2001
DOI: 10.1046/j.1460-9592.2001.00688.x
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An audit of perioperative management of autistic children

Abstract: There is great variation in the severity of autism and hospital needs of these children. The focus is on early communication with the patient's families, flexibility to individualize the admission process and anaesthetic plan with admission and early discharge on the day of surgery whenever possible. Oral midazolam is an effective premedication for the milder cases and oral ketamine is the most reliable for moderate and severe cases. Comparison of oral midazolam and ketamine shows no significant different post… Show more

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Cited by 90 publications
(75 citation statements)
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“…Parents should be queried for advice on how a particular child can be best approached by the perioperative care team. 37 Information on "triggers" for aggressive behavior or comfort items should be communicated in a preoperative note.…”
Section: Developmental Delay/autismmentioning
confidence: 99%
“…Parents should be queried for advice on how a particular child can be best approached by the perioperative care team. 37 Information on "triggers" for aggressive behavior or comfort items should be communicated in a preoperative note.…”
Section: Developmental Delay/autismmentioning
confidence: 99%
“…5 The literature identifies multiple barriers to this care given the difficulties that some children with ASD experience, such as hypersensitivity to stimuli including sound, touch, and transition. [6][7][8][9] Communication barriers are reported to potentially heighten anxiety for the child and increase misunderstanding between others involved in care. 6 Some children may be unable to communicate their level of pain in ways that are discernible by service providers and parents.…”
mentioning
confidence: 99%
“…Naime, preporučuje se dovođenje deteta u stomatološku ordinaciju jednom nedeljno, kako bi se postepeno naviklo na ambijent, stomatološko osoblje, zvukove i mirise. Što se ranije krene sa procesom navikavanja, efekat je brži i bolji 17,18 . Deca sa ASD imaju izražene vizuelne sposobnosti i mnoga od njih bolje razumeju pisanu poruku ili poruku putem slike.…”
Section: Prevention Prophylaxis and Therapy Of Dental And Oral Caviunclassified