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Making MR Imaging Child's Play - Pediatric Neuroimaging Protocol, Guidelines and Procedure
Published on: July 30, 2009
Use of Anesthesia for Imaging Studies and Interventional Procedures in Children
Yolanda Y Huang1, Lucy Li2, Matthew Monteleone1
1Departments of Anesthesiology.
Insights
The Pediatric Anesthesia NeuroDevelopment Assessment (PANDA) study investigates anesthesia's long-term effects on child development. Experts reviewed anesthetic use and neurodevelopmental concerns in pediatric care.
Area of Science:
- Pediatric Anesthesiology
- Neurodevelopmental Science
- Child Psychology
Background:
- The Pediatric Anesthesia NeuroDevelopment Assessment (PANDA) study examines long-term cognitive and language development after single anesthetic exposure in children.
- Previous symposia focused on evidence regarding potential neurotoxic effects of anesthetics on the developing brain.
Purpose of the Study:
- To summarize presentations from nonsurgical pediatric specialists at the 2016 PANDA Symposium.
- To review the use of anesthesia across various pediatric disciplines.
- To discuss how concerns about anesthetic neurodevelopmental effects influence patient/family discussions.
Main Methods:
- Review of presentations from the 2016 PANDA Symposium.
- Panel discussion involving specialists from anesthesiology, radiology, neurology, gastroenterology, oncology, cardiology, and critical care.
- Analysis of current practices and discussions regarding pediatric anesthesia and sedation.
Main Results:
- Nonsurgical pediatric specialists reviewed their use of anesthesia.
- Discussions with patients and families regarding risks and benefits of procedures involving anesthesia have evolved.
- Concerns over potential neurodevelopmental effects of early anesthetic exposure were highlighted.
Conclusions:
- The 2016 PANDA Symposium provided insights from diverse pediatric specialists on anesthetic use.
- Evolving concerns about neurodevelopmental effects are shaping pediatric care discussions.
- Further investigation into the long-term impact of anesthesia on child development is ongoing.
Abstract:
Ongoing investigation from the Pediatric Anesthesia NeuroDevelopment Assessment (PANDA) study hopes to examine the long-term effect on cognitive and language development of a single anesthetic exposure in children undergoing inguinal hernia repair. The fifth PANDA Symposium, held in April 2016, continued the mission of previous symposia to examine evidence from basic science and clinical studies on potential neurotoxic effects of anesthetics on developing brain. At the 2016 Symposium, a panel of specialists from nonsurgical pediatric disciplines including anesthesiology, radiology, neurology, gastroenterology, oncology, cardiology, and critical care reviewed use of anesthesia in their practices, including how concern over possible neurodevelopmental effects of early childhood anesthetic exposure has changed discussion with patients and families regarding risks and benefits of imaging studies and interventional procedures involving sedation or anesthesia. This paper summarizes presentations from nonsurgical pediatric specialists at the 2016 PANDA Symposium.
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