General anesthesia with remimazolam for emergency cesarean section in a patient with acute infective endocarditis: a case report

被引：4

作者：

Yamamoto, Shizuka ^{[1
]}

Oyama, Yoshimasa ^{[1
]}

Sasaki, Mika ^{[1
]}

Miyagoshi, Mayu ^{[1
]}

Matsumoto, Shigekiyo ^{[1
]}

Kitano, Takaaki ^{[1
]}

机构：

[1] Oita Univ, Fac Med, Dept Anesthesiol & Intens Care Med, 1-1 Idaigaoka Hasamamachi, Yufu City, Oita 8795593, Japan

来源：

JA CLINICAL REPORTS | 2023年 / 9卷 / 01期

关键词：

Remimazolam; Cesarean section; General anesthesia; Acute heart failure; Infective endocarditis; MIDAZOLAM;

D O I：

10.1186/s40981-023-00645-5

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background The anesthetic management of pregnant women with acute heart failure remains challenging with regard to maintaining the hemodynamic status of the mother and baby. The likelihood of decreased blood pressure is lower with remimazolam than with propofol. However, there is no report of general anesthesia with remimazolam for cesarean section.Case presentation The patient was a 34-year-old pregnant woman who was diagnosed with acute heart failure associated with infective endocarditis. We performed cesarean section under general anesthesia using remimazolam, with percutaneous cardiopulmonary support on standby. The mother's mean blood pressure was maintained above 65 mmHg during the surgery, without catecholamines or vasopressors. The infant's Apgar scores were 4 at 1 min and 7 at 5 min.Conclusion Cesarean section was successfully performed under general anesthesia with remimazolam in a pregnant patient with acute heart failure. Further studies are needed to clarify the association between remimazolam and neonatal hypotension.

引用

页数：4

共 10 条

[1]

BACH V, 1989, ANESTH ANALG, V68, P238

[2]

BLAND BAR, 1987, ANESTH ANALG, V66, P1165

[3] Cardiac Surgery in the Parturient [J].