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Neurodevelopmental outcomes at 5 years of age are equivalent after brief general anesthesia or awake-regional anesthesia in infancy

Brief Anesthesia in Infancy Does Not Mar Neurodevelopment

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General anesthesia less than one hour does not seem to alter neurodevelopmental outcome at age 5
Although more women have hip fracture surgery

Women Less Likely to Get Periop Care Before Hip Fracture Surgery

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Women also less likely to receive anesthesia consultation, more likely to have timely surgery
For older adults undergoing surgery

EEG-Guided Anesthesia Does Not Cut Postop Delirium in Seniors

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Significantly less median cumulative time found with EEG suppression in EEG-guided group vs. usual care
Recommendations have been developed for promotion of infection prevention policies in operating room anesthesia work areas; the Society for Healthcare Epidemiology of America guidance document was published online Dec. 11 in Infection Control & Hospital Epidemiology.

Guidance Offered for Infection Control in Anesthesia Work Area

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Measures include hand hygiene, alcohol-based hand rub use, disinfection of anesthesia machine
Young children who have surgical procedures that require general anesthesia do not have an increased risk for adverse child development outcomes

Pediatric Anesthesia Does Not Affect Development Outcomes

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No significant differences seen in early developmental vulnerability in sibling-matched cohort
Recommendations have been developed for nomenclature of cognitive changes associated with anesthesia and surgery; the recommendations were published in the November issue of Anesthesiology.

Changes in Nomenclature for Perioperative Cognitive Disorders

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'Perioperative neurocognitive disorders' is broad term for cognitive impairment in perioperative period

American Society of Anesthesiologists, Oct. 13-17

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ANESTHESIOLOGY 2018 The annual meeting of the American Society of Anesthesiologists was held from Oct. 13 to 17 in San Francisco and attracted...
For older cancer patients undergoing major cancer surgery

Propofol May Decrease Delay in Neurocognitive Recovery

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Less delay versus sevoflurane general anesthesia in older patients undergoing major cancer surgery
For older patients undergoing hip fracture repair

Sedation Level Doesn’t Impact Delirium Risk After Hip Fx Repair

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In subgroup analysis, heavier versus lighter sedation doubled risk of delirium in low comorbid states
Anesthesia care team composition is not associated with surgical outcomes

No Outcome Differences Based on Anesthesia Team Make-Up

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No significant differences in mortality, length of stay, or inpatient spending seen