Abstract
Today you are doing a list of children for dental extractions. All the children have behavioral problems. The first child is a 10-year-old autistic boy. He is otherwise healthy. You suggest placing an intravenous (IV) line, but he becomes very agitated. You decide against an oral midazolam as a premedication as you have had several children with postoperative cognitive impairment [1]. This also includes this child. This impairment, although transient, led to the parents of these children being unhappy with your anesthetic management. They were worried that his impairment this time may be permanent.
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References
Millar K, Asbury AJ, Bowman AW, Hosey MT, Martin K, Musiello T, Wellbury RR. A randomized placebo-controlled trial of the effects of midazolam premedication on children’s’ postoperative cognition. Anaesthesia. 2007;62:923–30.
Iacobucci T, Federico B, Pintus C, de Francisci G. Evaluation of satisfaction level by parents and children following pediatric anesthesia. Paediatr Anaesth. 2005;15:314–20.
Kain ZN, Maclaren J, Weinberg M, Huszti H, Anderson C, Mayes L. How many parents should we let into the operating room. Paediatr Anaesth. 2009;19:244–9.
Brock-Utne JG. A suggestion to help with anesthetizing mentally retarded children. Submitted for publication.
Flatt NW. Bribery in the anaesthesia room. Anaesthesia. 2007;62:1301.
Johnson YJ, Nickerson M, Quezado ZMN. An unforeseen peril of parental presence during induction of anesthesia. Anesth Anal. 2012;115:1371–2.
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Brock-Utne, J.G. (2013). Case 87: Pediatric Dental Anesthesia. In: Near Misses in Pediatric Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7040-3_87
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DOI: https://doi.org/10.1007/978-1-4614-7040-3_87
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