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Anasthesiol Intensivmed Notfallmed Schmerzther · Feb 2020
[Anaesthesia in Children and Adolescents with Disabilities].
- Michael Laschat, Jost Kaufmann, and Frank Wappler.
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2020 Feb 1; 55 (2): 106-116.
AbstractChildren and adolescents with disabilities have the right of full and effective participation and inclusion in society. Disability includes a wide range of long-term physical, mental, intellectual and sensory impairments for various reasons. In addition to the basic illness many children with disabilities have concomitant diseases. These diseases are decisive for the perioperative risk. Information from parents regarding their child's behavioural patterns and needs, signs of escalating anxiety and pain are important. Perioperative dialog with the parents is helpful and has positive effects also from parental point of view. Pharmacologic premedication is recommended. Induction of anaesthesia can be challenging and sometimes requires unconventional methods. Pain behaviour may be unusual. There are suitable scales that incorporate such behaviours.Georg Thieme Verlag KG Stuttgart · New York.
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