Conocimientos y destreza en el manejo del inhalador Turbuhaler® por parte del personal sanitario
Health care workers’ knowledge and skill in managing the Turbuhaler® inhalter
Departamento de Neumología. Hospital de la Santa Creu i de Sant Pau. Barcelona
Read
4017
Timeswas read the article
2029
Total PDF
1988
Total HTML
Share statistics
array:23 [ "pii" => "S0300289615306384" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)30638-4" "estado" => "S300" "fechaPublicacion" => "1997-03-01" "aid" => "70708" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "copyrightAnyo" => "1997" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1997;33:113-7" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1570 "formatos" => array:3 [ "EPUB" => 61 "HTML" => 738 "PDF" => 771 ] ] "itemSiguiente" => array:18 [ "pii" => "S0300289615306396" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)30639-6" "estado" => "S300" "fechaPublicacion" => "1997-03-01" "aid" => "70709" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Arch Bronconeumol. 1997;33:118-23" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1671 "formatos" => array:3 [ "EPUB" => 81 "HTML" => 826 "PDF" => 764 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Sistemas de valoración clínica en el diagnóstico del tromboembolismo pulmonar (TEP)" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "118" "paginaFinal" => "123" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Clinical evaluation systems for diagnosing pulmonary thromboembolism" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Otero-Candelera, A. Cayuela Domínguez, M. Arenas, A. Segado Soriano, E. Barrot Cortés, A. Verano Rodríguez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Otero-Candelera" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Cayuela Domínguez" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Arenas" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Segado Soriano" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Barrot Cortés" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Verano Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306396?idApp=UINPBA00003Z" "url" => "/03002896/0000003300000003/v1_201506200427/S0300289615306396/v1_201506200427/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0300289615306372" "issn" => "03002896" "doi" => "10.1016/S0300-2896(15)30637-2" "estado" => "S300" "fechaPublicacion" => "1997-03-01" "aid" => "70707" "copyright" => "Sociedad Española de Neumología y Cirugía Torácica" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Arch Bronconeumol. 1997;33:109-12" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2009 "formatos" => array:3 [ "EPUB" => 61 "HTML" => 914 "PDF" => 1034 ] ] "es" => array:7 [ "idiomaDefecto" => true "titulo" => "Viejos y nuevos antibióticos en neumología" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "109" "paginaFinal" => "112" ] ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "F. Rodríguez de Castro, J. Solé Violán" "autores" => array:2 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Rodríguez de Castro" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Solé Violán" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306372?idApp=UINPBA00003Z" "url" => "/03002896/0000003300000003/v1_201506200427/S0300289615306372/v1_201506200427/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Conocimientos y destreza en el manejo del inhalador Turbuhaler<span class="elsevierStyleSup">®</span> por parte del personal sanitario" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "113" "paginaFinal" => "117" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "V. Plaza, J. Giner, J. Gómez, P. Casan, J. Sanchis" "autores" => array:5 [ 0 => array:3 [ "nombre" => "V." "apellidos" => "Plaza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Giner" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Gómez" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Casan" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Sanchis" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Neumología. Hospital de la Santa Creu i de Sant Pau. Barcelona" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Departamento de Neumología. Hospital de la Santa Creu i de Sant Pau. Sant Antoni M. Claret, 167. 08025 Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Health care workers’ knowledge and skill in managing the Turbuhaler<span class="elsevierStyleSup">®</span> inhalter" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1996-02-13" "fechaAceptado" => "1996-07-09" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec545598" "palabras" => array:7 [ 0 => "Inhaladores" 1 => "Técnica de inhalación" 2 => "Inhaladores de polvo seco" 3 => "Turbuhaler<span class="elsevierStyleSup">®</span>" 4 => "Personal sanitario" 5 => "Educación de los profesionales sanitarios" 6 => "Apnea postinhalación" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec545599" "palabras" => array:7 [ 0 => "Inhalers" 1 => "Inhalation technique" 2 => "Dry powder inhalers" 3 => "Turbuhaler<span class="elsevierStyleSup">®</span>" 4 => "Health care workers" 5 => "Training of health care workers" 6 => "Post-inhalation apnea" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El objetivo de este estudio ha sido evaluar entre nuestros profesionales sanitarios los conocimientos teóricos y la destreza en el manejo del inhalador de polvo seco Turbuhaler<span class="elsevierStyleSup">®</span>. Para ello, se estudiaron 118 personas pertenecientes a tres grupos laborales: 50 miembros del personal de enfermería, 34 médicos internos residentes (MIR) y 34 médicos de plantilla del hospital. Los conocimientos teóricos se evaluaron mediante un cuestionario específico, diseñado al efecto. La destreza en el manejo se analizó por la demostración práctica de la técnica inhalatoria, generalmente recomendada, con un inhalador placebo.