ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER

Introduction: Patients with autism spectrum disorder, in most cases, especially children, have exacerbated sensitivity, and this fact should be considered especially when anesthesia is required. Aim: To conduct a literature review trying to compile the main studies related to the anesthetic implicat...

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Principais autores: Silva, Wallace Andrino, Dibe, Amanda Gosson de Melo, Souza, Cynthia Cristina Bastia Vieira de, Sousa, Raphael Klênio Confessor de
Formato: Online
Idioma:por
Publicado em: FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
Endereço do item:https://periodicos.ufrn.br/jscr/article/view/24428
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spelling oai:periodicos.ufrn.br:article-244282022-02-07T20:17:16Z ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER CONSIDERAÇÕES ANESTÉSICAS EM PACIENTES PEDIÁTRICOS COM TRANSTORNO DO ESPECTRO AUTISTA Silva, Wallace Andrino Dibe, Amanda Gosson de Melo Souza, Cynthia Cristina Bastia Vieira de Sousa, Raphael Klênio Confessor de Anesthesia; Child; Autism Spectrum Disorder; Autism. Anestesia; Criança; Transtorno do Espectro Autista; Autismo. Introduction: Patients with autism spectrum disorder, in most cases, especially children, have exacerbated sensitivity, and this fact should be considered especially when anesthesia is required. Aim: To conduct a literature review trying to compile the main studies related to the anesthetic implications in pediatric patients with autism spectrum disorder. Method: The basis used for the selection of works was PUBMED. The search strategy established was as follows: ((anesthesia [MeSH Terms]) AND (autism spectrum disorder [MeSH Terms])) AND (child [MeSH Terms]). Results: The search initially identified 34 articles, of which 12 articles  were considered for review. Conclusion: Autism spectrum disorder generates several practical difficulties for the application of anesthesia used in a wide range of medical procedures and that even create the need for sedation. Preoperative procedures, such as physical restraint and the forced application of anxiolytics to facilitate anesthetic applications, are no longer ethically well regarded, and should only be used as a last resource. Many of the papers mention that a greater interaction with parents or caregivers on the mental particularity of each patient generates good results. Moreover, the training of health professionals on autism and its behavioral consequences is extremely necessary for anesthesia, surgical procedures and exams achieve the desired success.   Introdução: Pacientes autistas, na maioria dos casos, especialmente as crianças, apresentam sensibilidade exacerbada, e este fato deve ser especialmente considerado quando existe a necessidade de uma anestesia. Objetivo: Realizar uma revisão da literatura buscando compilar os principais estudos relacionados às implicações anestésicas em pacientes pediátricos com transtorno do espectro autista (TEA). Método: A base utilizada para seleção dos trabalhos foi a PUBMED. A estratégia de busca estabelecida foi a seguinte: ((anesthesia[MeSH Terms]) AND (autism spectrum disorder[MeSH Terms])) AND (child[MeSH Terms]). Resultados: A busca identificou inicialmente 34 artigos, sendo considerados 12 artigos para a revisão. Conclusão: O transtorno do espectro autista gera diversas dificuldades práticas para a aplicação de anestesias utilizadas numa ampla gama de procedimentos médicos e que, inclusive, criam a necessidade de sedação. Procedimentos pré-operatórios, como a contenção física e a aplicação forçada de ansiolíticos para facilitar aplicações anestésicas, já não são mais eticamente bem vistos, devendo ser utilizados apenas em último caso. Muitos dos trabalhos citam que uma interação maior com os pais ou cuidadores sobre as especificidades mentais de cada paciente geram bons resultados. Além disso, o treinamento de profissionais da saúde sobre o autismo e seus desdobramentos comportamentais são de extrema necessidade para que as anestesias, procedimentos cirúrgicos e exames obtenham o sucesso desejado.   FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL 2021-12-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://periodicos.ufrn.br/jscr/article/view/24428 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; Vol. 12 No. 1 (2021); 40-56 JOURNAL OF SURGICAL AND CLINICAL RESEARCH; v. 12 n. 1 (2021); 40-56 2179-7889 por https://periodicos.ufrn.br/jscr/article/view/24428/15211 Copyright (c) 2021 JOURNAL OF SURGICAL AND CLINICAL RESEARCH
institution Periódicos UFRN
collection Portal de Pediódicos Eletrônicos da UFRN
language por
format Online
author Silva, Wallace Andrino
Dibe, Amanda Gosson de Melo
Souza, Cynthia Cristina Bastia Vieira de
Sousa, Raphael Klênio Confessor de
spellingShingle Silva, Wallace Andrino
Dibe, Amanda Gosson de Melo
Souza, Cynthia Cristina Bastia Vieira de
Sousa, Raphael Klênio Confessor de
ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
author_facet Silva, Wallace Andrino
Dibe, Amanda Gosson de Melo
Souza, Cynthia Cristina Bastia Vieira de
Sousa, Raphael Klênio Confessor de
author_sort Silva, Wallace Andrino
title ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
title_short ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
title_full ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
title_fullStr ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
title_full_unstemmed ANESTHESIC CONSIDERATIONS IN PEDIATRIC PATIENTS WITH AUTISM SPECTRUM DISORDER
title_sort anesthesic considerations in pediatric patients with autism spectrum disorder
description Introduction: Patients with autism spectrum disorder, in most cases, especially children, have exacerbated sensitivity, and this fact should be considered especially when anesthesia is required. Aim: To conduct a literature review trying to compile the main studies related to the anesthetic implications in pediatric patients with autism spectrum disorder. Method: The basis used for the selection of works was PUBMED. The search strategy established was as follows: ((anesthesia [MeSH Terms]) AND (autism spectrum disorder [MeSH Terms])) AND (child [MeSH Terms]). Results: The search initially identified 34 articles, of which 12 articles  were considered for review. Conclusion: Autism spectrum disorder generates several practical difficulties for the application of anesthesia used in a wide range of medical procedures and that even create the need for sedation. Preoperative procedures, such as physical restraint and the forced application of anxiolytics to facilitate anesthetic applications, are no longer ethically well regarded, and should only be used as a last resource. Many of the papers mention that a greater interaction with parents or caregivers on the mental particularity of each patient generates good results. Moreover, the training of health professionals on autism and its behavioral consequences is extremely necessary for anesthesia, surgical procedures and exams achieve the desired success.  
publisher FEDERAL UNIVERSITY OF RIO GRANDE DO NORTE, BRAZIL
publishDate 2021
url https://periodicos.ufrn.br/jscr/article/view/24428
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