Down syndrome (DS) Children are more liable for frequent sedation and
anesthesia either for imaging procedure or for surgical intervention. They have many
risk factors that increase the anesthesia related complications. These risk factors
include cardiac, esophageal, gastrointestinal or urinary tracts, eyes, ears, and joints
anomalies. There is also an increased risk of infection due to immune deficiency.
Proper preoperative, operative and post operative management are mandatory to
decrease the anesthesia-related complications. In this chapter; these co morbidities and
the factors that increase the risk of complications during anesthesia will be addressed,
as well as pre-operative, intraoperative and post-operative management will be
discussed.
Keywords: Anesthesia, Atropine, Cardiac, Children, Cognitive, Down syndrome,
Ears, Epilepsy, Esophageal, Eyes, Gastrointestinal, joints anomalies, Mental
retardation, Operative, Post operative, Preoperative, Sedation, Sleep apnea,
Trisomy, Urinary tracts.