Lasting impact of general anaesthesia on the brain: mechanisms and relevance

L Vutskits, Z Xie - Nature Reviews Neuroscience, 2016 - nature.com
General anaesthesia is usually considered to safely induce a reversible brain state allowing
the performance of surgery under optimal conditions. An increasing number of clinical and …

Neurodevelopmental abnormalities and congenital heart disease: insights into altered brain maturation

PD Morton, N Ishibashi, RA Jonas - Circulation research, 2017 - Am Heart Assoc
In the past 2 decades, it has become evident that individuals born with congenital heart
disease (CHD) are at risk of developing life-long neurological deficits. Multifactorial risk …

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

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 …

Neurodevelopmental outcome at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised …

AJ Davidson, N Disma, JC De Graaff, DE Withington… - The Lancet, 2016 - thelancet.com
Background Preclinical data suggest that general anaesthetics affect brain development.
There is mixed evidence from cohort studies that young children exposed to anaesthesia …

Association of anesthesia and surgery during childhood with long-term academic performance

P Glatz, RH Sandin, NL Pedersen, AK Bonamy… - JAMA …, 2017 - jamanetwork.com
Importance The results of preclinical studies suggest that anesthetic drugs administered to
neonatal animals cause widespread neuronal apoptosis and later neurocognitive …

Propofol-induced apoptosis of neurones and oligodendrocytes in fetal and neonatal rhesus macaque brain

C Creeley, K Dikranian, G Dissen… - British journal of …, 2013 - academic.oup.com
Background Exposure of the fetal or neonatal non-human primate (NHP) brain to isoflurane
or ketamine for 5 h causes widespread apoptotic degeneration of neurones, and exposure …

Anaesthetic neurotoxicity and neuroplasticity: an expert group report and statement based on the BJA Salzburg Seminar

V Jevtovic-Todorovic, AR Absalom… - British journal of …, 2013 - academic.oup.com
Although previously considered entirely reversible, general anaesthesia is now being
viewed as a potentially significant risk to cognitive performance at both extremes of age. A …

Isoflurane anesthesia has long-term consequences on motor and behavioral development in infant rhesus macaques

K Coleman, ND Robertson, GA Dissen… - …, 2017 - pubs.asahq.org
Background Experimental evidence correlates anesthetic exposure during early
development with neuronal and glial injury and death, as well as behavioral and cognitive …

Isoflurane-induced apoptosis of neurons and oligodendrocytes in the fetal rhesus macaque brain

CE Creeley, KT Dikranian, GA Dissen, SA Back… - …, 2014 - pubs.asahq.org
Background: The authors have previously shown that exposure of the neonatal nonhuman
primate (NHP) brain to isoflurane for 5 h causes widespread acute apoptotic degeneration of …

Multiple anesthetic exposure in infant monkeys alters emotional reactivity to an acute stressor

J Raper, MC Alvarado, KL Murphy, MG Baxter - Anesthesiology, 2015 - pubs.asahq.org
Background Retrospective studies in humans have shown a higher prevalence of learning
disabilities in children that received multiple exposures to general anesthesia before the age …