Xenon as an anesthetic of choice for full mouth debridement in a child with drug-resistant epilepsy: A clinical case

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Abstract

Background: Outpatient dental care in children with epilepsy (particularly drug-resistant epilepsy) is challenging for anesthesiologists in terms of selecting appropriate anesthesia methods and agents, as well as for dentists in terms of improving treatment efficacy and quality while minimizing intervention time. General anesthetics may trigger seizures in patients with epilepsy, including those with drug-resistant epilepsy. As a result, selecting the appropriate anesthetic is critical during preparation stages and anesthetic management in these patients.

Case description: A clinical case of full mouth debridement in a 3-year-old child with drug-resistant epilepsy is presented to demonstrate the efficacy of xenon as an inhalational anesthetic in patients with drug-resistant epilepsy. Combination inhalation anesthesia with xenon was used.

There were no signs of seizures during surgery and within two days after anesthesia.

Conclusion: Xenon may be a viable inhalational anesthetic for patients with drug-resistant epilepsy.

About the authors

Dinar M. Khaliullin

Dental Forte Elite LLC

Email: dr170489@yandex.ru
ORCID iD: 0000-0003-2771-3134
SPIN-code: 7165-1859

MD, Cand. Sci. (Medicine)

Russian Federation, Republic of Tatarstan, Naberezhnye Chelny

Vladimir V. Lazarev

The Russian National Research Medical University named after N.I. Pirogov; V.F. Voyno-Yasenetsky Scientific and Practical Center of Specialized Medical Care for Children

Author for correspondence.
Email: lazarev_vv@inbox.ru
ORCID iD: 0000-0001-8417-3555
SPIN-code: 4414-0677

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow

Igor A. Shugailov

Russian Medical Academy of Continuous Professional Education

Email: 9978753@mail.ru
ORCID iD: 0000-0001-5304-6078
SPIN-code: 5681-7569

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Elena S. Gracheva

Good Dental LLC

Email: murzic_elena@icloud.com
ORCID iD: 0000-0002-2758-8065
Russian Federation, Republic of Tatarstan, Naberezhnye Chelny

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Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).