Response to the FDA Med Watch December 16, 2016
While there is abundant animal data concerning suspected toxicities in prolonged and multiple anesthetics, the accumulated human data suggest that one brief anesthetic is not associated with cognitive or behavioral abnormalities in children. Most but not all studies in children do however suggest an association between repeated and or prolonged exposure and subsequent difficulties with learning or behavior. It is not yet known whether the anesthetic drug or some other factor is responsible for these findings. Rigorous research to further characterize any possible associations is ongoing.
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The Society for Pediatric Anesthesia, with primary input from The Texas Children’s Hospital, has developed an information sheet that may be used to help inform parents about the potential risks of anesthetic exposure.
You are free to use them in your practice “as is” or modify it to best suit the needs of your patients and families.
Thanks to Dean Andropoulos for making this available to the Society and its members.
Randall Flick, MD, MPH, FAAP
Consensus Statement on the Use of Anesthetics and Sedatives in Children
Each year, millions of young children require surgery and other procedures for serious or life-threatening medical conditions or to improve their quality of life. Anesthetic and sedative drugs are widely used to help ensure the safety, health, and comfort of children undergoing these procedures.
PATIENT SAFETY EDUCATION RESEARCH FUND
SPA values, professionalism, mutual respect and membership in the Society for Pediatric Anesthesia.
Recently the following statement appeared on the Society’s home page:
In light of recent events the board and leadership of the Society for Pediatric Anesthesia feel that it is important to emphasize the Societies commitment to inclusion, mutual respect and professionalism as values that our central to our mission. The Society, its leaders, management and members condemn any and all racist, ethnic and or gender discrimination of any kind. Statements not reflective of these values represent an unacceptable distraction from our mission to advance the safety and quality of anesthetic care, perioperative management, and alleviation of pain in children.
Click here to access the Members Only section for additional insight and information regarding this important issue.
Randall Flick, MD, MPH
CURRENT SPA NEWS
Enrollment Is Open for the ACS Children’s Surgery Verification Quality Improvement Program
The new program’s standards to improve surgical care for children are the nation’s first and only multispecialty standards of their kind
NEWS FROM THE AMERICAN COLLEGE OF SURGEONS | FOR IMMEDIATE RELEASE
CHICAGO (January 31, 2017): Hospitals interested in enrolling in the American College of Surgeons (ACS) Children’s Surgery Verification (CSV) Quality Improvement Program may now file a Pre-Application online for participation in the program. ACS, in collaboration with the Task Force for Children’s Surgical Care, developed standards to improve surgical care for children who are surgical patients, which led to the development of this program. The standards are supported by the American Pediatric Surgical Association, the Society of Pediatric Anesthesia, and the American Academy of Pediatrics.
at 2 years of age after general anaesthesia and awake-regional anaesthesia in infancy (GAS): an international multicentre, randomised controlled trial
Preclinical data suggest that general anaesthetics affect brain development. There is mixed evidence from cohort studies that young children exposed to anaesthesia can have an increased risk of poor neurodevelopmental outcome. We aimed to establish whether general anaesthesia in infancy has any effect on neurodevelopmental outcome. Here we report the secondary outcome of neurodevelopmental outcome at 2 years of age in the General Anaesthesia compared to Spinal anaesthesia (GAS) trial.
Click here to view full abstract.