Related Experiment Video
Updated: Dec 13, 2025

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
Published on: July 31, 2017
Surgical management of the patient living with autism
Paige Selvey1, Katie Stypulkowski2, Steven Waisbren1,3
1University of Minnesota Medical School, 420 Delaware St SE, Minneapolis, MN 55455, United States.
Insights
Managing surgical patients with autism spectrum disorder (ASD) requires individualized care. This study outlines strategies and a checklist to optimize surgical experiences for individuals with ASD, improving outcomes.
Area of Science:
- Medicine
- Surgery
- Pediatrics
Background:
- Autism spectrum disorder (ASD) affects 1 in 59 children.
- Optimal surgical care strategies for ASD patients are not well-established.
- This study addresses the need for evidence-based surgical management of ASD.
Purpose of the Study:
- To identify optimal care strategies for surgical patients with autism spectrum disorder (ASD).
- To provide practical recommendations for implementing these strategies in clinical practice.
- To improve surgical care for individuals with ASD.
Main Methods:
- A comprehensive literature review was performed.
- Relevant articles were systematically selected and analyzed.
- Manual searches of references were conducted using Ovid Medline and Google Scholar.
Main Results:
- ASD presents unique challenges in surgical management due to its wide symptom spectrum.
- Key strategies include early coordination, identifying anxiety triggers, morning surgeries, pre-operative preparation, appropriate medication, and prompt routine resumption.
- A surgical checklist was developed to guide individualized care planning for ASD patients.
Conclusions:
- Surgical treatment for individuals with ASD poses distinct challenges for healthcare teams.
- Individualized pre/intra/post-operative approaches are crucial.
- These approaches will become increasingly vital as ASD patients require more surgical services throughout adulthood.
Background:
Although 1 in 59 children currently born are diagnosed with autism spectrum disorder (ASD), little is known on how to best manage those patients who require surgical intervention.The purpose of this study is to (1) investigate the best care strategies for surgical patients living with autism spectrum disorder (2) provide recommendations on how to apply those strategies to clinical practice.
Methods:
A literature review was conducted to investigate the best clinical practices for optimizing surgical care for individuals living with autism spectrum disorder. Relevant articles were selected and examined, and individual references from those articles were manually searched using Ovid Medline and Google Scholar.
Results:
The wide spectrum of symptoms associated with autism spectrum disorder pose unique challenges for surgical management. Early coordination with the patient and family optimizes the development of an effective care plan. Strategies include identifying triggers for anxiety as well as soothing mechanisms, performing surgery in the morning, completing preoperative paperwork prior to surgery, choosing appropriate analgesia and anxiolytics, and fast resumption of normal routines. Based on these findings a surgical checklist was created to aid in treating the patient with autism spectrum disorder. The checklist provides insight into navigating the surgical experience and emphasizes planning surgical interventions to most effectively fit individual patient needs.
Conclusion:
The surgical treatment of those living with autism spectrum disorder poses unique challenges for the health care team. The widespread adoption of such individualized approaches encompassing pre/intra/post-operative will become more important as these children grow into adults with increased needs for surgical services.
Related Concept Videos
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Modeling in Therapy
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Psychosurgery
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
Aneurysm IV: Nursing Management

