Remimazolam Anesthesia for Thyroid Surgery.
Sae NakagawaTomoharu ShakuoSakurako MatsudoHiroaki SodaKenji ShidaPublished in: Case reports in anesthesiology (2023)
Maintenance of general anesthesia using remimazolam allowed the use of a neurostimulator with minimal muscle-relaxant effects, and extubation under sedation reduced the risk of abrupt and unexpected changes in blood pressure, body movement, and coughing. Furthermore, after extubation, the patient was rendered fully awake using flumazenil to confirm the presence of recurrent laryngeal nerve palsy and active postoperative hemorrhage. In addition, the patient had no memory of the reoperation, suggesting that the anterograde amnesic effect of remimazolam had a favorable psychological outcome associated with the reoperation. We safely managed thyroid surgery using remimazolam and flumazenil.
Keyphrases
- minimally invasive
- blood pressure
- coronary artery bypass
- mechanical ventilation
- cardiac surgery
- case report
- surgical site infection
- skeletal muscle
- patients undergoing
- heart rate
- respiratory failure
- metabolic syndrome
- intensive care unit
- hypertensive patients
- acute kidney injury
- percutaneous coronary intervention
- acute respiratory distress syndrome
- insulin resistance
- physical activity
- sleep quality
- adipose tissue
- extracorporeal membrane oxygenation