A call for more pediatric anesthesia research

Quintão, Vinícius Caldeira; Carmona, Maria José Carvalho

doi:10.1016/j.bjane.2020.12.001

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Although their results were similar to ours, the pediatric age group has physiological and pharmacological particularities. It lacks specific research compared to other anesthesia fields, 41 which is illustrated by the “off-label” use of dexmedetomidine in pediatric anesthesia. An analysis of specific administration methods, such as the one presented herein, must be performed to confirm robust findings, considering these differences and the current lack of evidence about the ideal route of premedication.…”

Section: Discussionmentioning

confidence: 99%

Comparison of intranasal dexmedetomidine versus oral midazolam for premedication in pediatric patients: an updated meta-analysis with trial-sequential analysis

Pereira,

Nascimento,

da Costa

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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Section: Discussionmentioning

confidence: 99%

Comparison of intranasal dexmedetomidine versus oral midazolam for premedication in pediatric patients: an updated meta-analysis with trial-sequential analysis

Pereira,

Nascimento,

da Costa

et al. 2024

Brazilian Journal of Anesthesiology (English Edition)

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“…Brazil has yet to make valuable contributions to outcomes research in pediatric anesthesia. 15 We rely on studies coming from Europe and the United States to guide our practice although our pediatric population with its own socio-economic challenges relates more to our Latin American neighbors. Our perioperative outcomes data and mortality data comes from poorly managed databases run by SUS.…”

Section: Re S E Archmentioning

confidence: 99%

Pediatric anesthesiology in Brazil, Chile, and Mexico

Quintão,

Concha,

Argüello

et al. 2024

Pediatric Anesthesia

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BackgroundLatin America comprises an extensive and diverse territory composed of 33 countries in the Caribbean, Central, and South America where Romance languages–languages derived from Latin are predominantly spoken. Economic disparities exist, with inequitable access to pediatric surgical care. The Latin American Surgical Outcomes Study in Pediatrics (LASOS‐Peds), a multi‐national collaboration, will determine safety of pediatric anesthesia and perioperative care.ObjectiveBelow, we provide a descriptive initiative to share how pediatric anesthesia in Brazil, Chile, and Mexico operate. Theses descriptions do not represent all of Latin America.Descriptions and ConclusionsBrazil an upper middle‐income country, population 203 million, has a public system insufficiently resourced and a private system, resulting in inequitable safety and accessibility. Surgical complications constitute the third leading cause of mortality. Anesthesiology residency is 3 years, with required rotations in pediatric anesthesia; five hospitals offer pediatric anesthesia fellowships. Anesthesiology is a physician‐only practice. A Pediatric Anesthesia Committee within the Brazilian Society of Anesthesiology offers education through seasonal courses and workshops including pediatric advanced life support. Chile is a high‐income country, population 19.5 million, the majority cared for in the public system, the remainder in university, private, or military systems. Government efforts have gradually corrected the long‐standing anesthesiology shortage: twenty 3‐year residency programs prepare graduates for routine pediatric cases. The Chilean Society of Anesthesiology runs a 1‐month program for general anesthesiologists to enhance pediatric anesthesia skills. Pediatric anesthesia fellowship training occurs in Europe, USA, and Australia, or in two 2‐year Chilean university programs. Public health policies have increased the medical and surgical pediatric specialists and general anesthesiologists, but not pediatric anesthesiologists, which creates safety concerns for neonates, infants, and medically complex. Chile needs more pediatric anesthesia fellowship programs. Mexico, an upper middle‐income country, with a population of about 126 million, has a five‐sector healthcare system: public, social security for union workers, state for public employees, armed forces for the military, and a private “self‐pay.” There are inequities in safety and accessibility for children. Pediatric Anesthesiology fellowship is 2 years, after 3 years residency. A shortage of pediatric anesthesiologists limits accessibility and safety for surgical care, driven by added training at low salary and hospital under appreciation. The Mexican Society of Pediatric Anesthesiology conducts refresher courses, workshops, and case conferences. Insufficient resources and culture limits research.

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A call for more pediatric anesthesia research

Cited by 2 publications

References 15 publications

Comparison of intranasal dexmedetomidine versus oral midazolam for premedication in pediatric patients: an updated meta-analysis with trial-sequential analysis

Comparison of intranasal dexmedetomidine versus oral midazolam for premedication in pediatric patients: an updated meta-analysis with trial-sequential analysis

Pediatric anesthesiology in Brazil, Chile, and Mexico

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