No abstract

* While some segments of the population of patients undergoing pediatric spine surgery are at considerable risk for infection, standardized processes and the involvement of a dedicated team can serve to minimize this risk.* A well-functioning perioperative team is a necessary prerequisite for the promotion of a culture focused on patient safety and the quality of care.* The use of Comprehensive Unit-based Safety Program principles is a powerful and well-tried way to foster team development, facilitate best-in-practice processes, and improve culture.* Organizations that wish to excel in the care of patients with complex pediatric spine deformity should invest heavily in the development of multidisciplinary dedicated teams, an investment that not only is an ethical prerequisite for the care of this fragile population but also is an effort that will deliver considerable returns following implementation.* The goal of the present review is to demonstrate how the use of a multidisciplinary team approach can be used to optimize and innovate regarding the prevention of surgical site infections in patients with pediatric scoliosis.

will be important to inform how best to provide safe care and allocate resources. Further studies are needed to determine the incidence of AE in the subgroups of very high-risk patients requiring extracorporeal membrane oxygenation support, on ventricular assist devices, and those with recent open-heart surgery.*ASA physical status score cannot be included in the regression analysis in these groups due to small samples (only 1 single procedure with ASA 5 in each group). ASA indicates American Society of Anesthesiologists.

In the section of “Developmental Neurotoxicity: An Update” of the Pediatric Anesthesia Neurodevelopmental Assessment (PANDA) symposium 2018 the speakers presented the current literature in translational and clinical research. Dr. Brambrink spoke about translational research in anesthetic neurotoxicity, beginning with discovery in the rodent model, then focusing on evidence from nonhuman primates. Dr. Waspe applied the methodology of Adverse Outcome Pathways from the field of toxicology to developmental neurotoxicity of anesthetics. Dr. O’Leary presented relevant clinical studies that were published in 2017 divided by a focus on academic performance, clinical outcomes or diagnoses, or neuropsychological testing.