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REVIEW ARTICLE
Year : 2017  |  Volume : 33  |  Issue : 4  |  Page : 432-440

Anesthesia for intellectually disabled


1 Department of Anaesthesiology and Intensive Care, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
2 Department of Anaesthesiology and Intensive Care, GB Pant Institute of Postgraduate Medical Education and Research and Associated Maulana Azad Medical College, New Delhi, India

Correspondence Address:
Kapil Chaudhary
Department of Anaesthesiology and Intensive Care, Lady Hardinge Medical College, 22/24, West Patel Nagar, New Delhi - 110 008
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacp.JOACP_357_15

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Anesthetizing an intellectually disabled patient is a challenge due to lack of cognition and communication which makes perioperative evaluation difficult. The presence of associated medical problems and lack of cooperation further complicates the anesthetic technique. An online literature search was performed using keywords anesthesia, intellectually disabled, and mentally retarded and relevant articles were included for review. There is scarcity of literature dealing with intellectually disabled patients. The present review highlights the anesthetic challenges, their relevant evidence-based management, and the role of caretakers in the perioperative period. Proper understanding of the associated problems along with a considerate and unhurried approach are the essentials of anesthetic management of these patients.


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