DRAFT — NOT APPROVED, NOT FOR TEACHING

Anesthetic Neurotoxicity in Children

CA-1 · intraoperative teaching
THE QUESTIONWhere the evidence disagrees

This topic was selected because an evidence synthesis beats a textbook on it: the trials disagree, or the guidance has moved recently.

THE EVIDENCE

What each source contributes, and how strong it is

Study design first — a cohort and a randomised trial do not carry the same weight.

DesignYearJournalWhat it found
Meta-analysis2021British journal of anaesthesiaPooling prospectively assessed children, a single general anaesthetic was associated
Randomised trial2019England)In the GAS randomised trial, just under an hour of sevoflurane anaesthesia in
Cohort2016JAMAComparing 105 sibling pairs, a single anaesthetic before 36 months left no
Review2023Current opinion in anaesthesiologyStudies examining intraoperative blood pressure and later neurocognitive outcome
Meta-analysis2022JAMA network openAcross 31 studies, associations between childhood anaesthesia and neurodevelopment
Cohort2018AnesthesiologyIn the MASK study, general intelligence was unaffected by exposure before age three

6 resolved citations behind this deck; every point above traces to one of them.

WHERE THE GUIDANCE SITS

What the guidelines and pooled evidence say

2 findings, each on the slide that follows.

British journal of anaesthesia 2021
Pooling prospectively assessed children, a single general anaesthetic was associated
Pooling prospectively assessed children, a single general anaesthetic was associated with modestly worse parent-reported behaviour scores while…
JAMA network open 2022
Across 31 studies, associations between childhood anaesthesia and neurodevelopment
Across 31 studies, associations between childhood anaesthesia and neurodevelopment differ by domain — small deficits in executive function, behaviour…

WHERE THE GUIDANCE SITS

Pooling prospectively assessed children, a single general anaesthetic was associated

Meta-analysis · British journal of anaesthesia

Pooling prospectively assessed children, a single general anaesthetic was associated with modestly worse parent-reported behaviour scores while full-scale IQ was unaffected.
Prospectively Assessed Neurodevelopmental Outcomes in Studies of Anaesthetic Neurotoxicity in Children: A Systematic Review and Meta-Analysis, British journal of anaesthesia 2021 · PMID 33250180

WHERE THE GUIDANCE SITS

Across 31 studies, associations between childhood anaesthesia and neurodevelopment

Meta-analysis · JAMA network open

Across 31 studies, associations between childhood anaesthesia and neurodevelopment differ by domain — small deficits in executive function, behaviour and academics, with cognition barely affected.
Anesthetic Exposure During Childhood and Neurodevelopmental Outcomes: A Systematic Review and Meta-analysis, JAMA network open 2022 · PMID 35708687

THE NUMBERS

Effects differ by domain, and all are small

31 studies pooled, standardised mean differences.

00.250.50.751-0.2-0.1-0.11-0.03Executive functionBehaviourMotor functionCognitionstandardised mean difference
Every effect is a fraction of a standard deviation — real enough to mention to a parent, small enough to put in proportion.
Anesthetic Exposure During Childhood and Neurodevelopmental Outcomes: A Systematic Review and Meta-analysis, JAMA network open 2022 · PMID 35708687

WHAT THE TRIALS FOUND

In the GAS randomised trial, just under an hour of sevoflurane anaesthesia in

Randomised trial · England)

In the GAS randomised trial, just under an hour of sevoflurane anaesthesia in infancy gave a full-scale IQ at age five equivalent to awake-regional anaesthesia, with a difference of 0.23 points.
Neurodevelopmental Outcome at 5 Years of Age After General Anaesthesia or Awake-Regional Anaesthesia in Infancy (GAS): An International, Multicentre, Randomised, Controlled Equivalence Trial, Lancet (London, England) 2019 · PMID 30782342

THE NUMBERS

GAS: no IQ difference at five years

722 infants randomised to sevoflurane or awake-regional anaesthesia.

025507510099.0898.97Awake-regionalGeneral anaesthesiaIQ score
Mean IQ was equivalent between the arms, with the adjusted difference far inside the 5-point margin the trial set as clinically meaningful.
Neurodevelopmental Outcome at 5 Years of Age After General Anaesthesia or Awake-Regional Anaesthesia in Infancy (GAS): An International, Multicentre, Randomised, Controlled Equivalence Trial, Lancet (London, England) 2019 · PMID 30782342

IN PRACTICE

What the cohorts and reviews add

3 findings, each on the slide that follows.

