[My history of pediatrics]

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Guidelines for Elective Pediatric Fiberoptic Intubation
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Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

H C Da Mota1

  • 1Hospital Pediátrico, Universidade de Coimbra, Coimbra.

Acta Medica Portuguesa
|January 13, 2001
PubMed

Insights

Pediatric medical practice paradigms have remained largely unchanged over 30 years. Key issues include attributing problems to external factors, over-standardization, and a focus on technology over consequences.

Area of Science:

  • Medical practice paradigms
  • Pediatrics
  • Healthcare evolution

Context:

  • Analysis of pediatric medical practice over the past 30 years.
  • Identification of persistent underlying paradigms in healthcare.
  • Comparison of current practices with those from 30 years prior.

Purpose:

  • To discern the enduring paradigms in pediatric medical practice.
  • To evaluate the evolution (or lack thereof) of medical approaches.
  • To critically assess the foundational principles guiding clinical decisions.

Summary:

  • Medical practice, particularly in pediatrics, shows little paradigm shift over 30 years.
  • Persistent issues include externalizing blame, standardizing the internal environment, and prioritizing action/technology.
  • There's a noted lack of attention to collateral effects and a tendency for ends to justify means.

Impact:

  • Highlights the need for critical re-evaluation of established medical paradigms.
  • Suggests a potential stagnation in the philosophical underpinnings of pediatric care.
  • Underscores the importance of considering unintended consequences and ethical considerations in medical interventions.

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