Document Detail


Clinical research approaches to studying pediatric anesthetic neurotoxicity.
MedLine Citation:
PMID:  19822262     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neuronal cell death after general anesthesia has recently been demonstrated in neonatal animal models. The possibility of anesthesia-induced neurotoxicity during an uneventful anesthetic procedure in human neonates or infants has led to serious questions about the safety of pediatric anesthesia. However, the applicability of animal data to clinical anesthesia practice remains uncertain. This paper examines the evidence for the effects of commonly used anesthetics on neuronal structure and neurocognitive function in laboratory models and evaluates its relevance to clinical care in humans. Published retrospective reviews demonstrate temporary neurological sequelae after prolonged anesthetic exposure in young children and larger studies identify long-term neurodevelopmental impairment after neonatal surgery and anesthesia. However, there are no prospective studies evaluating neurocognitive function in children after neonatal exposure to anesthetics. Given the potential magnitude of the public health importance of this issue, this review also discusses epidemiological approaches and several ongoing prospective studies that are assessing the long-term neurocognitive effects of general anesthesia on the neonate.
Authors:
Mary Ellen McCann; David C Bellinger; Andrew J Davidson; Sulpicio G Soriano
Publication Detail:
Type:  Journal Article; Review     Date:  2009-03-04
Journal Detail:
Title:  Neurotoxicology     Volume:  30     ISSN:  1872-9711     ISO Abbreviation:  Neurotoxicology     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-13     Completed Date:  2009-12-29     Revised Date:  2010-11-16    
Medline Journal Info:
Nlm Unique ID:  7905589     Medline TA:  Neurotoxicology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  766-71     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Anesthetics / adverse effects*
Animals
Animals, Newborn
Biomedical Research*
Disease Models, Animal
Humans
Infant
Infant, Newborn
Neurons / drug effects
Neurotoxicity Syndromes / etiology*,  prevention & control
Pediatrics*
Chemical
Reg. No./Substance:
0/Anesthetics
Comments/Corrections
Erratum In:
Neurotoxicology. 2010 Dec;31(6):766

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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