

Artículo

Opciones para acceder a los textos completos de la publicación Revista Española de Anestesiología y Reanimación (English Edition)

Suscriptor

Suscriptor de la revista

Si ya tiene sus datos de acceso, clique aquí.

Si olvidó su clave de acceso puede recuperarla clicando aquí y seleccionando la opción "He olvidado mi contraseña".

Suscribirse a:

Revista Española de Anestesiología y Reanimación (English Edition)

Más información

Comprar

Comprar acceso al artículo

Comprando el artículo el PDF del mismo podrá ser descargado

Precio 19,34 €

Comprar ahora

Contactar

Teléfono para suscripciones e incidencias

De lunes a viernes de 9h a 18h (GMT+1) excepto los meses de julio y agosto que será de 9 a 15h

Llamadas desde España

932 415 960

Llamadas desde fuera de España

+34 932 415 960

E-mail

atencionalcliente@elsevier.com

Publique en

Revista Española de Anestesiología y Reanimación

Herramientas

Artículos
recomendados

SEDAR-SEMICYUC consensus recommendations on the management...

Revista Española de Anestesiología y Reanimación (English Version). 2020;67:391-9

¿Letter to the Editor¿ response to Vives and...

Revista Española de Anestesiología y Reanimación (English Version). 2022;69:373-4

Effectiveness of thromboprophylaxis with low molecular...

Revista Española de Anestesiología y Reanimación (English Version). 2023;70:129-39

Revista Española de Anestesiología y Reanimación (English Edition) se adhiere a los principios y procedimientos dictados por el Committee on Publication Ethics (COPE)
www.publicationethics.org.

Artículos de acceso gratuito

Management of peri-surgical anemia in elective surgery....

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:454-65

Risk factors for PPCs in laparoscopic non–robotic...

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:592-600

Pre-anaesthesia assessment in cataract surgery:...

Revista Española de Anestesiología y Reanimación (English Version). 2024;71:403-11

Indexada en:

Síguenos:

Suscribirse:

Artículo

Indexada en:

Síguenos:

Suscribirse:

Artículo

Suscríbase a la newsletter