Total Intravenous Anesthesia Using Remimazolam and Continuous Cardiac Output Monitoring for Dental Anesthesia in a Patient With Takayasu's Arteritis: A Case Report. Issue 8 (9th August 2022)

• Record Type: Journal Article
• Authors: Takaishi, Kazumi; Takata, Marina; Aoki, Risa; Fujiwara, Shigeki Joseph Luke; Kawahito, Shinji; Kitahata, Hiroshi
• Is Part Of: A & A practice. Volume 16:Issue 8(2022)
• Page Start: e01599
• Publication Date: 2022-08-09
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000001599
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Takayasu's arteritis is a persistent chronic progressive inflammation of the large- and medium-caliber arteries. Controlling cardiovascular variability during anesthesia and overcoming difficulties of cardiovascular monitoring due to the impaired vessels are important in patients with Takayasu's arteritis. Remimazolam is a novel short-acting benzodiazepine with mild effects on hemodynamics. We report the case of a patient with Takayasu's arteritis who underwent oral surgery under general anesthesia. This report highlights the use of remimazolam and remifentanil to reduce hemodynamic perturbations using estimated continuous cardiac output monitoring.