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.

Surgery Open Science
|August 6, 2020
PubMed

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.
Abstract

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