Total intravenous anesthesia for mouth prophylaxis in adult patient with autistic disorder: A case report

Adult autistic patients schedule for operation need special care such as detailed preanesthetic consultation,specific physical evaluation and careful choice of anesthesia technique. they are very difficult to manage in anesthesia procedure setting because they have very different reactions to any change in routine. they also had pronounced abnormal anatomy possibility than children especially in the face bones that could influence the airway passage. the aim of this case report is to present total intravenous anesthesia (tiva) as a choice of anesthesia techniques which is best suited for the adult autistic patient. this technique uses intravenous anesthesia drugs,propofol and fentanyl,for anesthesia induction and maintenance and avoid the use of anesthesia gasses. the rarity of this technique used in autistic patient lead to a very limited literature in anesthesia technique in adult autism patient.