PEDIATRICS Vol. 51 No. 2 February 1973, pp. 251-253
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MANAGEMENT OF AN AUTISTIC CHILD UNDERGOING OPEN HEART SURGERY

Hugh Paul Gabriel M.D.1 and Regina Gluck M.D.1

1 Departments of Psychiatry and Clinical Pediatrics, New York University School of Medicine, New York City

The hospital course of an autistic child who underwent open heart surgery is outlined. The management using morphine sulfate intravenously for acute control followed by a structured environment with minimal sedation later was extremely effective in controlling this child without the need for restraints. Drugs potentially dangerous to the cardiac status were thus avoided and the child did not suffer any apparent loss of forward gains made during his previous psychiatric treatment.

Submitted on August 31, 1972
Accepted on October 2, 1972