JAMA 2016
Comparing 105 sibling pairs, a single anaesthetic before 36 months left no
Comparing 105 sibling pairs, a single anaesthetic before 36 months left no significant difference in IQ, memory, attention, executive function,…
Current opinion in anaesthesiology 2023
Studies examining intraoperative blood pressure and later neurocognitive outcome
Studies examining intraoperative blood pressure and later neurocognitive outcome have not found an association, so hypotension is not established as…
Anesthesiology 2018
In the MASK study, general intelligence was unaffected by exposure before age three
In the MASK study, general intelligence was unaffected by exposure before age three

IN PRACTICE

Comparing 105 sibling pairs, a single anaesthetic before 36 months left no

Cohort · JAMA

Comparing 105 sibling pairs, a single anaesthetic before 36 months left no significant difference in IQ, memory, attention, executive function, language or behaviour in later childhood.
Association Between a Single General Anesthesia Exposure Before Age 36 Months and Neurocognitive Outcomes in Later Childhood, JAMA 2016 · PMID 27272582

IN PRACTICE

Studies examining intraoperative blood pressure and later neurocognitive outcome

Review · Current opinion in anaesthesiology

Studies examining intraoperative blood pressure and later neurocognitive outcome have not found an association, so hypotension is not established as the mediating mechanism.
Unanswered Questions of Anesthesia Neurotoxicity in the Developing Brain, Current opinion in anaesthesiology 2023 · PMID 37552011

IN PRACTICE

In the MASK study, general intelligence was unaffected by exposure before age three

Cohort · Anesthesiology

In the MASK study, general intelligence was unaffected by exposure before age three, but children with multiple exposures showed reduced processing speed and fine motor ability that single-exposure children did not.
Neuropsychological and Behavioral Outcomes After Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study, Anesthesiology 2018 · PMID 29672337

THE NUMBERS

MASK: intelligence unaffected, some domains differ after multiple exposures

997 children tested at 8–12 or 15–20 years.

00.511.50.51.3Single exposureMultiple exposuresIQ points
Neither difference was significant; the signal in multiply-exposed children sits in processing speed and fine motor, not IQ.
Neuropsychological and Behavioral Outcomes After Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study, Anesthesiology 2018 · PMID 29672337

IN THE ROOM

What this changes about the next case

Colour is the strength of the evidence behind each step, not the urgency.

1
1
Pooling prospectively assessed children, a single general anaesthetic was associated with modestly worse parent-reported behaviour scores while full-scale IQ was unaffected.
2
2
Across 31 studies, associations between childhood anaesthesia and neurodevelopment differ by domain — small deficits in executive function, behaviour and academics, with cognition barely affected.
3
3
In the GAS randomised trial, just under an hour of sevoflurane anaesthesia in infancy gave a full-scale IQ at age five equivalent to awake-regional anaesthesia, with a difference of 0.23 points.
4
4
Comparing 105 sibling pairs, a single anaesthetic before 36 months left no significant difference in IQ, memory, attention, executive function, language or behaviour in later childhood.
5
5
In the MASK study, general intelligence was unaffected by exposure before age three, but children with multiple exposures showed reduced processing speed and fine motor ability that single-exposure children did not.

The oral-boards stem on the next slide puts these into one scenario.

KEY TAKEAWAYS

What to carry into the next case

Pooling prospectively assessed children, a single general anaesthetic was associated
British journal of anaesthesia 2021
In the GAS randomised trial, just under an hour of sevoflurane anaesthesia in
England) 2019
Comparing 105 sibling pairs, a single anaesthetic before 36 months left no
JAMA 2016
Studies examining intraoperative blood pressure and later neurocognitive outcome
Current opinion in anaesthesiology 2023

Pooling prospectively assessed children, a single general anaesthetic was associated

Questions I'll ask you in the room

Walk me through your setup for this before we start.
What are you watching on the monitor that would tell you this is going wrong?
What is your first move if it does?
What would you want ready in the room before induction?

