Erica Ricci, K. T. Hailu, Korlos Salib, Sanath Savithri, Alousious Nandeesha, Chnoor Kasagga, Hawrami Pousette, Hamid
The present systematic review compares the effects ofthe laryngeal mask airway (LMA) and the endotrachealtube (ETT) on hemodynamic response and airwaydifficulties in pediatric anesthesia patients. The terms"children," "postoperative," "pediatrics," "laryngealmask airway," "endotracheal tube," and "subglottic"were utilized. The scope of the literature review waslimited to randomized controlled trials (RCTs), andPubMed, Google Scholar, and the Cochrane Library wereamong the databases searched. Two reviewers used theCochrane Risk of Bias Tool to assess quality. Eight RCTsin total were included. When compared to the ETT,results showed that the number of attempts forendotracheal intubation was fewer than for theplacement of the LMA. Additionally, there was anincrease in blood pressure, heart rate, and mean arterialpressure with the use of the ETT. The incidence ofpostoperative respiratory complications, includinglaryngospasm, bronchospasm, and sore throat, washigher with the use of the ETT. We conclude that the useof the LMA can be a safe alternative to the ETT inpediatric patients, producing fewer hemodynamicchanges and postoperative complications.
本系统性综述比较了喉罩气道（LMA）和气管插管（ETT）对小儿麻醉患者血液动力学反应和气道困难的影响。本文使用了 "儿童"、"术后"、"儿科"、"喉罩气道"、"气管插管 "和 "声门下 "等术语。文献综述的范围仅限于随机对照试验（RCT），检索的数据库包括 PubMed、谷歌学术和 Cochrane 图书馆。两名审稿人使用了 Cochrane 偏倚风险工具来评估质量。共纳入 8 项 RCT。与 ETT 相比，结果显示气管前插管的尝试次数少于置入 LMA 的尝试次数。此外，使用 ETT 时血压、心率和平均动脉压均有所上升。使用 ETT 时，术后呼吸道并发症（包括喉痉挛、支气管痉挛和咽喉痛）的发生率更高。我们的结论是，在儿科患者中使用 LMA 可以安全地替代 ETT，产生较少的血流动力学变化和术后并发症。
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Narcissistic personality disorder is a complex personality disorder that was first conceptualized by Sigmund Freud in 1914.Narcissistic personality disorder is characterized by a persistent sense of self-importance, grandiosity, and admiration of oneself.
{"title":"SENSITIZING INTERNATIONAL MEDICAL GRADUATES TO IDENTIFY NARCISSIST PERSONALIY DISORDER","authors":"Dr.homaira@gmail.com","doi":"10.56570/jimgs.v1i1.158","DOIUrl":"https://doi.org/10.56570/jimgs.v1i1.158","url":null,"abstract":"Narcissistic personality disorder is a complex personality disorder that was first conceptualized by Sigmund Freud in 1914.Narcissistic personality disorder is characterized by a persistent sense of self-importance, grandiosity, and admiration of oneself.","PeriodicalId":479715,"journal":{"name":"Journal For International Medical Graduates","volume":"56 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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