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El 6% de los médicos de plantilla, el 3% de los MIR y el 2% del personal de enfermería contestaron correctamente el cuestionario teórico. El 21% de los médicos de plantilla, el 15% de los MIR y el 6% del personal de enfermería efectuaron correctamente las maniobras de inhalación. Sin embargo, cuando la destreza en el manejo del inhalador se evaluó de acuerdo con las maniobras que recomienda el fabricante del dispositivo (que eximen de la realización de la espiración previa a la inhalación y de la apnea posterior), se observó una mejora importante: el 41% de los médicos de plantilla, el 23% de los MIR y el 20% del personal de enfermería efectuaron correctamente la inhalación.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Podemos concluir afirmando que: a) el conocimiento general del manejo del dispositivo Turbuhaler<span class="elsevierStyleSup">®</span> entre nuestros profesionales sanitarios es deficiente, b) el porcentaje de maniobras de inhalación correctas observadas se duplica cuando éstas se evalúan según la técnica de inhalación recomendada por el fabricante y c) el personal sanitario debería recibir una educación específica en las técnicas de inhalación requeridas para los diferentes dispositivos que habitualmente se emplean.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The aim of this study was to evaluate health care workers’ theoretical knowledge and skill in managing the dry powder Turbuhaler<span class="elsevierStyleSup">®</span>.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">We studied 118 individuals in three groups: 50 nurses, 34 medical residents and 34 staff physicians. Theoretical knowledge was evaluated by a questionnaire specifically designed for the purpose. Skill in managing the device was analyzed by evaluating a practical demonstration of the inhaling technique generally recommended, using a placebo inhaler.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Six percent of staff physicians, 3% of the residents and 2% of the nurses answered the theoretical questionnaire correctly. Twenty-one percent of the staff physicians, 15% of the residents and 6% of the nurses inhaled correctly. However, when skill in managing the inhaler was evaluated against the maneuvers recommended by the manufacturer (which do not oblige exhaling before inhaling through the device and then holding the breath), there was significant improvement: 41% of the staff physicians, 23% of the residents, and 20% of the nurses inhaled correctly.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We can cloncluding by saying that: <span class="elsevierStyleItalic">a</span>) our health care workers’ general knowledge about how to handle the Turbuhaler<span class="elsevierStyleSup">®</span> device is deficient; <span class="elsevierStyleItalic">b</span>) the proportion of correct inhalation maneuvers observed doubles when these are assessed according to the manufacturer's recommendations, and <span class="elsevierStyleItalic">c</span>) health care workers should receive specific training in the inhalation techniques required for using the various devices usually prescribed.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:19 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Deposition of pressurised aerosols in the human respiratory tract" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.P. Newman" 1 => "D. Pavia" 2 => "F. Moren" 3 => "N.F. Sheahan" 4 => "S.W. Clarke" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1981" "volumen" => "36" "paginaInicial" => "52" "paginaFinal" => "55" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7292382" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Method of using pressurized aerosols" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "C.K. Connolly" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br Med J" "fecha" => "1975" "volumen" => "2" "paginaInicial" => "21" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/466256" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0920996413003332" "estado" => "S300" "issn" => "09209964" ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical consequences of inadequate inhalation technique in asthma therapy" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Lindgren" 1 => "B. Bake" 2 => "S. Larsson" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Respir Dis" "fecha" => "1987" "volumen" => "70" "paginaInicial" => "93" "paginaFinal" => "98" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3817076" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Patient