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- Title
Induction of anesthesia in a combative child; management and issues.
- Authors
Christiansen, Elaine; Chambers, Neil
- Abstract
A developmentally delayed, 13-year old autistic boy required management of multifocal cerebral and pulmonary tumors, involving several anesthetics over a 4-month period. At each anesthetic he refused premedication, displayed increasing anxiety and became more combative. With parental guidance and involvement, a variety of anesthetists tried a range of techniques to achieve induction, each ultimately resorting to the use of physical restraint. Principles essential to the care of such a child include early recognition, parental support, multi-disciplinary planning of procedures requiring general anesthesia, continuity of anesthesia care, and clear guidelines about the perioperative management of uncooperative children, including the ethical use of restraint.
- Subjects
ANESTHESIA; FIGHTING (Psychology); TUMORS; ANESTHETICS; ANXIETY; RESTRAINT of patients
- Publication
Pediatric Anesthesia, 2005, Vol 15, Issue 5, p421
- ISSN
1155-5645
- Publication type
Article
- DOI
10.1111/j.1460-9592.2005.01501.x