Does general anesthesia affect neurodevelopment in infants and children?

ME McCann, SG Soriano - Bmj, 2019 - bmj.com
General anesthesia has been unequivocally linked to abnormal development of the central
nervous system, leading to neurocognitive impairments in laboratory models. In vitro and in …

Lasting effects of general anesthetics on the brain in the young and elderly:“mixed picture” of neurotoxicity, neuroprotection and cognitive impairment

L Wu, H Zhao, H Weng, D Ma - Journal of anesthesia, 2019 - Springer
General anesthetics are commonly used in major surgery. To achieve the depth of
anesthesia for surgery, patients are being subjected to a variety of general anesthetics …

Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised …

ME McCann, JC De Graaff, L Dorris, N Disma… - The Lancet, 2019 - thelancet.com
Background In laboratory animals, exposure to most general anaesthetics leads to
neurotoxicity manifested by neuronal cell death and abnormal behaviour and cognition …

Techniques for minimizing sedation in pediatric MRI

SZ Dong, M Zhu, D Bulas - Journal of magnetic resonance …, 2019 - Wiley Online Library
MRI is used widely in infants and young children. However, in these young cases deep
sedation or general anesthesia is often required to minimize motion artifacts during MRI …

[HTML][HTML] Patterns of neuropsychological changes after general anaesthesia in young children: secondary analysis of the Mayo Anesthesia Safety in Kids study

MJ Zaccariello, RD Frank, M Lee, AC Kirsch… - British Journal of …, 2019 - Elsevier
Background We hypothesised that exposure to multiple, but not single, procedures requiring
general anaesthesia before age 3 yr is associated with a specific pattern of deficits in …

Transnasal endoscopy in unsedated children with eosinophilic esophagitis using virtual reality video goggles

N Nguyen, WJ Lavery, KE Capocelli, C Smith… - Clinical …, 2019 - Elsevier
Background & Aims Evaluation and treatment of children with eosinophilic esophagitis (EoE)
requires serial endoscopic, visual, and histologic assessment by sedated …

Critical evaluation of arguments opposing male circumcision: A systematic review

BJ Morris, S Moreton, JN Krieger - Journal of Evidencebased …, 2019 - Wiley Online Library
Objective To systematically evaluate evidence against male circumcision (MC). Methods We
searched PubMed, Google Scholar, EMBASE and Cochrane databases. Results Database …

[HTML][HTML] Assessing long-term neurodevelopmental outcome following general anesthesia in early childhood: challenges and opportunities

GJ Walkden, AE Pickering, H Gill - Anesthesia & Analgesia, 2019 - journals.lww.com
Neurodegeneration has been reported in young animals after exposure to all commonly
used general anesthetic agents. The brain may be particularly vulnerable to anesthetic …

An open label pilot study of a dexmedetomidineremifentanilcaudal anesthetic for infant lower abdominal/lower extremity surgery: The T REX pilot study

P Szmuk, D Andropoulos, F McGowan… - Pediatric …, 2019 - Wiley Online Library
Background Concern over potential neurotoxicity of anesthetics has led to growing interest
in prospective clinical trials using potentially less toxic anesthetic regimens, especially for …

[HTML][HTML] Cognitive impairment and transcriptomic profile in hippocampus of young mice after multiple neonatal exposures to sevoflurane

SY Song, XW Meng, ZY Xia, H Liu, J Zhang… - Aging (albany …, 2019 - ncbi.nlm.nih.gov
Children with repeated inhalational anesthesia may develop cognitive disorders. This study
aimed to investigate the transcriptome-wide response of hippocampus in young mice that …