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Title: |
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Preanesthetic Evaluation and Assessment of Children with Down's Syndrome |
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Authors: |
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Santamaria, Letterio B.; Di Paola, Carmelo ; Mafrica, Federica ; Fodale, Vincenzo |
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Journal: |
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TheScientificWorldJOURNAL |
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Year: |
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2007 |
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Volume: |
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7 |
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Page Range: |
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242-251 |
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Article Type: |
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Critical Review |
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Handling Editor: |
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John P. Williams |
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Domains: |
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Anesthesiology
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DOI: |
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10.1100/tsw.2007.64 |
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Synopsis: |
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In the operating room, subjects with Down's Syndrome present an increased risk of complications and aggravation of their clinical condition. The available methods for pre-operative evaluation are unable to describe the alterations often presented by these subjects in term of psychic, sensorial, and biological conditions. The SPABOS Compliance Score, considering sensorial and psychic conditions, anatomic and functional alterations, biological compliance, operation duration and surgical damage could act as a suitable evaluation scale. |
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Keywords: |
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Preanesthetic evaluation; preoperative testing; evaluating anesthetic risk; Down’s syndrome; mental retardation |
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Abstract |
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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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YUSUF KUCUKDOGRU
Posted 2nd April 2008 |
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I am responsible for the Library of Selcuk University Medical Faculty. Kindest Regards Yusuf Kucukdogru Lecturer of the Library Selcuk University Medical Faculty MERAM/KONYA TURKEY |
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