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Remimazolam for simultaneous percutaneous mitral valve clip and percutaneous left atrial appendage closure in an

Sumika Yamaguchi1, Yusuke Ishida1, Tomomi Sasaki1

  • 1Department of Anesthesiology Showa University School of Medicine Tokyo Japan.

Clinical Case Reports
|July 23, 2024
PubMed

Insights

Remimazolam, a fast-acting sedative, proved safe for an elderly patient with heart issues. This benzodiazepine offers stable hemodynamics, making it a potential option for similar patients.

Area of Science:

  • Anesthesiology
  • Pharmacology

Background:

  • Elderly patients often have reduced cardiac function, posing challenges for anesthetic management.
  • Short-acting sedatives with minimal cardiovascular impact are desirable for this population.

Observation:

  • A case report details the anesthetic management of an elderly patient with impaired cardiac function using remimazolam.
  • Remimazolam is a short-acting benzodiazepine known for its rapid onset and offset, and minimal circulatory depression.

Findings:

  • The patient's hemodynamics remained stable throughout the procedure under remimazolam sedation.
  • No serious complications were observed during the anesthetic management.
  • Remimazolam demonstrated a favorable safety profile in this specific patient.

Implications:

  • Remimazolam may be a viable and safe option for sedation in elderly patients with compromised cardiac function.
  • Further studies are warranted to confirm the safety and efficacy of remimazolam in a broader elderly population with cardiac comorbidities.
Keywords:
mitral regurgitationpatient state indexpercutaneous left atrial appendage closureremimazolamtranscatheter mitral valve repair

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