AI Article Synopsis

  • The study assesses the awareness and practices of anaesthesiologists and pediatric surgeons regarding the potential neurotoxic effects of anaesthetic drugs on young children.
  • A survey was conducted with 202 anaesthesiologists and 51 pediatric surgeons, revealing that many are conscious of the risks and are considering postponing lengthy surgeries for patients under three years old.
  • Despite knowledge of FDA warnings about anaesthesia-related neurotoxicity, a lack of consensus remains, highlighting the necessity for comprehensive research to explore the impact of anaesthetics on children's cognitive development.

Article Abstract

Objective: Millions of children are exposed to anaesthetic drugs every day; however, the possible adverse effects of these agents on the central nervous system remain controversial. This study evaluated anaesthesiologists' and pediatric surgeons' knowledge and daily practices regarding anaesthesia-induced neurotoxicity.

Methods: A survey consisting of 12 questions was sent to members of the Turkish Anaesthesiology and Reanimation Association and the Turkish Pediatric Surgery Association via the Google forms program.

Results: A total of 202 anaesthesiologists and 51 pediatric surgeons participated in this survey. The results demonstrate that anaesthesiologists and surgeons are aware of the risk of anaesthesia-related neurotoxicity and are willing to take action. Approximately, half of the anaesthesiologists and pediatric surgeons expected to postpone operations lasting at least 3 hours for patients <3 years of age. Also, one-third of the anaesthesiologists would seek feasible and more reliable alternative anaesthetic strategies.

Conclusions: More than two-thirds of the participants knew about the US Food and Drug Administration neurotoxicity warning; however, uncertainty about anaesthesia-related neurotoxicity is ongoing. Many questions remain unanswered. The results of large-scale prospective randomized studies to evaluate the effect of anaesthetics and surgery on the cognitive development of pediatric patients are needed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9361072PMC
http://dx.doi.org/10.5152/TJAR.2022.21602DOI Listing

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