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Avoiding General Anesthesia in Treating Port-Wine Stains in Infants to Avoid Neurotoxic Events

Avoiding General Anesthesia in Treating Port-Wine Stains in Infants to Avoid Neurotoxic Events Letters cent year for which most organizations had available data. While Frieden nicely summarizes the risks of untreated pain on sub- it is unfortunate that the timing of our data collection was prior sequent behavior, even for relatively minor procedures such as to the implementation of the certificate program, we applaud vaccination. The shared decision-making vision presented by Mr Boutin and the NHC for working toward the broader imple- MathesandFriedenisanessentialpartofdailypractice,grounded mentation of standardized disclosure practices. inacarefulconsiderationofrisks,benefits,andalternativesbased Although the proposed standards are a step in the right di- on the available evidence. rection, there are further opportunities to improve disclosure Consequently, I must take issue with the assertion made practices among PAOs. The reporting of corporate support as by Jeon et al that their study demonstrates that their prac- a percentage of total revenue does not provide granular in- tice is safe. Their methods note no mention of recording pa- sight about the source or magnitude of financial support given tient pain, patient tolerance of the procedure, parental stress to PAOs. Additionally, many websites continue to list the or satisfaction, or maladaptive behaviors afterwards result- amount of financial support from industry donors in ranges, ing from repeated painful stimuli. There http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Avoiding General Anesthesia in Treating Port-Wine Stains in Infants to Avoid Neurotoxic Events

Haydar, Bishr; Gray, Holly; Holman, Ashlee
JAMA Dermatology , Volume 155 (8) – Aug 3, 2019
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2 pages

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Publisher
American Medical Association
Copyright
Copyright 2019 American Medical Association. All Rights Reserved.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/jamadermatol.2019.1780
Publisher site
See Article on Publisher Site

Abstract

Letters cent year for which most organizations had available data. While Frieden nicely summarizes the risks of untreated pain on sub- it is unfortunate that the timing of our data collection was prior sequent behavior, even for relatively minor procedures such as to the implementation of the certificate program, we applaud vaccination. The shared decision-making vision presented by Mr Boutin and the NHC for working toward the broader imple- MathesandFriedenisanessentialpartofdailypractice,grounded mentation of standardized disclosure practices. inacarefulconsiderationofrisks,benefits,andalternativesbased Although the proposed standards are a step in the right di- on the available evidence. rection, there are further opportunities to improve disclosure Consequently, I must take issue with the assertion made practices among PAOs. The reporting of corporate support as by Jeon et al that their study demonstrates that their prac- a percentage of total revenue does not provide granular in- tice is safe. Their methods note no mention of recording pa- sight about the source or magnitude of financial support given tient pain, patient tolerance of the procedure, parental stress to PAOs. Additionally, many websites continue to list the or satisfaction, or maladaptive behaviors afterwards result- amount of financial support from industry donors in ranges, ing from repeated painful stimuli. There

Journal

JAMA Dermatology – American Medical Association

Published: Aug 3, 2019

References

  • Pulsed dye laser treatment of port-wine stains in infancy without the need for general anesthesia
    Jeon, H; Bernstein, LJ; Belkin, DA; Ghalili, S; Geronemus, RG
  • Early use of laser for port-wine stains: timing, efficacy, and shared decision making
    Mathes, EF; Frieden, IJ
  • Differences in blood pressure in infants after general anesthesia compared to awake regional anesthesia (GAS Study-a prospective randomized trial)
    McCann, ME; Withington, DE; Arnup, SJ
  • Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe
    Habre, W; Disma, N; Virag, K