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Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report

RATIONALE: Remimazolam, a novel benzodiazepine, is known to have less respiratory depression compared to other anesthetic agents, and it also has a reversal agent that can be used in emergency situations. Remimazolam with these characteristics can be usefully utilized in the anesthetic management of...

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Autores principales: Kim, Gwanbeom, Kim, Yu Yil, Heo, Hyun Joo, Park, Junyoung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589527/
https://www.ncbi.nlm.nih.gov/pubmed/37861519
http://dx.doi.org/10.1097/MD.0000000000035497
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author Kim, Gwanbeom
Kim, Yu Yil
Heo, Hyun Joo
Park, Junyoung
author_facet Kim, Gwanbeom
Kim, Yu Yil
Heo, Hyun Joo
Park, Junyoung
author_sort Kim, Gwanbeom
collection PubMed
description RATIONALE: Remimazolam, a novel benzodiazepine, is known to have less respiratory depression compared to other anesthetic agents, and it also has a reversal agent that can be used in emergency situations. Remimazolam with these characteristics can be usefully utilized in the anesthetic management of patients with difficult airway. PATIENT CONCERNS: A 78-year-old female patient was scheduled proximal humerus fracture surgery. The patient occasionally complained dyspnea and had multiple comorbidities including thyroid goiter, dementia, and delirium. DIAGNOSES: The patient had a large thyroid goiter compressing and deviating the trachea. A short neck with increased circumference was confirmed. A difficult airway was anticipated in the preanesthetic evaluation. INTERVENTIONS: Sedation with remimazolam followed by regional anesthesia was performed for the surgery. OUTCOMES: The surgery was completed without complications. The patient recovered and was discharged on 15th postoperative days. LESSONS: The use of remimazolam for sedation may be an appropriate option in the anesthetic management of patients with difficult airway.
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spelling pubmed-105895272023-10-22 Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report Kim, Gwanbeom Kim, Yu Yil Heo, Hyun Joo Park, Junyoung Medicine (Baltimore) 3300 RATIONALE: Remimazolam, a novel benzodiazepine, is known to have less respiratory depression compared to other anesthetic agents, and it also has a reversal agent that can be used in emergency situations. Remimazolam with these characteristics can be usefully utilized in the anesthetic management of patients with difficult airway. PATIENT CONCERNS: A 78-year-old female patient was scheduled proximal humerus fracture surgery. The patient occasionally complained dyspnea and had multiple comorbidities including thyroid goiter, dementia, and delirium. DIAGNOSES: The patient had a large thyroid goiter compressing and deviating the trachea. A short neck with increased circumference was confirmed. A difficult airway was anticipated in the preanesthetic evaluation. INTERVENTIONS: Sedation with remimazolam followed by regional anesthesia was performed for the surgery. OUTCOMES: The surgery was completed without complications. The patient recovered and was discharged on 15th postoperative days. LESSONS: The use of remimazolam for sedation may be an appropriate option in the anesthetic management of patients with difficult airway. Lippincott Williams & Wilkins 2023-10-20 /pmc/articles/PMC10589527/ /pubmed/37861519 http://dx.doi.org/10.1097/MD.0000000000035497 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 3300
Kim, Gwanbeom
Kim, Yu Yil
Heo, Hyun Joo
Park, Junyoung
Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title_full Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title_fullStr Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title_full_unstemmed Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title_short Remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: A case report
title_sort remimazolam sedation with regional anesthesia in difficult airway due to huge thyroid goiter: a case report
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10589527/
https://www.ncbi.nlm.nih.gov/pubmed/37861519
http://dx.doi.org/10.1097/MD.0000000000035497
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