Análisis de los aspectos logísticos y organizativos de un crucero para pacientes con insuficiencia respiratoria crónica. La Expedición RESpIRA y el Crucero de la EPOC

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La Expedición RESpIRA y el Crucero de la EPOC" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "266" "paginaFinal" => "273" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "S. Díaz Lobato, S. Mayoralas Alises, M.A. Gómez Mendieta, S. Sanz Baena, R. Martín Sánchez, P. Díaz-Agero" "autores" => array:6 [ 0 => array:4 [ "nombre" => "S." "apellidos" => "Díaz Lobato" "email" => array:1 [ 0 => "sdl01m@nacom.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "¿" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Mayoralas Alises" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M.A." "apellidos" => "Gómez Mendieta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "S." "apellidos" => "Sanz Baena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "R." "apellidos" => "Martín Sánchez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "P." "apellidos" => "Díaz-Agero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "d" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Neumología. Hospital Universitario La Paz. Madrid" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Medicina Interna. Hospital Universitario La Paz. Madrid" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Cirugía General. Hospital Universitario La Paz. Madrid" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Universitario La Paz. Madrid. España" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of logistical and organizational aspects of a cruise for patients with chronic respiratory insufficiency. The RESpIRA Expedition and the COPD Cruise" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-07-29" "fechaAceptado" => "2003-03-11" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190308" "palabras" => array:6 [ 0 => "Crucero" 1 => "Insuficiencia respiratoria crónica" 2 => "Enfermedad pumonar obstructiva crónica" 3 => "Oxigenoterapia" 4 => "Ventilación no invasiva" 5 => "Ventilación mecánica domiciliaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec190307" "palabras" => array:6 [ 0 => "Cruise" 1 => "Chronic respiratory insufficiency" 2 => "Chronic obstructive pulmonary disease" 3 => "Oxygen therapy" 4 => "Non invasive ventilation" 5 => "Domiciliary mechanical ventilation" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "Los pacientes con insuficiencia respiratoria crónica incluidos en programas de oxigenoterapia y ventilación mecánica domiciliaria refieren tener habitualmente grandes dificultades para realizar viajes complejos que impliquen diferentes destinos y permanencias prolongadas fuera de su domicilio habitual. Todos ellos tienen en común la necesidad de disponer de un equipamiento tecnológico más o menos sofisticado en casa que limita su libertad de movimientos. Hablamos de los sistemas de oxigenoterapia y respiradores mecánicos. Dadas las dificultades para viajar en avión que tienen este tipo de pacientes, nos planteamos que un crucero sería una alternativa ideal al ser el hotel el que se desplaza. Ello facilitaría la logística del viaje, pues sólo tendríamos que realizar la instalación de los equipos en un único emplazamiento. Con estas premisas hemos organizado hasta la fecha 2 cruceros para enfermos respiratorios crónicos, la Expedición RESpIRA y el Crucero de la EPOC. En nuestra experiencia, los problemas a los que debemos enfrentarnos a la hora de organizar un crucero para pacientes con insuficiencia respiratoria crónica se relacionan con el reclutamiento de pacientes, la financiación del viaje y la elección del itinerario que vamos a realizar. Una vez aclarados estos aspectos, hay que conseguir la autorización de la compañía naviera correspondiente, con el visto bueno de los servicios médicos y de seguridad de a bordo. Tras obtener el permiso para poder realizar el crucero y una vez que sepamos cuántos pacientes van a viajar, es necesario conocer qué material vamos a necesitar en términos de número de equipos de oxigenoterapia, respiradores y material fungible y, finalmente, dónde lo vamos a conseguir. Después sólo quedará disfrutar de la excursión. La participación de los médicos responsables de los programas de oxigenoterapia y ventilación mecánica domiciliaria es fundamental para transmitir seguridad a los pacientes y garantizar la solución de los problemas técnicos y médicos que pueden presentarse durante el viaje" ] "en" => array:1 [ "resumen" => "Patients with chronic respiratory insufficiency who are receiving domiciliary oxygen therapy and mechanical ventilation report great difficulty in taking complex trips involving several destinations and prolonged stays away from home. Such patients share a common need for home equipment whose technology is relatively sophisticated, a condition that limits their freedom of movement. We are referring to systems for delivering oxygen therapy and mechanical respirators. Given that such patients have problems traveling by air, we hypothesized that a cruise would be an ideal alternative, given that travel would take place in the hotel itself. A cruise would facilitate the logistics of the journey, given that the equipment would have to be set up at only one setting. Working with these assumptions, we have thus far organized two cruises for chronic respiratory insufficiency patients: the ”RESpIRA Expedition“ and the ”COPD Cruise“. Our experience shows that the organizational problems to be coped with are patient recruitment, financing and choice of itinerary. With those aspects clear, organizers must then obtain the authorization of the cruise operator, including the approval of the medical and safety personnel on board. After obtaining permission for the cruise and as soon as the organizers know how many patients will travel, a list of oxygen therapy equipment (respirators and disposable supplies) must be compiled. Finally, equipment suppliers must be found. Afterwards, all that remains is to enjoy the trip. The participation of physicians responsible for domiciliary oxygen therapy and mechanical ventilation programs is essential for making patients feel safe and for assuring solutions for technical and medical problems that might arise." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:37 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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Arch" ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003900000006/v1_201307081444/S0300289603753794/v1_201307081444/es/main.assets" "Apartado" => array:4 [ "identificador" => "9232" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Artículos especiales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003900000006/v1_201307081444/S0300289603753794/v1_201307081444/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289603753794?idApp=UINPBA00003Z"]

