General Anesthesia With Remimazolam and Peripheral Nerve Blocks Is Useful for Femoral Surgery in Patients With Severe Aortic Stenosis: A Case Report.

IF 0.5

A&A Practice Pub Date : 2023-07-01 DOI:10.1213/XAA.0000000000001702

Takahiro Kido, Yasuyuki Suzuki, Katsuko Nishida

引用次数: 1

Abstract

Traditional intravenous anesthetics and opioid analgesics are susceptible to inducing hemodynamic instability. Herein, we describe a case of open reduction and internal fixation of a femoral neck fracture in a patient with severe aortic stenosis. General anesthesia was accomplished using remimazolam, an intravenous anesthetic devoid of hemodynamic instability properties, in combination with a peripheral nerve block. During the surgical procedure, the need for circulatory agonist was reduced to a single dose, and satisfactory pain management was achieved. This approach represents an alternative method for patients with circulatory risk undergoing femoral surgery.

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雷马唑仑全身麻醉和周围神经阻滞对严重主动脉瓣狭窄患者股骨手术的疗效:1例报告。

传统的静脉麻醉药和阿片类镇痛药容易引起血流动力学不稳定。在此，我们描述了一例严重主动脉瓣狭窄患者的股骨颈骨折切开复位内固定。全身麻醉采用雷马唑仑，一种无血流动力学不稳定性的静脉麻醉药，结合周围神经阻滞。在手术过程中，循环激动剂的需要减少到单一剂量，并取得了令人满意的疼痛管理。该方法为有循环风险的股骨手术患者提供了一种替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.