MétaCan
Menu
Back to cohort
Record W4401546206 · doi:10.1097/aln.0000000000005135

Promise of Remimazolam in Pediatric Emergence Delirium

2024· article· en· W4401546206 on OpenAlexaffabout
Pablo Ingelmo, Andrew Davidson

Bibliographic record

VenueAnesthesiology · 2024
Typearticle
Languageen
FieldMedicine
TopicAnesthesia and Sedative Agents
Canadian institutionsMontreal Children's Hospital
Fundersnot available
KeywordsMedicineDeliriumEmergence deliriumIntensive care medicine

Abstract

fetched live from OpenAlex

Editorial| September 2024 Promise of Remimazolam in Pediatric Emergence Delirium Pablo M. Ingelmo, M.D.; Pablo M. Ingelmo, M.D. 1Department of Anesthesia, McGill University, Montreal, Canada; Division of Pediatric Anesthesia, and Edwards Family Interdisciplinary Center for Complex Pain, Montreal Children's Hospital, and Research Institute, McGill University Health Center, Montreal, Canada. Search for other works by this author on: This Site PubMed Google Scholar Andrew J. Davidson, M.B.B.S., M.D. Andrew J. Davidson, M.B.B.S., M.D. 2Department of Anaesthesia and Pain Management, Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, Melbourne Medical School, University of Melbourne, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Melbourne Children's Trial Centre, Melbourne, Australia. Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Accepted for publication June 10, 2024. This editorial accompanies the article on p. 500. Address correspondence to Dr. Ingelmo: A02-3525.1 – 1001 Boul. Decarie, Montreal QC, H41 3J1, Canada. Anesthesiology September 2024, Vol. 141, 434–436. https://doi.org/10.1097/ALN.0000000000005135 Connected Content Article: Effect of Remimazolam on Emergence Delirium in Children Undergoing Laparoscopic Surgery: A Double-blinded Randomized Trial Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Pablo M. Ingelmo, Andrew J. Davidson; Promise of Remimazolam in Pediatric Emergence Delirium. Anesthesiology 2024; 141:434–436 doi: https://doi.org/10.1097/ALN.0000000000005135 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: emergence delirium, pediatrics, remimazolam Remimazolam represents an emergent class of benzodiazepine-related compounds with a faster onset and offset than midazolam, integrating features of both midazolam and remifentanil. Remimazolam can also be reversed by flumazenil.1 Once the basic pharmacology of a new agent is defined, the next step is usually to determine whether the agent improves outcomes. Remimazolam is entering into this phase. It is reasonable to perform these efficacy trials exploring dose or mode of administration in tightly controlled groups with a placebo control. The trial by Cai et al. reported in this issue of Anesthesiology is this type of trial.2 The scenarios where the new therapy is trialed should be in areas where the outcome is important. Ideally, they should also be where there is no completely effective therapy or a lack of agreement over the most effective therapy. Emergence delirium is an important problem in pediatric anesthesia. Its... You do not currently have access to this content.

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.006
Threshold uncertainty score0.320

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
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 head0.023
GPT teacher head0.299
Teacher spread0.276 · 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; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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
Published2024
Admission routes2
Has abstractyes

Explore more

Same venueAnesthesiologySame topicAnesthesia and Sedative AgentsFrench-language works237,207