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Remimazolam As a Sole Sedative Agent for Gastrostomy Tubes Placed in the Interventional Radiology Suite: A Case

Anna Bovill Shapiro1,2, Michael A Smith1,2, Christine T Moshe1

  • 1From the Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville, Florida.

A&A Practice
|August 6, 2024
PubMed

Insights

Remimazolam, an ultrashort-acting sedative, effectively facilitated gastrostomy tube placement in 8 patients. This approach provided safe and successful procedural sedation in an interventional radiology setting.

Area of Science:

  • Anesthesiology
  • Interventional Radiology

Background:

  • Procedural sedation for gastrostomy tube placement in interventional radiology (IR) often involves complex patients in non-operating room settings.
  • Remimazolam is an approved ultrashort-acting intravenous sedative-hypnotic agent.

Observation:

  • This case series evaluated the use of remimazolam as the sole anesthetic agent for radiographically placed gastrostomy tubes.
  • Eight patients underwent successful gastrostomy tube placement procedures utilizing remimazolam for sedation.

Findings:

  • All eight patients received remimazolam as the sole anesthetic agent.
  • Successful gastrostomy tube placement was achieved in all cases without requiring conversion to general anesthesia.

Implications:

  • Remimazolam demonstrates feasibility as a sedative option for gastrostomy tube placement within the IR suite.
  • This highlights a potential advancement in sedation management for IR procedures, particularly for complex patient populations.

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