Correction of these problems and early, aggressive developmental therapy contribute to remarkably longer, more community-involved and more productive lives for people with Down syndrome.
Overcoming these major health conditions also means a higher probability of living long enough to develop other chronic health problems that can potentially require surgical intervention, such as illnesses or conditions of the eyes, ears, and joints - just like peers without Down syndrome.
The following are facts about fasting and aspiration risk.
FACT 1 – Aspiration Is A Real Risk: aspiration is not theoretical – whilst uncommon, it happens and patients occasionally suffer serious morbidity or mortality from it.
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.
Ideally, the patient should be able to maintain airway control and oxygenation with minimal support during and after sedation for cardioversion.
However, complications are always possible and patients react to medication differently.
The seriousness of lung damage produced by aspiration is dependent on the volume & composition of the aspirate with low p H material producing a higher risk of aspiration pneumonia and with aspiration of solid material being much more likely to result in mortality.
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.
Although the procedure can be an effective treatment it is quite painful, which is why sedation is required.
Sedation prevents patients from experiencing the discomfort of the procedure; it also decreases the stress response and the subsequent surge of catecholamines associated with this.