Low-cost versus high-fidelity pediatric simulators for difficult airway management training: a randomized study in continuing medical education.

Background: High-fidelity (HF) pediatric patient simulators are expensive. This randomized study aimed to compare the quality and educational impact of a full-scale simulation workshop with an HF infant simulator (SimBaby™, Laerdal) or with a low-cost (LC) simulator composed of an inert infant manikin with SimBaby™ software that displays respiratory/hemodynamic parameters on a monitor for medical education in pediatric difficult airway management.

Methods: After written informed consent, anesthetists and emergency or ICU physicians participated in teams (4 to 6 participants) in a training session that included direct participation and observation of two difficult intubation scenarios.

Randomised comparison of Enk™ and Manujet™ for emergency tracheal oxygenation with a high-fidelity full-scale simulation.

Background: We aimed to compare time and difficulties of emergency tracheal oxygenation with Enk™ or Manujet™ by anaesthesiologists or intensivists, in a full-scale cannot ventilate and intubate scenarios on a SimMan3G™ high-fidelity patient simulator.

Methods: After ethical committee approval and written informed consent, teams (two to three learners with at least one physician senior) participating at a difficult airway training with a massive sublingual haematoma scenario, were randomised in Enk™ (E) group (29 teams, 76 learners) and Manujet™ (M) group (31 teams, 84 learners) according to the device at disposal. Main criterion was time between taking device in hand and first insufflation delay.

What are the factors associated with successful I-gel™ insertion and uneventful anaesthesia in children under age two?

Background: Our purpose was to evaluate I-gel™ sizes 1 and 1.5.

Methods: I-gel™ insertion was attempted in 60 children<2 years of age undergoing short elective surgery.

[Neonatal surgical antibioprophylaxis: which target? which propositions?].

Neonatal surgical antibioprophylaxis must take into account the specificities of this life period, as immunological immaturity, microbiotal implantation and antibiotic treatment pharmacokinetics properties. Very few data are available, but it seems that coagulase negative Staphylococcus (CNS) is the most reported bacteria, in intestinal tract at the time of surgery as well as in surgical site infections. Usual vertical transmission bacteria as S.

[Antibioprophylaxis in pediatric orthopedic surgery].

The pediatric osteo-articular surgery has certain characteristics that justify specific recommendations (spine surgery, reconstruction after tumorectomy). The children with the higher risks of surgical site infection are children with comorbidities or undergoing prolonged surgery. Bacteria targeted by antibioprophylaxis are those of the skin flora, most particularly Staphylococcus aureus.