Total intravenous anesthesia using remimazolam for patients with heart failure with reduced ejection fraction: a case series
| Autor: | Jimin Lee, Ji-Uk Yoon, Gyeong-Jo Byeon, Hong-Sik Shon, Ahhyeon Yi, Hee Young Kim |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Kosin Medical Journal, Vol 39, Iss 2, Pp 144-149 (2024) |
| Druh dokumentu: | article |
| ISSN: | 2005-9531 2586-7024 |
| DOI: | 10.7180/kmj.23.156 |
| Popis: | Patients with heart failure undergoing surgery that requires general anesthesia face substantial perioperative risks; however, clear guidelines are not available for anesthesia management in patients with a reduced left ventricular ejection fraction. Traditional intravenous and volatile anesthetics require careful administration to prevent severe hypotension and bradycardia in patients with heart failure. Remimazolam has emerged as a promising alternative to conventional anesthetics because of its reduced cardiovascular depressive effects. We present three cases illustrating the successful use of remimazolam to induce and maintain general anesthesia in patients with heart failure and reduced cardiac function. Our cases demonstrate the safe use of remimazolam for general anesthesia in patients with heart failure and a reduced ejection fraction. |
| Databáze: | Directory of Open Access Journals |
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