Autistic children and anesthesia: is their perioperative experience different?

Paediatric Anaesthesia
Brook ArnoldJeffrey Koh

Abstract

Children with autism spectrum disorders (ASD) are an increasingly common patient population in the perioperative setting. Children with ASD present with abnormal development in social interaction, communication, and stereotyped patterns of behavior and may be more prone to elevated perioperative anxiety. The perioperative experience for these patients is complex and presents a unique challenge for clinicians. The aim of the current study was to provide a further understanding of the premedication patterns and perioperative experiences of children with ASD in comparison to children without ASD. Using a retrospective cohort study design, medical records were evaluated for patients with and without ASD undergoing general anesthesia for dental rehabilitation from 2006-2011. The following objectives were measured and compared: (i) premedication patterns and (ii) complications, pain, anesthetic type, PACU time, and time to discharge. To compare categorical variables, the chi-square test was used. Bivariate and multivariable analyses were performed to control for potential confounding as a result of baseline differences between the two groups. A total of 121 ASD patients and 881 non-ASD patients were identified. When controlling for a...Continue Reading

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Citations

Oct 2, 2015·Paediatric Anaesthesia·Allison Kinder Ross
Jun 16, 2017·Paediatric Anaesthesia·Jo S SwartzM Ruth Graham
Feb 28, 2018·Worldviews on Evidence-based Nursing·Margaret A GettisLinda Riley
Jun 4, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Amanda WhippeyDesigen Reddy
Sep 22, 2020·Nursing Children and Young People·Cheryl Honeyman
Aug 24, 2018·Child: Care, Health and Development·Shelby A Wilson, Catherine C Peterson
Feb 26, 2016·Current Opinion in Anaesthesiology·Bistra G Vlassakova, Dimitris E Emmanouil
Oct 20, 2018·The Journal of Bone and Joint Surgery. American Volume·Vasco Deon Kidd, Anna Maria Ocampo De Claro
Jul 25, 2019·Clinical Oral Investigations·Francesca MangioneElisabeth Dursun
Sep 8, 2021·Journal of Autism and Developmental Disorders·Erin HenneberryCraig A Erickson

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