Anesthesia Clinical Trial
Official title:
Behavioral Assessment of Preschool Children Who Had Undergone General Surgery in Early Infancy
This study will investigate the behavior of preschool children who had undergone general surgery during early infancy and will correlate the behavioral outcomes with clinical perioperative variables.
Several epidemiologic and observational studies found the relation between surgery in
childhood and neurodevelopmental features in later life. However, these studies are
criticized for retrospective design, non homogenous population, social confounders, diversity
of surgical procedures and anesthetic management.
Monitoring of neurological function has become standard during surgical procedures at risk
for neuronal injury (e.g. cardiac surgery). There is also some data on possible predictive
value of certain methods of neuromonitoring (such as cerebral near infrared spectroscopy
(NIRS)) for neurodevelopmental outcome.
General neonatal/infant surgery and the whole perioperative period carry the risk of
significant physiologic disturbances, which may affect cerebral perfusion, oxygenation or
metabolism. This study is the continuum of prospective observational trial, which
investigated the value of the neuromonitoring measures in neonates and young infants
undergoing general surgery. The present study will apply the behavioral assessment of these
patients who are now between 2 and 5 years of age.
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