• Xiao Tan, Bo Zhu, Yanchen Li, and Yuguang Huang.
• Department of Anesthesiology, Peking Union Medical College Hospital, 1# Shuaifuyuan Wangfujing, Dongcheng District, Beijing, 100730, China.
• BMC Anesthesiol. 2024 Jan 2; 24 (1): 33.

BackgroundRett 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 PresentationA 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.ConclusionAn individualized anesthesia strategy enabled a quick and safe recovery for this RTT patient after dental treatment under muscle relaxant-free general anesthesia.© 2023. The Author(s).

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