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Updated: May 31, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Clinical practice guidelines: the need for greater transparency in formulating recommendations.

Ian A Scott¹, Gordon H Guyatt

¹Department of Internal Medicine and Clinical Epidemiology, Princess Alexandra Hospital, Brisbane, QLD. ian_scott@health.qld.gov.au

The Medical Journal of Australia

|July 7, 2011

Summary

Critiques of Australian clinical practice guidelines reveal issues with conflicts of interest and stakeholder involvement. Implementing policies for disclosure, panel representation, and feedback can enhance guideline credibility and use.

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Guidelines for Elective Pediatric Fiberoptic Intubation

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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure

Published on: March 12, 2020

Area of Science:

Health Policy
Medical Guidelines
Evidence-Based Medicine

Background:

A critique of Australian clinical practice guidelines (CPG) identified significant issues in their development.
Problems included conflicts of interest among panelists, the validity and strength of recommendations, and inadequate end-user and stakeholder engagement.

Purpose of the Study:

To address identified issues in clinical practice guideline development.
To propose improvements for managing conflicts of interest, ensuring recommendation validity, and enhancing stakeholder involvement.

Main Methods:

Review and critique of existing Australian clinical practice guidelines.
Analysis of best practices for managing conflicts of interest in guideline development.
Consideration of the GRADE system for assessing recommendation strength.
Emphasis on incorporating feedback from end-users and external stakeholders.

Main Results:

Financial or intellectual conflicts of interest require full disclosure and limitations on industry funding.
Guideline panels should include conflict-free members and ensure only such members draft recommendations.
The GRADE system can aid in determining recommendation validity and strength.
Formal feedback from external stakeholders and end-users is crucial.

Conclusions:

Implementing policies for conflict of interest management, using the GRADE system, and engaging stakeholders can improve CPG transparency and credibility.
These improvements aim to reduce debates and promote wider adoption of clinical practice guidelines.