Arai Yuto, Okanishi Tohru, Nakamura Yuko, Maegaki Yoshihiro
Division of Child Neurology, Department of Brain and Neurosciences, Faculty of Medicine, Tottori University, Yonago, Japan.
Front Psychiatry. 2024 Jan 5;14:1162833. doi: 10.3389/fpsyt.2023.1162833. eCollection 2023.
The incidence of autism spectrum disorder (ASD) in children is greater than 1%. Children with ASD show an increased rate of hospital contact for several reasons. Perioperative preparation for children with ASD can be challenging; therefore, obtaining information from patients' families prior to surgery is important. However, no previous reports have described the collection of information from educational facilities.
A 12 years-old male patient with ASD was referred for surgery for traumatic dislocation of the left knee joint. Before admission, we obtained valuable information from his parents regarding expected behavioral problems and coping strategies during hospitalization and from his teachers at his school for special needs education. In particular, the information obtained from teachers was specific and practical. Consequently, we could effectively conduct perioperative management based on his specific autistic characteristics.
We report a pediatric case of ASD in which favorable perioperative management was successfully achieved by collecting information before admission from family members as well as teachers at the patient's school for special needs education. This management may help in future hospital admissions for children with autism.
儿童自闭症谱系障碍（ASD）的发病率超过1%。患有ASD的儿童因多种原因住院率增加。为患有ASD的儿童进行围手术期准备可能具有挑战性；因此，在手术前从患者家属处获取信息很重要。然而，以前没有报告描述过从教育机构收集信息的情况。
一名12岁的患有ASD的男性患者因左膝关节创伤性脱位被转诊进行手术。入院前，我们从他的父母那里获得了关于住院期间预期行为问题和应对策略的宝贵信息，并从他所在的特殊需求教育学校的老师那里获取了信息。特别是，从老师那里获得的信息具体且实用。因此，我们能够根据他特定的自闭症特征有效地进行围手术期管理。
我们报告了一例患有ASD的儿科病例，通过在入院前从患者家属以及特殊需求教育学校的老师那里收集信息，成功实现了良好的围手术期管理。这种管理可能有助于未来自闭症儿童的住院治疗。
