Abstract

 
 
 
 Autism is a neurodevelopmental disorder that manifests in the first three years of life. Children may attend hospital for diagnostic and therapeutic procedures at different points of their lives. Due to increased anxiety of patient and family members, uncooperative or combative behaviour, these patients are considered to be difficult cases for anaesthesia. Overweight and obesity in children has become endemic and perioperative complications are more frequent in these patients. A versatile approach should be adopted for management of these patients.
 
 
 
Highlights
Children with autistic spectrum disorder may attend hospital for diagnostic and therapeutic procedures
We report a case of a child with autistic spectrum disorder (ASD) and obesity who had anaesthesia for neck surgery
Oral midazolam 10mg and ketamine 100mg was given to her mixed with 5ml of clear apple juice for premedication
Summary
Children with autistic spectrum disorder may attend hospital for diagnostic and therapeutic procedures. Anaesthetic management of a child with autism and obesity is challenging and proper management is required to prevent perioperative complications. We report a case of a child with ASD and obesity who had anaesthesia for neck surgery.
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