Cargando…
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...
Autores principales: | , , , |
---|---|
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 |
_version_ | 1785123809547780096 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10589527 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT kimgwanbeom remimazolamsedationwithregionalanesthesiaindifficultairwayduetohugethyroidgoiteracasereport AT kimyuyil remimazolamsedationwithregionalanesthesiaindifficultairwayduetohugethyroidgoiteracasereport AT heohyunjoo remimazolamsedationwithregionalanesthesiaindifficultairwayduetohugethyroidgoiteracasereport AT parkjunyoung remimazolamsedationwithregionalanesthesiaindifficultairwayduetohugethyroidgoiteracasereport |