Anesthesia team questionnaire for children with autism

Does your child need medications prior to doctor visits?

What are your child's aggressive behaviors and what are the triggers for such behaviors?

What medications does your child take and how do you administer them (eg, oral or intranasal)?

How do you communicate with your child?

What are the names and phone numbers of your child's health care providers?

Does your child have any other medical problems?

This is an example of a parent questionnaire that may be used in anticipation of anesthesia. For further information, refer to UpToDate topics on anesthesia for the child with autism.

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