Oral boards stem

The mother of a healthy 14-month-old presenting for inguinal hernia repair has read that anaesthesia harms developing brains and asks you directly whether the operation should wait.

Board questions

1. In the GAS randomised trial, infants received either just under an hour of sevoflurane general anaesthesia or awake-regional anaesthesia. What was the full-scale IQ result at age five, and how large was the difference between the groups?
Show answer

Full-scale IQ at age five after just under an hour of sevoflurane anaesthesia in infancy was equivalent to awake-regional anaesthesia, with a difference of 0.23 points.

A 0.23-point IQ difference at five years is the number to remember when a parent asks about a short single anaesthetic in infancy.

Neurodevelopmental Outcome at 5 Years of Age After General Anaesthesia or Awake-Regional Anaesthesia in Infancy (GAS): An International, Multicentre, Randomised, Controlled Equivalence Trial, Lancet (London, England) 2019 · PMID 30782342
2. In the MASK study of children exposed to general anaesthesia before age three, the findings differed between children with one exposure and children with several. Describe what was and was not affected in each group.
Show answer

General intelligence was unaffected by exposure before age three overall. Children with multiple exposures showed reduced processing speed and fine motor ability, and single-exposure children did not show those reductions.

MASK points the concern at repeated exposure and at specific domains — processing speed and fine motor — rather than at global intelligence.

Neuropsychological and Behavioral Outcomes After Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study, Anesthesiology 2018 · PMID 29672337
3. A parent asks whether a single general anaesthetic will affect her child's development. Drawing on the pooled prospectively assessed studies of anaesthetic neurotoxicity in children, what two different outcome domains should you distinguish in your answer, and what did the pooled data show for each?
Show answer

Distinguish behaviour from intelligence. Pooling prospectively assessed children, a single general anaesthetic was associated with modestly worse parent-reported behaviour scores, while full-scale IQ was unaffected. Note that the behaviour finding is an association and the measure is parent-reported.

Splitting behaviour from IQ is what lets you give a parent an honest answer instead of a reassuring one or a frightening one.

Prospectively Assessed Neurodevelopmental Outcomes in Studies of Anaesthetic Neurotoxicity in Children: A Systematic Review and Meta-Analysis, British journal of anaesthesia 2021 · PMID 33250180
4. Intraoperative hypotension is often proposed as the mechanism linking early childhood anaesthesia to later neurocognitive problems. What have studies of intraoperative blood pressure and later neurocognitive outcome actually shown, and what does that mean for calling hypotension the mechanism?
Show answer

Studies examining intraoperative blood pressure and later neurocognitive outcome have not found an association, so hypotension is not established as the mediating mechanism. The absence of an association means the proposed mechanism is unsupported, not that some other mechanism has been proven instead.

It is fair to say we have not established hypotension as the mediator — it is not fair to substitute a different mechanism we like better.

Unanswered Questions of Anesthesia Neurotoxicity in the Developing Brain, Current opinion in anaesthesiology 2023 · PMID 37552011
The bottom linePooling prospectively assessed children, a single general anaesthetic was associated

Sources

[1] Prospectively Assessed Neurodevelopmental Outcomes in Studies of Anaesthetic Neurotoxicity in Children: A Systematic Review and Meta-Analysis, British journal of anaesthesia 2021 · PMID 33250180 open
[2] Neurodevelopmental Outcome at 5 Years of Age After General Anaesthesia or Awake-Regional Anaesthesia in Infancy (GAS): An International, Multicentre, Randomised, Controlled Equivalence Trial, Lancet (London, England) 2019 · PMID 30782342 open
[3] Association Between a Single General Anesthesia Exposure Before Age 36 Months and Neurocognitive Outcomes in Later Childhood, JAMA 2016 · PMID 27272582 open
[4] Unanswered Questions of Anesthesia Neurotoxicity in the Developing Brain, Current opinion in anaesthesiology 2023 · PMID 37552011 open
[5] Anesthetic Exposure During Childhood and Neurodevelopmental Outcomes: A Systematic Review and Meta-analysis, JAMA network open 2022 · PMID 35708687 open
[6] Neuropsychological and Behavioral Outcomes After Exposure of Young Children to Procedures Requiring General Anesthesia: The Mayo Anesthesia Safety in Kids (MASK) Study, Anesthesiology 2018 · PMID 29672337 open