Date of Award

Spring 4-28-2024

Document Type


Degree Name

Doctor of Nursing Practice (DNP)




Dr. Brian Garrett CRNA, DNP

First Committee Member

Dr. Brian Garrett CRNA, DNP

Second Committee Member

Dr. Chai Sirbanditmongkol Ph.D., RN IBCLC, CNS

Third Committee Member

Dr. Amy Bishop DNP, AGCNS


Anesthesia, Preoperative Care, Autism Spectrum Disorder, Preoperative Environments

Subject Categories

Alternative and Complementary Medicine | Communication Sciences and Disorders | Health and Medical Administration | Medical Education | Medicine and Health Sciences | Mental and Social Health | Nursing | Social and Behavioral Sciences


Children with autism spectrum disorder (ASD), as well as caregivers, experience significant challenges in their interactions with healthcare providers in a clinical setting. This is primarily due to their issues with communication, social interaction, and sensory sensitivities to anesthetic treatment during premedication or preoperative environments. Due to these characteristics, it is important to maintain and update the current standards of care for children with ASD while utilizing evidence-guided strategies to provide a pre-operative assessment effectively. The pre-operative assessment is a critical component that renders impact throughout the surgical experience with the purpose of risk stratification, preparation of altering the normal physiology of the patient, and emergence from anesthesia. Thus, allowing the altered physiology, caused by the delivery of anesthetic medications intra-operatively, to return to normal. A lack of facility guidelines on how to tailor the anesthetic approach to this patient population leaves a potential margin of error that could endanger the expected outcome of the patient undergoing surgery and contribute to a vastly growing healthcare disparity. The purpose of this project is to examine existing contemporary literature on anesthesia preoperative care of the autistic pediatric population, with a focus on evaluating the current standards of care in place, and the utilization of new evidence-based guidelines to improve the quality of care.

Acknowledgement 2


Licensing Permission

Copyright, all rights reserved. Fair Use

DNP_Poster_Calvin.pdf (936 kB)

Available for download on Thursday, April 17, 2025