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ISSN: 2763-5724 / Vol. 04 - n 04 - ano 2024
Title Design Objective Results Conclusion
Low-cost versus high-
delity pediatric
simulators for dicult
airway management
training: a randomized
study in continuing
medical education
Randomized
trial
Compare the quality and educational
impact of a full-scale simulation workshop
with an infant simulator or with a low-
cost simulator composed of an inert infant
manikin with software that displays
parameters on pediatric dicult airway
management.
We enrolled 128 physicians. Direct participation SQS,
observation SQS, ANTS scores, T0 SQS, T3 and T6
SQS were not dierent between groups.
Our low-cost simulator
should be suggested as a
less expensive alternative
to an HF simulator for
continuing medical education
in pediatric dicult airway
management.
The place of
ultrasonography in
conrming the position
of the laryngeal mask
airway in pediatric
patients
Observational
study
The incidence of suboptimal laryngeal
mask airway position and replacement in
children was evaluated using simultaneous
ultrasound imaging.
The average age of the patients was 6.27 ± 4.66
years. After evaluation with ultrasonography, 79.3%
of the laryngeal mask airways were found to be
optimally positioned, while the position of 15.9% had
to be corrected, and 4.9% had to be replaced. There
was a moderate positive correlation between the
ultrasonographic evaluation and leak test evaluation.
Relocation of the
laryngeal mask airway
was determined to be an
independent risk factor
aecting the development of
complications.
Safety and Ecacy
of the Combination of
Propofol and Ketamine
for Procedural Sedation/
Anesthesia in the
Pediatric Population
S y s t e m a t i c
Review and
Meta-analysis
The purpose of this systematic review was
to compare the safety and eectiveness
of propofol and ketamine to other drug
regimens.
Twenty-nine studies were included for analysis. Based
on low-to-moderate quality evidence, we concluded
that the use of propofol and ketamine may result in a
slight-to-small reduction in the risk of hypotension,
bradycardia, and apnea, and a slight increase in the
risk of tachycardia, hypertension, and other respiratory
adverse events, such as cough or laryngospasm.
The ratio of propofol to ketamine and comparator
drug regimen subgroups eects were important for
desaturation and some secondary outcomes.
The use of propofol and
ketamine had a minimal eect
on the incidence of adverse
events and other secondary
outcomes. Large-scale
studies are required to more
accurately estimate adverse
event rates and the eects
of propofol and ketamine on
patient-important outcomes.
Eect of Albuterol
Premedication vs Placebo
on the Occurrence
of Respiratory
Adverse Events in
Children Undergoing
Tonsillectomies
Randomized
Clinical Trial
To determine whether inhaled albuterol
sulfate (salbutamol) premedication
decreases the risk of perioperative
respiratory adverse events in children
undergoing anesthesia for tonsillectomy.
Of 484 randomized children (median age, 5.6 [1.6-8.9]
years; 58.9% boys, 479 data sets were available for
intention-to-treat analysis. Perioperative respiratory
adverse events occurred in 27.8% receiving albuterol
and 47.9% receiving placebo. After adjusting for age,
type of airway device, and severity of obstructive
sleep apnea in a binary logistic regression model,
the likelihood of perioperative respiratory adverse
events remained signicantly higher in the placebo
group compared with the albuterol group. Signicant
dierences were seen in children receiving placebo vs
albuterol in laryngospasm.
Albuterol premedication
administered before
tonsillectomy under general
anesthesia in young children
resulted in a clinically
signicant reduction in rates
of perioperative respiratory
adverse events compared
with the rates in children
who received placebo.
Premedication with albuterol
should be considered
for children undergoing
tonsillectomy.
List of selected articles and their characteristics.