Routine health care, whether physical examinations, blood sampling, vaccination, or dental care, is challenging and often traumatic for children with autism spectrum disorder (ASD) and children with developmental delay (DD), often requiring physical restraint or being indefinitely postponed. Behavioral interventions are critical for effective treatment of these children; however, in many children who have had traumatic medical experiences, these interventions may not be successful.1 Pharmacologic treatment with oral sedatives may be insufficient to perform common minor procedures, while the intramuscular route, requiring physical restraint for administration, can deepen the fear and lack of trust these children have toward the health care system.2 We describe a consecutive case series using a family-centered integrated behavioral and sedation protocol for common medical procedures in these children.

Safety and Efficacy Associated With a Family-Centered Procedural Sedation Protocol for Children With Autism Spectrum Disorder or Developmental Delay

Barbi, Egidio
2023-01-01

Abstract

Routine health care, whether physical examinations, blood sampling, vaccination, or dental care, is challenging and often traumatic for children with autism spectrum disorder (ASD) and children with developmental delay (DD), often requiring physical restraint or being indefinitely postponed. Behavioral interventions are critical for effective treatment of these children; however, in many children who have had traumatic medical experiences, these interventions may not be successful.1 Pharmacologic treatment with oral sedatives may be insufficient to perform common minor procedures, while the intramuscular route, requiring physical restraint for administration, can deepen the fear and lack of trust these children have toward the health care system.2 We describe a consecutive case series using a family-centered integrated behavioral and sedation protocol for common medical procedures in these children.
2023
Pubblicato
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2805382
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10230313/
File in questo prodotto:
File Dimensione Formato  
sahyoun_2023_ld_230080_1684423441.64104 (1).pdf

accesso aperto

Tipologia: Documento in Versione Editoriale
Licenza: Creative commons
Dimensione 347.11 kB
Formato Adobe PDF
347.11 kB Adobe PDF Visualizza/Apri
zld230080supp1_prod_1684423441.65108.pdf

accesso aperto

Tipologia: Altro materiale allegato
Licenza: Creative commons
Dimensione 130.92 kB
Formato Adobe PDF
130.92 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11368/3047819
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 0
social impact