Communication: Use the child's communication method (eye gaze, devices); they often understand more than they can show
QT interval: obtain cardiology review before using QT-prolonging drugs, including some antibiotics (such as macrolides) and antiemetics (such as ondansetron).
Procedural safety: Seizure precautions; assess swallowing and aspiration risk before sedation; scoliosis affects positioning
Wear protection: Monitor wear; occlusal guards are rarely tolerated
Prevention: Caregiver-assisted brushing with fluoride