Related Experiment Video
Updated: Sep 14, 2025

Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model
Published on: November 11, 2022
Anesthesia Management Involving Remimazolam in a Patient With Pulmonary Hypertension and Right Ventricular Failure: A
Masato Ryo1, Yusuke Ishida2, Masahiro Hamaguchi2
1Department of Anesthesiology, St. Luke's International Hospital, Tokyo, JPN.
None:
In the anesthetic management of patients with pulmonary hypertension (PH), it is essential to minimize right ventricular (RV) load and prevent abrupt changes in pulmonary vascular resistance (PVR). We report a case in which safe anesthetic management was achieved without circulatory collapse by using remimazolam in a patient with PH. An 84-year-old woman was scheduled to undergo percutaneous left atrial appendage closure for non-valvular atrial fibrillation. She had developed secondary PH and RV failure secondary to atrial fibrillation and systemic sclerosis, necessitating careful general anesthesia with positive pressure ventilation. Total intravenous anesthesia was administered using remifentanil and remimazolam. Hemodynamic stability was maintained throughout induction and intraoperative management. Transesophageal echocardiography performed during the procedure revealed no exacerbation of PH or RV failure, and the percutaneous catheter procedure was completed uneventfully. The patient's postoperative course was also uneventful, and she was discharged without any serious complications. Anesthesia management using remimazolam might be beneficial in patients with PH, as it provides stable hemodynamics and allows for safe perioperative care.
More Related Videos
09:22Chronic Thromboembolic Pulmonary Hypertension and Assessment of Right Ventricular Function in the Piglet
Published on: November 4, 2015
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
Related Concept Videos
Cardiopulmonary Resuscitation IV: Pharmacological Management
Parenteral Anesthetics: Overview
Pulmonary Embolism I: Introduction
Treatment for Pulmonary Arterial Hypertension: Oxygen Therapy for Respiratory Failure
Oxygen therapy is vital in increasing and maintaining blood oxygen levels in PAH patients. As a result, it aids in reducing fatigue,...
Mitral Stenosis IV: Nursing Management
Inhalational Anesthetics: Overview