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Elective Procedures and Anesthesia in Children: Pediatric Surgeons Enter the Dialogue on Neurotoxicity Questions, Surgical Options, and Parental Concerns

Byrne, Mary W. PhD, DNP, FAAN*; Ascherman, Jeffrey A. MD, FACS; Casale, Pasquale MD, FACS; Cowles, Robert A. MD, FAAP, FACS§; Gallin, Pamela F. MD, FACS; Maxwell, Lynne G. MD, FAAP, FACS

Journal of Neurosurgical Anesthesiology: October 2012 - Volume 24 - Issue 4 - p 396–400
doi: 10.1097/ANA.0b013e31826a032d
PANDA Symposium Proceedings

The Pediatric Anesthesia NeuroDevelopment Assessment research group at Columbia University Medical Center Department of Anesthesiology has conducted biannual national Symposia since 2008 to evaluate study data and invigorate continued thinking about unresolved issues of pediatric anesthesia neurotoxicities. The third Symposium extended the dialogue between pediatric anesthesiologists and surgeons in panel presentations and discussions by four surgical specialists. This paper reports the prevailing opinions expressed by a pediatric general surgeon, urologist, plastic surgeon and ophthalmologist and explores factors related to delayed operative intervention, need for multiple procedures, and parental concerns.

*Columbia University School of Nursing

Department of Surgery, New York-Presbyterian Hospital/Columbia University Medical Center

Division of Pediatric Urology, Morgan Stanley Children’s Hospital

§Department of Surgery, Morgan Stanley Children’s Hospital

Edward S. Harkness Eye Institute, Columbia-Presbyterian Medical Center, New York, NY

Division of General Anesthesia, The Children’s Hospital of Philadelphia, Philadelphia, PA

The authors have no funding or conflicts of interest to disclose.

Reprints: Mary W. Byrne, PhD, DNP, FAAN, Columbia University School of Nursing 617 West 168th Street, GB 347 Mailbox 6 New York, NY 10032 (e-mail:

Received July 16, 2012

Accepted July 16, 2012

© 2012 Lippincott Williams & Wilkins, Inc.