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Pediatric Surgeons and Anesthesiologists Expand the Dialogue on the Neurotoxicity Question, Rationale for Early and Delayed Surgeries, and Practice Changes While Awaiting Definitive Evidence

Byrne, Mary W. PhD, DNP, FAAN*; Casale, Pasquale MD, FACS; Garzon, Maria MD, FAAP, FAAD; Hyman, Joshua E. MD§; Lin, Albert Y. MD, MPH; Lynch, Lisa R. MD; Schleien, Charles L. MD, MBA; Stylianos, Steven MD#

Journal of Neurosurgical Anesthesiology: October 2014 - Volume 26 - Issue 4 - p 391–395
doi: 10.1097/ANA.0000000000000123
Departments: Supplement: Fourth Pediatric Anesthesia and Neuro-Development Assessment (PANDA) Symposium
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The Pediatric Anesthesia NeuroDevelopment Assessment team at Columbia University Medical Center Department of Anesthesiology convened its fourth biennial Symposium to address unresolved issues concerning potential neurotoxic effects of anesthetic agents and sedatives on young children and to assess study findings to date. Dialogue initiated at the third Symposium was continued between anesthesiologists, researchers, and a panel of expert pediatric surgeons representing general surgery and dermatology, orthopedic, and urology specialties. The panel explored the need to balance benefits of early surgery using improved technologies against potential anesthetic risks, practice changes while awaiting definitive answers, and importance of continued interprofessional dialogue.

*Department of Anesthesiology, College of Physicians and Surgeons, Columbia University School of Nursing

Divisions of Pediatric Urology

Pediatric Dermatology

#Pediatric Surgery, Morgan Stanley Children’s Hospital

§Department of Orthopedic Surgery, New York-Presbyterian Hospital/Columbia University Medical Center, College of Physicians and Surgeons, Columbia University

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

NorthShore-LIJ Health System, Hofstra North Shore-LIJ School of Medicine, New York, NY

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

Reprints: Mary W. Byrne, PhD, DNP, FAAN, Department of Anesthesiology, College of Physicians and Surgeons, Columbia University School of Nursing 617 West 168th Street, GB 347 Mailbox 6, New York, NY 10032 (e-mail: mwb4@columbia.edu).

© 2014 by Lippincott Williams & Wilkins