Use of dexmedetomidine and remifentanil in total intravenous anesthesia with scalp block in a school-aged patient with tuberous sclerosis: Case report

Abstract

A 3-year-old male schoolboy with tuberous sclerosis, refractory epilepsy, and cardiac neurofibromatosis, receiving pharmacological treatment, was admitted for elective callosotomy. Total intravenous anesthesia (TIVA) with dexmedetomidine and remifentanil, combined with a scalp block, was used. The surgery was uneventful, with adequate ventilation and positive fluid balance. He was successfully extubated and made a stable recovery.