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Record W2629949127 · doi:10.1111/anae.13849

Difficult airway research options and ethical consensus

2017· letter· en· W2629949127 on OpenAlexaff
Hilary P. Grocott

Bibliographic record

VenueAnaesthesia · 2017
Typeletter
Languageen
FieldMedicine
TopicAirway Management and Intubation Techniques
Canadian institutionsUniversity of Manitoba
Fundersnot available
KeywordsMisnomerAcronymMedicineAirwayRound tableEpistemologyComputer science

Abstract

fetched live from OpenAlex

In the recent editorial by Ward and Irwin addressing the ethical issues of simulating difficult airways in real patients, the term ‘consensus’ is used curiously 1. As defined in the Oxford English Dictionary 2, ‘consensus’ denotes a ‘general agreement’, and although its use in the table contained within the editorial does help to define the easily remembered CARE acronym (Consensus on Airway Research Ethics), the manner in which it is used makes it somewhat of a misnomer. That is, a ‘consensus’ usually denotes a broader general agreement, yet the editorial appears to reflect only the agreement of the sole two authors. One would usually assume agreement to be the case with authors of the same article. It implicitly (and perhaps falsely) implies a broader consensus in the area of ethics in airway research. Though I do not take issue with most of the statements contained in their CARE table–indeed, it is quite a helpful starting point for a deeper discussion on how to do difficult airway research involving real patients–for such a document to have wider acceptance (i.e. real ‘consensus’), it probably should be more broadly authored and reviewed (e.g. perhaps by representative committees of the various airway societies), before one could truly state that it represents consensus per se. Secondly, Ward and Irwin's discussion of simulation (i.e. use of manikins) vs. real patients in the teaching of difficult airway skills fails to address a potential compromise solution between real patients and airway simulators, namely the use of fresh (or lightly embalmed) 3 cadavers for simulating airway techniques. There are multiple reports of cadavers being used in various research studies and airway teaching courses 4. Although more difficult and expensive to acquire, they are devoid of the ethical concerns of using real patients and also address the lower fidelity of conventional artificial airway simulators. Before a true consensus on the ethics of difficult airway management can be made, perhaps all of the various airway training options should be considered–manikins, patients and cadavers.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesResearch integrity
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.424
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0020.004
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.089
GPT teacher head0.387
Teacher spread0.297 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; both teacher heads agree on what is shown here.

Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2017
Admission routes1
Has abstractyes

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