Outpatient Surgery Magazine

Diversity in Surgery - November 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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N O V E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 2 7 N ear the beginning of my career, 2 burly men escorted their large 17-year-old autistic brother into our facility. "We'll hold him down so you can start the IV," said one of the brothers. "We've been through this before, and this is the only way it can work." Shocked, I protested and suggested premedication, but the family explained their experiences before were not encouraging. Our facility had no protocols for patients with autism spectrum disorder (ASD). So, I reluctantly followed the brothers' suggestion, and after two tries at catheterization finally got the patient sedated. The procedure was com- pleted, but at what cost? The process almost certainly further intensi- fied the patient's aversion to health care. It is a case that I will always remember and has changed my practice. A child who desperately need- ed gentle, compassionate care had received the opposite. We needed to do better. With my colleagues (Desigen Reddy, FRCPC, and Leora M. Bernstein, This protocol makes care easier on and better for patients, families and providers. Amanda J. Whippey, MD Hamilton, Ontario A Better Way To Care for Autistic Patients CHANGING THE GAME Rather than assume an autistic child will be disruptive and sedate them as soon as possible, health- care providers should do everything they can to engage and soothe the patient to make them a calm and willing participant in the surgical process. McMaster Children's Hospital

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