Research was conducted in multiple database (MEDLINE from 1965 to 2011, Cochrane Library, and LILACS), and in crossed references with the surveyed material aiming the identification of articles with the best methodological design. Following the findings, critical evaluation of the contents and classification according to the strenght of evidence were performed. The research was conducted between December 2010 and April 2011. For PubMed, were used the following strategies:

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RESUMO Competência foi definida como uma síntese de conhecimentos, habilidades e atitudes, que, integrados, propiciam ao indivíduo a utilização integrada dos recursos cognitivos e técnicos para diagnosticar KEYWORDS:-Curriculum.-Competency-Based Education.-Internship and Residency.-Professional Competence.-Educational Measurement. ABSTRACT Competency was defined as a synthesis of knowledge, skills and attitudes that, when integrated, provide the individual with the integrated use of cognitive and technical resources to diagnose, treat and provide more benefits and less morbidity to the patient and reduce cost to the institutions. This definition was subsequently broadened, adding that it is context-dependent, demands experience and the capacity to reflect and continue learning. The aim of this study is to describe the curriculum implemented in the Anesthesiology

RESUMO Fernandes CR, Ruiz Neto PP -O Sistema Respiratório e o Idoso: Implicações Anestésicas Justificativa e Objetivos -As complicações respiratórias são responsáveis por grande parte dos óbitos após procedimentos c i r ú r g i c o s q u e o c o r r e m n a p o p u l a ç ã o g e r i á t r i c Conteúdo -São apresentadas as alterações respiratórias fisiológicas do envelhecimento. São enfatizadas as alterações de volume e capacidades pulmonares, da mecânica respiratória e de trocas gasosas proporcionadas pela a n e s t e s i a . S ã o a b o r d a d o s a s p e c t o s r e l a t i v o s à morbimortalidade pulmonar pós-operatória em geriatria

BackgroundThere are meta-analyzes in adults demonstrating the benefits of using gabapentin to improve postoperative pain in orthopedic surgeries. In pediatrics, it has never been studied.ObjectivesThe aim of this study was to evaluate the use of gabapentin 10 mg/kg, orally, in postoperative analgesia, hemodynamic stability and its pre/postoperative anxiolytic effect in children subjected to unilateral inferior limb surgery.MethodsWe performed a double-blinded, randomized study. 84 patients in Albert Sabin Children’s Hospital were selected for elective surgery that were divided into 2 groups: gabapentin group, who received gabapentin 1 to 2 hours before the procedure and the control group. Both groups were submitted to the same general anesthesia protocol with 0.125% bupivacaine femoral and sciatic block. Patients received scheduled dipyrone and morphine was used as the rescue analgesic up to 2/2 h. Postoperative pain was assessed using a scale appropriate for age (CRIES, CHIPPS or Wong-Baker face scale). We registered hemodynamic parameters, analgesic consumption and pre/postoperative anxiolytics.ResultsA decrease in pain intensity in the 4th and 8th postoperative hours was observed in gabapentin group, both groups had the same opioid consumption. Children in the gabapentin group had an odds ratio of 25.6 for preoperative sedation and gabapentin promoted reduction of postoperative agitation. During orotracheal intubation the gabapentin group exhibited attenuation of the hemodynamic response.ConclusionsGabapentin was superior to placebo in reducing postoperative pain. Children who received gabapentin were more sedated in the operating room, less agitated in the postoperative period and the autonomic response to intubation was reduced.