error in use of bronchodilator metered aerosols" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Orehek" 1 => "P. Gayrad" 2 => "C.H. Grimaud" 3 => "J. Charpin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br Med J" "fecha" => "1976" "volumen" => "1" "paginaInicial" => "76" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12850" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The adequacy of inhalation of aerosol from canister nebulizers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Shim Ch" 1 => "M.H. Williams" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Med" "fecha" => "1980" "volumen" => "69" "paginaInicial" => "891" "paginaFinal" => "894" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7446554" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Asma bronquial y broncodilatadores en aerosol: empleo incorrecto en nuestro medio" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.G.N. Agustí" 1 => "P. Ussetti" 2 => "J. Roca" 3 => "J.M. Montserrat" 4 => "R. Rodríguez Roisín" 5 => "A. Agustí-Vidal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1983" "volumen" => "81" "paginaInicial" => "893" "paginaFinal" => "894" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Physician knowledge in the use of canister nebulizers" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J.S. Kelling" 1 => "K.P. Strhol" 2 => "R.L. Smith" 3 => "M.D. Altose" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1983" "volumen" => "83" "paginaInicial" => "612" "paginaFinal" => "614" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6831948" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Destreza en el manejo de los aerosoles por parte del personal sanitario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "M.A. Felez" 1 => "J.M. Gonzalez Clemente" 2 => "Q. Cardona" 3 => "J.M. Montserrat" 4 => "C. Picado" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "1991" "volumen" => "188" "paginaInicial" => "185" "paginaFinal" => "187" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1784742" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Design and function of Turbuhaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "K.I.L. Wetterliln" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "A New concept in inhalation therapy" "paginaInicial" => "85" "paginaFinal" => "89" "serieFecha" => "1987" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical assessment of a new multidose nonpressurized metered-dose inhaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J. Duncan" 1 => "A.C. Ning" 2 => "G.K. Crompton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Drug Invest" "fecha" => "1990" "volumen" => "2" "paginaInicial" => "136" "paginaFinal" => "137" "itemHostRev" => array:3 [ "pii" => "S0165178113006823" "estado" => "S300" "issn" => "01651781" ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulmonary deposition of inhaled terbutaline. A comparison of two methods: Scanning gammacamera and urinary excretion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Borgström" 1 => "S. Newman" 2 => "F. Moren" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Aerosol Med" "fecha" => "1991" "volumen" => "4" "numero" => "Supl 1" "paginaInicial" => "10" ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medical personnel's knowledge of and ability to use inhaling devices" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N.A. Hanania" 1 => "R. Wittman" 2 => "S. Kesten" 3 => "K.R. Chapman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Chest" "fecha" => "1994" "volumen" => "105" "paginaInicial" => "111" "paginaFinal" => "116" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8275720" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Breath-actuated inhalers: comparison of terbutaline Turbohaler with salbutamol Rotahaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Anani" 1 => "A.J. Higgins" 2 => "G.K. Crompton" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1989" "volumen" => "2" "paginaInicial" => "640" "paginaFinal" => "642" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2776870" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0070" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy and acceptability of Turbohaler in adults" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K. Osterman" 1 => "A.M. Norborg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "titulo" => "A new concept in inhalation therapy" "paginaInicial" => "158" "serieFecha" => "1987" ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0075" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy and acceptability of terbutaline sulphate Turbuhaler in children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.O. Warner" 1 => "P. Chetcuti" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "A new concept in inhalation therapy" "paginaInicial" => "166" "paginaFinal" => "172" "serieFecha" => "1987" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0080" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical comparison of inhaled budesonide delivered either via pressurized metered dose inhaler of Turbuhaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "T. Engel" 1 => "J.H. Heining" 2 => "H.J. Mailing" 