Re: "Challenging 4 Myths of Pediatric Anesthesia" (December, page 40). It's inappropriate for a non-peer-reviewed journal to make recommendations that are contrary to the current standard of practice and for an ASC to push the envelope of patient care. An ASC is a place where evidence-based medicine should be the rule of the day. I'm not interested in changing my practice because new evidence suggests. I want to practice non-controversial, standard medicine.

I won't reduce clear liquids to one hour. I won't do elective surgery on a premature infant of less than 60 weeks post-conceptual age. The premature child with an incarcerated hernia at 55 weeks will be done as an inpatient. I hope your readers use common sense when deciding upon practice parameters inside the walls of an ASC.

Thomas Mitros, MD
Anesthesiologist, Administrator
The Surgery Center of Salem County, LLC
Salem, N.J.
writeMail("surgerycenterofsalem@comcast.net")