The lack of cooperation by the disabled patient is one of the main problems for the anaesthesiologist, who is unable to inform and prepare the subject to the surgery. In these cases it is necessary to make the parents aware of the situation and to have their consent. Clinical issues are relatively minor as far as the anaesthesia is concerned, thanks to the modern sophisticated instruments; while major problems arise in the postoperative period. However, it is possible to ride these troubles out by keeping the patient ducted i and under anesthetic for 24-48 hours after the surgery, in order to control the pain properly. Another type of intervention is the tracheostomy that is frequent after the surgery in the severe disabled, due to his lack of breath control, a cause of recurrent pneumonia. Parents often are against this solution, but it would be advisable to overcome their opposition, because noninvasive ventilation has shown to be difficult to implement. A further problem for the anesthesia of disabled patients is the presence of seizures, quite frequent in this type of patients.
Keywords: Disabilities, anesthesia, breathing, tracheostomy, post operative pain