PDF(Pubmed)
Abstract：
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.
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.
An individualized anesthesia strategy enabled a quick and safe recovery for this RTT patient after dental treatment under muscle relaxant-free general anesthesia.
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.
An individualized anesthesia strategy enabled a quick and safe recovery for this RTT patient after dental treatment under muscle relaxant-free general anesthesia.
摘要：
背景：Rett综合征（RTT）是一种罕见的，严重,和智力障碍的进行性发育障碍。RTT患者的麻醉提出了一系列挑战。我们报告了一名患有RTT的儿童，他在我们的门诊中心接受了无肌肉松弛全身麻醉的牙科治疗。
方法：一名患有RTT的15岁女孩因多个龋齿和残根而被送往我们的牙科诊所。在非卧床全身麻醉下安排牙科治疗。麻醉诱导后,在纤维支气管镜的引导下启动鼻管.多模式镇痛,体温监测,预防术后恶心呕吐。在整个过程中不使用肌肉松弛剂。手术后成功拔除气管导管，患者于当天出院。
结论：个体化的麻醉策略使得该RTT患者在无肌肉松弛全身麻醉下进行牙科治疗后能够快速安全地恢复。
方法：一名患有RTT的15岁女孩因多个龋齿和残根而被送往我们的牙科诊所。在非卧床全身麻醉下安排牙科治疗。麻醉诱导后,在纤维支气管镜的引导下启动鼻管.多模式镇痛,体温监测,预防术后恶心呕吐。在整个过程中不使用肌肉松弛剂。手术后成功拔除气管导管，患者于当天出院。
结论：个体化的麻醉策略使得该RTT患者在无肌肉松弛全身麻醉下进行牙科治疗后能够快速安全地恢复。
