Observational Studies Research Articles

Management of critical care emergencies in children with autism spectrum disorder

BACKGROUND Managing critical care emergencies in children with autism spectrum disorder (ASD) presents unique challenges due to their distinct sensory sensitivities, communication difficulties, and behavioral issues. Effective strategies and protocols are essential for optimal care in these high-stress situations. AIM To systematically evaluate and synthesize current evidence on best practices for managing critical care emergencies in children with ASD. The review focuses on key areas, including sensory-friendly environments, communication strategies, behavioral management, and the role of multidisciplinary approaches. METHODS A comprehensive search was conducted across major medical databases, including PubMed, Embase, and Cochrane Library, for studies published between 2000 and 2023. Studies were selected based on their relevance to critical care management in children with ASD, encompassing randomized controlled trials, observational studies, qualitative research, and case studies. Data were extracted and analyzed to identify common themes, successful strategies, and areas for improvement. RESULTS The review identified 50 studies that met the inclusion criteria. Findings highlighted the importance of creating sensory-friendly environments, utilizing effective communication strategies, and implementing individualized behavioral management plans. These findings, derived from a comprehensive review of current evidence, provide valuable insights into the best practices for managing critical care emergencies in children with ASD. Sensory modifications, such as reduced lighting and noise, visual aids, and augmentative and alternative communication tools, enhanced patient comfort and cooperation. The involvement of multidisciplinary teams was crucial in delivering holistic care. Case studies provided practical insights and underscored the need for continuous refinement of protocols. CONCLUSION The review emphasizes the need for a tailored approach to managing critical care emergencies for children with ASD. Sensory-friendly adjustments, effective communication, and behavioral strategies supported by a multidisciplinary team are integral to improving outcomes. Despite progress, ongoing refinement of care practices and protocols is necessary. This ongoing process addresses remaining challenges and engages healthcare professionals in continuous improvement of care for children with ASD in critical settings.

Homocysteine and Multiple Health Outcomes: An Outcome-Wide Umbrella Review of Meta-analyses and Mendelian Randomization Studies.

Homocysteine and Multiple Health Outcomes: An Outcome-Wide Umbrella Review of Meta-analyses and Mendelian Randomization Studies.

Across 73 meta-analyses mortality improvements are uncommon with newer interventions in adult cardiac surgery.

Across 73 meta-analyses mortality improvements are uncommon with newer interventions in adult cardiac surgery.

Association between social networking and dementia: A systematic review of observational studies.

Association between social networking and dementia: A systematic review of observational studies.

Uncovering the possible link between dietary advanced glycation end products and mortality risk: A systematic review and meta-analysis.

Uncovering the possible link between dietary advanced glycation end products and mortality risk: A systematic review and meta-analysis.

Postpartum diabetes mellitus among patients with early gestational diabetes: A systematic review and meta-analysis.

Postpartum diabetes mellitus among patients with early gestational diabetes: A systematic review and meta-analysis.

Underlying health biases in previously-infected SARS-CoV-2 vaccination recipients: A cohort study.

Underlying health biases in previously-infected SARS-CoV-2 vaccination recipients: A cohort study.

Efficacy of direct oral anticoagulants versus low-molecular-weight heparin for thromboprophylaxis after gynecological cancer surgery: A systematic review and meta-analysis.

Efficacy of direct oral anticoagulants versus low-molecular-weight heparin for thromboprophylaxis after gynecological cancer surgery: A systematic review and meta-analysis.

Relationship Between Sleep Posture and Low Back Pain: A Systematic Review.

This systematic review aims to evaluate the relationship between sleeping postures (supine, prone, side-lying, and variable) and LBP, focusing on their impact on the prevalence, aggravation, or alleviation of symptoms. A pre-detailed study protocol (PROSPERO ID: CRD42024628738) was used for search through databases including PubMed, Scopus and ScienceDirect following PRISMA guidelines. Observational studies from 2005 to 2024 examining the relationship between sleeping posture and LBP were included. The NIH Quality Assessment Tool evaluated study quality and risk of bias. A review of six studies found that the supine position supports spinal alignment and is associated with lower LBP prevalence, while prone sleeping increases LBP risk due to lumbar strain. Side-lying is the most common posture, with supportive alignment reducing pain and poor alignment worsening it. Variable positions showed minimal association with LBP. This review emphasises the role of sleep posture in managing low back pain (LBP) by recommending supine and supportive side-lying positions for better spinal health. Prone sleeping, linked to pain, should be avoided. Ergonomic interventions, such as proper bedding and posture education, are suggested for LBP relief.

Residential indoor temperatures and health: A scoping review of observational studies.

Residential indoor temperatures and health: A scoping review of observational studies.

Burden of gaming disorder among adolescents: A systemic review and meta-analysis.

Burden of gaming disorder among adolescents: A systemic review and meta-analysis.

Clinical, Radiographic, and Histological Features of Buccal Bifurcation Cysts: A Systematic Review to Aid Accurate Diagnosis and Treatment Decisions.

Clinical, Radiographic, and Histological Features of Buccal Bifurcation Cysts: A Systematic Review to Aid Accurate Diagnosis and Treatment Decisions.

Efficacy and limitations of SARS-CoV-2 vaccines - A systematic review.

Efficacy and limitations of SARS-CoV-2 vaccines - A systematic review.

The impact of adverse childhood experiences on health outcomes of indigenous populations over the life course: A systematic review.

The impact of adverse childhood experiences on health outcomes of indigenous populations over the life course: A systematic review.

The impact of empirical superior vena cava isolation in addition to pulmonary vein isolation on outcomes in atrial fibrillation - Systematic review, meta-analysis, and meta-regression.

The impact of empirical superior vena cava isolation in addition to pulmonary vein isolation on outcomes in atrial fibrillation - Systematic review, meta-analysis, and meta-regression.

Yoga in Obesity Management: Reducing cardiovascular risk and enhancing well-being- A review of the current literature.

Yoga in Obesity Management: Reducing cardiovascular risk and enhancing well-being- A review of the current literature.

Perinatal Exercise and Cardiovascular Disease Risk.

Perinatal Exercise and Cardiovascular Disease Risk.

Bisphenol A exposure and neurodevelopmental disorders and problems in children under 12 years of age: A systematic review and meta-analysis.

Bisphenol A exposure and neurodevelopmental disorders and problems in children under 12 years of age: A systematic review and meta-analysis.

Exploring the shared genetic basis of attention-deficit/hyperactivity disorder and obstructive sleep apnea: A multi-omics analysis.

Exploring the shared genetic basis of attention-deficit/hyperactivity disorder and obstructive sleep apnea: A multi-omics analysis.

Autoimmune thyroid disease is a risk factor for mood disorders, a Mendelian randomization study.

Autoimmune thyroid disease is a risk factor for mood disorders, a Mendelian randomization study.