Preanesthetic Evaluation and Assessment of Children with Down's Syndrome

During preoperative evaluation for anesthesia in the Down patient, it is important to focus attention on the functional conditions of the patient and systems that frequently show anomalies. One of the challenges of evaluating pre-operative conditions and potential risks in the Down patient is the la...

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Main Authors: Letterio B. Santamaria, Carmelo Di Paola, Federica Mafrica, Vincenzo Fodale
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2007.64
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author Letterio B. Santamaria
Carmelo Di Paola
Federica Mafrica
Vincenzo Fodale
author_facet Letterio B. Santamaria
Carmelo Di Paola
Federica Mafrica
Vincenzo Fodale
author_sort Letterio B. Santamaria
collection DOAJ
description During preoperative evaluation for anesthesia in the Down patient, it is important to focus attention on the functional conditions of the patient and systems that frequently show anomalies. One of the challenges of evaluating pre-operative conditions and potential risks in the Down patient is the lack of a gold-standard evaluation score; cervical spine abnormalities, reduced dimensions and malformations of the airways, neurological changes, respiratory and cardiac disease, as well as endocrinological and metabolic alterations. We suggest, as a possible method of evaluation for patients with mental retardation and possible malformations, a new scale which takes the functional and mental conditions into account: the Sensorial, Psychological, Anatomical, Biological, Operational and Surgical (SPABOS) Compliance Score.
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series The Scientific World Journal
spelling doaj-art-1a85ae41c9534344845437a02f6177b52025-02-03T01:22:23ZengWileyThe Scientific World Journal1537-744X2007-01-01724225110.1100/tsw.2007.64Preanesthetic Evaluation and Assessment of Children with Down's SyndromeLetterio B. Santamaria0Carmelo Di Paola1Federica Mafrica2Vincenzo Fodale3Department of Neurosciences, Psychiatric and Anesthesiological Sciences, University of Messina, Via C. Valeria, Messina, ItalyDepartment of Anesthesia, I.R.C.C.S., Oasi Maria S.S. di Troina (EN), ItalyDepartment of Neurosciences, Psychiatric and Anesthesiological Sciences, University of Messina, Via C. Valeria, Messina, ItalyDepartment of Neurosciences, Psychiatric and Anesthesiological Sciences, University of Messina, Via C. Valeria, Messina, ItalyDuring preoperative evaluation for anesthesia in the Down patient, it is important to focus attention on the functional conditions of the patient and systems that frequently show anomalies. One of the challenges of evaluating pre-operative conditions and potential risks in the Down patient is the lack of a gold-standard evaluation score; cervical spine abnormalities, reduced dimensions and malformations of the airways, neurological changes, respiratory and cardiac disease, as well as endocrinological and metabolic alterations. We suggest, as a possible method of evaluation for patients with mental retardation and possible malformations, a new scale which takes the functional and mental conditions into account: the Sensorial, Psychological, Anatomical, Biological, Operational and Surgical (SPABOS) Compliance Score.http://dx.doi.org/10.1100/tsw.2007.64
spellingShingle Letterio B. Santamaria
Carmelo Di Paola
Federica Mafrica
Vincenzo Fodale
Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
The Scientific World Journal
title Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
title_full Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
title_fullStr Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
title_full_unstemmed Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
title_short Preanesthetic Evaluation and Assessment of Children with Down's Syndrome
title_sort preanesthetic evaluation and assessment of children with down s syndrome
url http://dx.doi.org/10.1100/tsw.2007.64
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