How should you get the autistic child into the operating room when the mother objects to intramuscular ketamine?

Glenn E. Mann, Jerry Y. Chao

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Freddy is a 15-year-old autistic obese teenager who presents for elective circumcision due to phimosis. His mother is present in the preoperative area and is quite concerned about the induction of anesthesia. Her friend, who also has an autistic child, told her that Freddy will have to have an intramuscular injection of medicine in order to "go to sleep" for surgery. Based on prior experiences at the dentist’s office the mother explains that as soon as someone comes near him with a needle he becomes agitated; using a needle for induction of anesthesia would be challenging. When you go to see Freddy he is sitting in a chair with his mother and sister at his side. As you approach him, Freddy gets up and tries to walk out, but his mother tells him to sit down again. He seems to listen to her directions well.

Original languageEnglish (US)
Title of host publicationYou're Wrong, I'm Right: Dueling Authors Reexamine Classic Teachings in Anesthesia
PublisherSpringer International Publishing
Pages133-134
Number of pages2
ISBN (Electronic)9783319431697
ISBN (Print)9783319431673
DOIs
StatePublished - Jan 1 2016

Keywords

  • Anesthesia for special needs patients
  • Autism
  • Family-centered care
  • Ketamine
  • Pediatric anesthesiology

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Mann, G. E., & Chao, J. Y. (2016). How should you get the autistic child into the operating room when the mother objects to intramuscular ketamine? In You're Wrong, I'm Right: Dueling Authors Reexamine Classic Teachings in Anesthesia (pp. 133-134). Springer International Publishing. https://doi.org/10.1007/978-3-319-43169-7_40