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Analysis of logistical and organizational aspects of a cruise for patients with chronic respiratory insufficiency. The RESpIRA Expedition and the COPD Cruise

S. Díaz Lobatoa,

Corresponding author

sdl01m@nacom.es

Correspondencia: Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España

, S. Mayoralas Alisesa, M.A. Gómez Mendietaa, S. Sanz Baenab, R. Martín Sánchezc, P. Díaz-Agerod

a Servicio de Neumología. Hospital Universitario La Paz. Madrid

b Servicio de Medicina Interna. Hospital Universitario La Paz. Madrid

c Servicio de Cirugía General. Hospital Universitario La Paz. Madrid

d Servicio de Cirugía Torácica. Hospital Universitario La Paz. Madrid. España

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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Los pacientes con insuficiencia respiratoria cr&#243;nica incluidos en programas de oxigenoterapia y ventilaci&#243;n mec&#225;nica domiciliaria refieren tener habitualmente grandes dificultades para realizar viajes complejos que impliquen diferentes destinos y permanencias prolongadas fuera de su domicilio habitual&#46; Todos ellos tienen en com&#250;n la necesidad de disponer de un equipamiento tecnol&#243;gico m&#225;s o menos sofisticado en casa que limita su libertad de movimientos&#46; Hablamos de los sistemas de oxigenoterapia y respiradores mec&#225;nicos&#46; Dadas las dificultades para viajar en avi&#243;n que tienen este tipo de pacientes&#44; nos planteamos que un crucero ser&#237;a una alternativa ideal al ser el hotel el que se desplaza&#46; Ello facilitar&#237;a la log&#237;stica del viaje&#44; pues s&#243;lo tendr&#237;amos que realizar la instalaci&#243;n de los equipos en un &#250;nico emplazamiento&#46; Con estas premisas hemos organizado hasta la fecha 2 cruceros para enfermos respiratorios cr&#243;nicos&#44; la Expedici&#243;n RESpIRA y el Crucero de la EPOC&#46; En nuestra experiencia&#44; los problemas a los que debemos enfrentarnos a la hora de organizar un crucero para pacientes con insuficiencia respiratoria cr&#243;nica se relacionan con el reclutamiento de pacientes&#44; la financiaci&#243;n del viaje y la elecci&#243;n del itinerario que vamos a realizar&#46; Una vez aclarados estos aspectos&#44; hay que conseguir la autorizaci&#243;n de la compa&#241;&#237;a naviera correspondiente&#44; con el visto bueno de los servicios m&#233;dicos y de seguridad de a bordo&#46; Tras obtener el permiso para poder realizar el crucero y una vez que sepamos cu&#225;ntos pacientes van a viajar&#44; es necesario conocer qu&#233; material vamos a necesitar en t&#233;rminos de n&#250;mero de equipos de oxigenoterapia&#44; respiradores y material fungible y&#44; finalmente&#44; d&#243;nde lo vamos a conseguir&#46; Despu&#233;s s&#243;lo quedar&#225; disfrutar de la excursi&#243;n&#46; La participaci&#243;n de los m&#233;dicos responsables de los programas de oxigenoterapia y ventilaci&#243;n mec&#225;nica domiciliaria es fundamental para transmitir seguridad a los pacientes y garantizar la soluci&#243;n de los problemas t&#233;cnicos y m&#233;dicos que pueden presentarse durante el viaje</p>"
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Article information

