Anesthesia considerations in pediatric glaucoma management

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: This article reviews the potentially adverse neurodevelopmental effects of early exposure to general anesthesia and examines a changing paradigm in the management of pediatric glaucoma. RECENT FINDINGS: Literature across multiple subspecialties has examined the potentially neurotoxic effects of general anesthesia on the developing childs brain. Associations between general anesthesia exposure early in life and attention deficit hyperactivity disorder, language processing, and cognition have been suggested but not confirmed. Several population studies support the conclusion that early anesthetic exposure may increase the risk of neurodevelopmental deficits, although this is unsupported in sibling cohorts. Newer technology such as rebound tonometry may decrease the frequency of examination under anesthesia in the long-term management of patients with pediatric glaucoma and may decrease the risk of these potentially adverse neurodevelopmental outcomes. SUMMARY: As the potential long-term adverse neurodevelopmental effects of general anesthesia become better understood, pediatric glaucoma specialists should be cognizant of the relative lifelong risks and benefits of repeat examinations under anesthesia in young patients.

Original languageEnglish
Pages (from-to)118-121
Number of pages4
JournalCurrent Opinion in Ophthalmology
Volume25
Issue number2
DOIs
StatePublished - Mar 1 2014

Fingerprint

Glaucoma
General Anesthesia
Anesthesia
Pediatrics
Manometry
Attention Deficit Disorder with Hyperactivity
Cognition
Anesthetics
Siblings
Language
Technology
Brain
Population

Keywords

  • anesthetic exposure in children
  • examination under anesthesia
  • neurodevelopmental dysfunction
  • pediatric glaucoma
  • rebound tonometry

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Anesthesia considerations in pediatric glaucoma management. / Chang, Ta; Cavuoto, Kara M.

In: Current Opinion in Ophthalmology, Vol. 25, No. 2, 01.03.2014, p. 118-121.

Research output: Contribution to journalArticle

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