We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
An ambulatory dental treatment of a child with Rett syndrome and limited mouth opening under muscle relaxant-free general anesthesia: a case report.
- Authors
Tan, Xiao; Zhu, Bo; Li, Yanchen; Huang, Yuguang
- Abstract
Background: Rett Syndrome (RTT) is a rare, severe, and progressive developmental disorder with intellectual disability. Anesthesia in RTT patients presents a range of challenges. We report a child with RTT who received dental treatment under muscle relaxant-free general anesthesia in our ambulatory center. Case presentation: A 15-year-old girl with RTT was admitted to our dental clinic with multiple dental caries and residual roots. Dental treatment was scheduled under ambulatory general anesthesia. After anesthesia induction, a nasal tube was initiated under the guidance of a fiberoptic bronchoscope. Multimodal analgesia, body temperature monitoring, and postoperative nausea and vomiting prevention were applied. No muscle relaxants were used throughout the process. The endotracheal tube was successfully removed after the operation and the patient was discharged home the same day. Conclusion: An individualized anesthesia strategy enabled a quick and safe recovery for this RTT patient after dental treatment under muscle relaxant-free general anesthesia.
- Subjects
TREATMENT of dental caries; PREVENTION of surgical complications; VOMITING prevention; OUTPATIENT medical care; MUSCLE relaxants; GENERAL anesthesia; NAUSEA; CONVALESCENCE; DENTAL care; PATIENT monitoring; RETT syndrome; CHILD development deviations; INTELLECTUAL disabilities; CHILDREN
- Publication
BMC Anesthesiology, 2024, Vol 24, Issue 1, p1
- ISSN
1471-2253
- Publication type
Article
- DOI
10.1186/s12871-023-02379-4