AI Article Synopsis
- High-risk surgeries for patients with severe aortic stenosis pose significant challenges for anesthesiologists, risking hemodynamic instability and potential mortality.
- An 86-year-old man with severe AS underwent proximal gastrectomy for gastrointestinal bleeding and severe anemia, using remimazolam for general anesthesia.
- The administration of remimazolam, in combination with remifentanil, effectively maintained the patient's cardiac stability without the need for vasopressor support, suggesting its safety for high-risk surgeries.
Article Abstract
High-risk surgeries for patients with severe aortic stenosis (AS) are challenging for anesthesiologists and can result in hemodynamic deterioration and even mortality. We describe a case in which remimazolam was used to induce and maintain general anesthesia for a high-risk, noncardiac surgery accompanied by ongoing bleeding. An 86-year-old man with severe AS was scheduled to undergo proximal gastrectomy due to ongoing gastrointestinal bleeding and severe anemia. Remimazolam, a novel, ultra-short-acting benzodiazepine, was administered along with remifentanil for the induction and maintenance of general anesthesia. Throughout the anesthetic process, the patient's cardiac index and systemic vascular resistance were well preserved without any vasopressor support. Remimazolam seems to have possible effectiveness as a relatively safe agent for the induction and maintenance of general anesthesia in patients with severe AS who are undergoing high-risk, noncardiac surgery with bleeding.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9612117 | PMC |
| http://dx.doi.org/10.3390/medicina58101372 | DOI Listing |
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