3 => "B. Scharling" 4 => "K. Nikander" 5 => "F. Madsen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Allergy" "fecha" => "1989" "volumen" => "44" "paginaInicial" => "220" "paginaFinal" => "225" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2653086" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0085" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Optimal inhalation technique with terbutaline Turbuhaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "O.R. Hansen" 1 => "S. Pedersen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur Respir J" "fecha" => "1989" "volumen" => "2" "paginaInicial" => "637" "paginaFinal" => "639" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2776869" "web" => "Medline" ] ] ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0090" "etiqueta" => "18." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Efficacy of different inhalation techniques with a breathactuated dry powder beta-agonist inhaler" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Burt" 1 => "S.P. Keenan" 2 => "J.A. Fleetham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Am Rev Respir Dis" "fecha" => "1991" "volumen" => "143" "paginaInicial" => "A 655" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0095" "etiqueta" => "19." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Laboratorios Astra (España)" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Sistema de Inhalación Turbuhaler" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "1994" "paginaInicial" => "17" "editorial" => "Ed. Prodisa" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/03002896/0000003300000003/v1_201506200427/S0300289615306384/v1_201506200427/es/main.assets" "Apartado" => array:4 [ "identificador" => "9277" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000003300000003/v1_201506200427/S0300289615306384/v1_201506200427/es/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615306384?idApp=UINPBA00003Z" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 5 | 5 | 10 |
| 2024 October | 40 | 22 | 62 |
| 2024 September | 42 | 22 | 64 |
| 2024 August | 52 | 26 | 78 |
| 2024 July | 46 | 30 | 76 |
| 2024 June | 47 | 21 | 68 |
| 2024 May | 46 | 32 | 78 |
| 2024 April | 36 | 26 | 62 |
| 2024 March | 37 | 36 | 73 |
| 2024 February | 19 | 33 | 52 |
| 2024 January | 0 | 3 | 3 |
| 2023 December | 0 | 1 | 1 |
| 2023 November | 0 | 2 | 2 |
| 2023 October | 0 | 5 | 5 |
| 2023 August | 0 | 3 | 3 |
| 2023 July | 0 | 20 | 20 |
| 2023 May | 0 | 4 | 4 |
| 2023 March | 4 | 5 | 9 |
| 2023 February | 28 | 20 | 48 |
| 2023 January | 28 | 27 | 55 |
| 2022 December | 21 | 23 | 44 |
| 2022 November | 28 | 15 | 43 |
| 2022 October | 21 | 31 | 52 |
| 2022 September | 28 | 23 | 51 |
| 2022 August | 23 | 28 | 51 |
| 2022 July | 23 | 36 | 59 |
| 2022 June | 23 | 30 | 53 |
| 2022 May | 32 | 38 | 70 |
| 2022 April | 31 | 52 | 83 |
| 2022 March | 20 | 31 | 51 |
| 2022 February | 27 | 27 | 54 |
| 2022 January | 24 | 25 | 49 |
| 2021 December | 21 | 34 | 55 |
| 2021 November | 19 | 33 | 52 |
| 2021 October | 25 | 38 | 63 |
| 2021 September | 15 | 32 | 47 |
| 2021 August | 20 | 40 | 60 |
| 2021 July | 19 | 31 | 50 |
| 2021 June | 19 | 30 | 49 |
| 2021 May | 15 | 25 | 40 |
| 2021 April | 47 | 66 | 113 |
| 2021 March | 51 | 41 | 92 |
| 2021 February | 45 | 18 | 63 |
| 2021 January | 35 | 21 | 56 |
| 2020 December | 18 | 25 | 43 |
| 2020 November | 13 | 20 | 33 |
| 2020 October | 18 | 15 | 33 |
| 2020 September | 6 | 9 | 15 |
| 2020 August | 25 | 12 | 37 |
| 2020 July | 43 | 17 | 60 |
| 2020 June | 7 | 8 | 15 |
| 2020 May | 14 | 11 | 25 |
| 2020 April | 23 | 9 | 32 |
| 2020 March | 12 | 15 | 27 |
| 2020 February | 13 | 18 | 31 |
| 2020 January | 35 | 26 | 61 |
| 2019 December | 17 | 36 | 53 |
| 2019 November | 3 | 14 | 17 |
| 2019 October | 13 | 12 | 25 |
| 2019 September | 10 | 36 | 46 |
| 2019 August | 10 | 11 | 21 |
| 2019 July | 14 | 43 | 57 |
| 2019 June | 21 | 27 | 48 |
| 2019 May | 38 | 36 | 74 |
| 2019 April | 23 | 30 | 53 |
| 2019 March | 12 | 16 | 28 |
| 2019 February | 8 | 10 | 18 |
| 2019 January | 6 | 19 | 25 |
| 2018 December | 9 | 19 | 28 |
| 2018 November | 10 | 24 | 34 |
| 2018 October | 21 | 14 | 35 |
| 2018 September | 12 | 9 | 21 |
| 2018 May | 5 | 3 | 8 |
| 2018 April | 9 | 15 | 24 |
| 2018 March | 15 | 12 | 27 |
| 2018 February | 8 | 11 | 19 |
| 2018 January | 7 | 10 | 17 |
| 2017 December | 9 | 12 | 21 |
| 2017 November | 9 | 14 | 23 |
| 2017 October | 11 | 16 | 27 |
| 2017 September | 5 | 9 | 14 |
| 2017 August | 9 | 19 | 28 |
| 2017 July | 5 | 5 | 10 |
| 2017 June | 8 | 23 | 31 |
| 2017 May | 15 | 13 | 28 |
| 2017 April | 4 | 6 | 10 |
| 2017 March | 7 | 30 | 37 |
| 2017 February | 6 | 12 | 18 |
| 2017 January | 2 | 9 | 11 |
| 2016 December | 8 | 12 | 20 |
| 2016 November | 21 | 18 | 39 |
| 2016 October | 22 | 23 | 45 |
| 2016 September | 25 | 17 | 42 |
| 2016 August | 28 | 7 | 35 |
| 2016 July | 32 | 9 | 41 |
| 2016 June | 32 | 15 | 47 |
| 2016 May | 22 | 8 | 30 |
| 2016 April | 12 | 0 | 12 |
| 2016 March | 11 | 0 | 11 |
| 2016 February | 14 | 2 | 16 |
| 2016 January | 32 | 14 | 46 |
| 2015 December | 36 | 19 | 55 |
| 2015 November | 30 | 13 | 43 |
| 2015 October | 9 | 1 | 10 |
| 2015 September | 3 | 0 | 3 |
| 2015 June | 1 | 0 | 1 |
Show all
