Walk a Tightrope or Burn a Bridge?: Sedation versus General Anesthesia for Intubation of a Pediatric Difficult Airway
Notice bibliographique
Résumé
Editorial| October 2022 Walk a Tightrope or Burn a Bridge?: Sedation versus General Anesthesia for Intubation of a Pediatric Difficult Airway This article has an Audio Podcast Allan F. Simpao, M.D., M.B.I.; Allan F. Simpao, M.D., M.B.I. 3 Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania; and Department of Anesthesiology and Critical Care Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania https://orcid.org/0000-0001-8871-2579 Search for other works by this author on: This Site PubMed Google Scholar Clyde T. Matava, M.B.Ch.B., D.A., M.Med.; Clyde T. Matava, M.B.Ch.B., D.A., M.Med. 2 Department of Anesthesia and Pain Medicine, Hospital for Sick Children, Toronto, Ontario, Canada; and Department of Anesthesiology and Pain Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Search for other works by this author on: This Site PubMed Google Scholar Andrew Davidson, M.B.B.S., M.D., F.A.N.Z.C.A. Andrew Davidson, M.B.B.S., M.D., F.A.N.Z.C.A. 1 Department of Anesthesia, Royal Children’s Hospital, Parkville, Victoria, Australia; Melbourne Children’s Trials Center, Murdoch Children’s Research Institute, Parkville, Victoria, Australia; and Departments of Pediatrics and Critical Care, University of Melbourne, Parkville, Victoria, Australia Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information This editorial accompanies the article on p. 418. Accepted for publication August 2, 2022. Address correspondence to Dr. Simpao: Anesthesiology October 2022, Vol. 137, 384–386. https://doi.org/10.1097/ALN.0000000000004343 Connected Content Article: Sedation versus General Anesthesia for Tracheal Intubation in Children with Difficult Airways: A Cohort Study from the Pediatric Difficult Intubation Registry Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn MailTo Cite Icon Cite Get Permissions Search Site Citation Allan F. Simpao, Clyde T. Matava, Andrew Davidson; Walk a Tightrope or Burn a Bridge?: Sedation versus General Anesthesia for Intubation of a Pediatric Difficult Airway. Anesthesiology 2022; 137:384–386 doi: https://doi.org/10.1097/ALN.0000000000004343 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: anesthesia, general, burns, intubation, pediatric difficult airway, sedation procedure Children—and their airways—come in all shapes and sizes, and the most seasoned pediatric anesthesiologists can share harrowing stories of patients who were difficult to ventilate or intubate. In 2012, a special interest group in the Society for Pediatric Anesthesia created the Pediatric Difficult Intubation Registry, an international, multicenter, web-based registry of observational data on pediatric difficult airway management, with the goal of improving the care of these challenging patients. The Pediatric Difficult Intubation Collaborative has produced a panoply of clinically relevant findings, and their most recent research sought to answer how these patients fare when managed with sedation versus general anesthesia.1–4 When confronted with a potentially or known difficult airway, most pediatric anesthesiologists induce general anesthesia, albeit with the goal of maintaining both adequate depth and spontaneous respiration.1 In contrast, there are some who decry general anesthesia may “burn the bridge” of spontaneous ventilation and instead choose to... You do not currently have access to this content.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».