Abstract:
:As physicians and caregivers of children with congenital heart disease, we are aware of the increasing need for procedures requiring anesthesia. While these procedures may be ideal for medical and cardiac surgical management, the risks and benefits must be assessed carefully. There are well known risks of cardiovascular and respiratory complications from anesthesia and sedation and a potentially under-appreciated risk of neurocognitive dysfunction. Both animal and human studies support the detrimental effects of repeated anesthetic exposure on the developing brain. Although the studies in humans are less convincing of this risk, the Society of Pediatric Anesthesia jointly with SmartTots provided a consensus statement on the use of anesthetic and sedative drugs in infants and toddlers when speaking to families. (www.pedsanesthesia.org; http://smarttots.org/wp-content/uploads/2015/10/ConsensusStatementV910.5.2015.pdf). An excerpt of the statement is "Concerns regarding the unknown risk of anesthetic exposure to your child's brain development must be weighed against the potential harm associated with cancelling or delaying a needed procedure. Each child's care must be evaluated individually based on age, type, and urgency of the procedure and other health factors. This review provides a summary of the current evidence regarding anesthesia-induced neurotoxicity and the developing brain and its implications for children with congenital heart disease.
journal_name
Congenit Heart Disjournal_title
Congenital heart diseaseauthors
Char D,Ramamoorthy C,Wise-Faberowski Ldoi
10.1111/chd.12352subject
Has Abstractpub_date
2016-05-01 00:00:00pages
221-9issue
3eissn
1747-079Xissn
1747-0803journal_volume
11pub_type
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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pub_type: 杂志文章,多中心研究
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
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journal_title:Congenital heart disease
pub_type: 杂志文章
doi:10.1111/j.1747-0803.2011.00503.x
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journal_title:Congenital heart disease
pub_type: 杂志文章
doi:10.1111/chd.12241
更新日期:2015-05-01 00:00:00
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journal_title:Congenital heart disease
pub_type: 杂志文章,多中心研究
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