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Published on: July 31, 2017
Interventions for paediatric surgery patients with comorbid autism spectrum disorder: a systematic literature review
Scott Koski1, Robin L Gabriels1, Carol Beresford1
1University of Colorado Anschutz Medical Campus and the Children's Hospital Colorado, Aurora, Colorado, USA.
Insights
Perioperative care for children with autism spectrum disorder (ASD) requires individualized approaches. Key practices include tailored interventions, desensitization, and caregiver involvement for better surgical outcomes.
Area of Science:
- Pediatric Anesthesiology
- Autism Spectrum Disorder Research
- Surgical Patient Care
Background:
- Autism spectrum disorder (ASD) presents unique challenges in perioperative settings.
- Standardized perioperative protocols may not adequately address the needs of pediatric patients with ASD.
- A need exists to understand current best practices for managing these patients.
Purpose of the Study:
- To systematically review and survey current perioperative management practices for pediatric patients diagnosed with autism spectrum disorder (ASD).
- To identify and synthesize evidence-based interventions and behavioral strategies for ASD patients undergoing surgery.
Main Methods:
- A systematic review of empirical studies and case reports was conducted.
- Searches focused on peer-reviewed literature concerning perioperative interventions for pediatric ASD patients.
- Inclusion criteria encompassed studies published between 1997 and 2016.
Main Results:
- Eleven articles met the inclusion criteria for the review.
- Commonly endorsed practices include individualized patient attention and desensitization techniques like rehearsal.
- There is a shift away from solely relying on sedation or restraint towards collaborative, individualized care plans.
- Engaging caregivers is crucial for tailoring perioperative management to individual patient needs.
Conclusions:
- The review highlights the necessity of individualized structures and approaches in the perioperative care of pediatric patients with ASD.
- Personalized care strategies are essential for optimizing the surgical experience and outcomes for this population.
Aims:
To survey perioperative management practices for paediatric patients diagnosed with autism spectrum disorder (ASD).
Methods:
A systematic review was carried out of empirical studies and case reports published in peer-reviewed journals of current best practices and behavioural interventions for paediatric patients with ASD who had undergone surgery.
Results:
The final sample included 11 articles published between 1997 and 2016 that met broad inclusion criteria of surveying perioperative interventions for the ASD population. There is broad endorsement across the scant publications on this topic of the following practices: increased attention to individual patient needs, rehearsal and other desensitisation efforts, departure from a sole focus on sedation or restraint of the combative or uncooperative patient and engaging caregivers in tuning perioperative management to individual needs.
Conclusions:
This review supports the need for an individualised structure and approach to the perioperative care of these unique patients.
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