ISSN: 03002896
Original language: Spanish

DOI:10.1016/S0300-2896(03)75379-4

The statistics are updated each day

Year/Month	Html	Pdf	Total

2024 November	2	2	4
2024 October	42	24	66
2024 September	50	15	65
2024 August	77	29	106
2024 July	42	26	68
2024 June	71	29	100
2024 May	49	26	75
2024 April	39	22	61
2024 March	46	28	74
2024 February	31	34	65
2024 January	0	3	3
2023 December	0	2	2
2023 November	0	1	1
2023 October	0	6	6
2023 September	0	15	15
2023 July	0	3	3
2023 May	0	5	5
2023 April	0	1	1
2023 March	6	4	10
2023 February	38	18	56
2023 January	35	35	70
2022 December	40	25	65
2022 November	55	23	78
2022 October	34	32	66
2022 September	27	18	45
2022 August	45	30	75
2022 July	31	41	72
2022 June	34	33	67
2022 May	39	34	73
2022 April	36	16	52
2022 March	52	39	91
2022 February	27	28	55
2022 January	29	25	54
2021 December	19	43	62
2021 November	34	41	75
2021 October	35	53	88
2021 September	33	53	86
2021 August	27	32	59
2021 July	34	24	58
2021 June	40	35	75
2021 May	62	32	94
2021 April	103	82	185
2021 March	65	44	109
2021 February	50	14	64
2021 January	38	34	72
2020 December	29	24	53
2020 November	26	15	41
2020 October	33	18	51
2020 September	35	5	40
2020 August	37	10	47
2020 July	42	21	63
2020 June	34	12	46
2020 May	44	21	65
2020 April	41	17	58
2020 March	44	25	69
2020 February	48	29	77
2020 January	59	28	87
2019 December	37	27	64
2019 November	27	9	36
2019 October	20	16	36
2019 September	26	18	44
2019 August	22	15	37
2019 July	40	32	72
2019 June	29	23	52
2019 May	35	27	62
2019 April	60	19	79
2019 March	33	19	52
2019 February	24	10	34
2019 January	18	8	26
2018 December	25	13	38
2018 November	41	8	49
2018 October	78	18	96
2018 September	26	7	33
2018 May	12	1	13
2018 April	20	6	26
2018 March	7	4	11
2018 February	11	7	18
2018 January	17	12	29
2017 December	10	5	15
2017 November	17	14	31
2017 October	21	16	37
2017 September	11	13	24
2017 August	16	12	28
2017 July	16	12	28
2017 June	24	31	55
2017 May	19	27	46
2017 April	17	13	30
2017 March	26	9	35
2017 February	22	12	34
2017 January	13	8	21
2016 December	41	22	63
2016 November	50	24	74
2016 October	66	42	108
2016 September	64	23	87
2016 August	30	9	39
2016 July	39	8	47
2016 June	53	14	67
2016 May	44	6	50
2016 April	29	3	32
2016 March	19	3	22
2016 February	34	3	37
2016 January	41	16	57
2015 December	48	14	62
2015 November	47	4	51
2015 October	59	1	60
2015 September	69	0	69
2015 August	48	0	48
2015 July	48	0	48
2015 June	45	0	45
2015 May	65	0	65
2015 April	61	0	61
2015 March	40	0	40
2015 February	38	0	38
2015 January	37	0	37
2014 December	32	0	32
2014 November	42	0	42
2014 October	55	0	55
2014 September	42	0	42
2014 August	48	0	48
2014 July	39	0	39
2014 June	48	0	48
2014 May	54	0	54
2014 April	56	0	56
2014 March	47	0	47
2014 February	64	0	64
2014 January	56	0	56
2013 December	44	0	44
2013 November	61	0	61
2013 October	72	0	72
2013 September	68	0	68
2013 August	72	0	72
2013 July	68	0	68
2013 June	47	0	47
2013 May	45	0	45
2013 April	36	0	36
2013 March	11	0	11
2000 January	3836	0	3836

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