Autism
Patient (condition)
 
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Where possible, plan ahead and commence premedication at home

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0.75mg/kg oral midazolam at home refl.in/da
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If behaviour is making induction difficult, consider Ketamine PO or IM premedication

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Ketamine 5-7mg/kg orally (in coke), 2-4mg/kg IM #ref #rch
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Administering sedative (clonidine, midazolam) near end of case may reduce emergence phenomenon #ref

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Sedating uncooperative patients in a nonforceful manner is difficult. Attempts to either physically restrain or administer IM injection in uncooperative/violent adults can be dangerous. The administration of ketamine in a drink to mask the drug may be an acceptable alternative in some autistic or uncooperative adult patients. refl.in/db

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