Direct consultation with an anesthesiologist well before a planned procedure may be necessary if medical or behavioral histories are complicated.40-60% of infants born with Down syndrome have significant cardiac anomalies, most of which require early surgical intervention.
Complications of anesthesia (sedation during surgery) occur in all patient populations, including those with Down syndrome.It just so happens that some anesthesia complications are more likely to occur in individuals with Down syndrome than their peers without Down syndrome.In fact, one of the primary contributing factors in survival statistics since the 1960s has been more aggressive early cardiac intervention.Other congenital (present at birth) issues requiring early surgical intervention in Down syndrome populations include esophageal, gastrointestinal and urinary tract problems.This type of sedation is endorsed by three gastroenterology societies for uncomplicated cases and can be administered by the gastroenterologists themselves.
The use of full anesthesia usually is recommended only for patients considered at high risk because of age, illness, or a prior history of complications with sedating drugs.
Sedation for colonoscopies has become a bit controversial.
At issue is the growing practice in some parts of the United States of giving patients unnecessary full anesthesia.
I must qualify this statement by saying that this is not true of many emergency physicians with whom I work clinically.
It has been a perspective I’ve largely been exposed to by emergency physicians I’ve had contact with through social media.
Cardioversion is often used to terminate cardiac arrhythmias, such as persistent atrial fibrillation.