Remimazolam Sedation and Neuraxial Anesthesia in a Patient with Amyotrophic Lateral Sclerosis Undergoing an Open Colectomy: A Case Report.
A A Pract
; 17(12): e01733, 2023 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-38109186
ABSTRACT
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease involving the upper and lower motor neurons. Perioperative management of patients with ALS can be challenging due to the risk of hemodynamic instability, aspiration, and ventilatory failure. We discuss a 58-year-old male patient with ALS who underwent open abdominal surgery under regional anesthesia utilizing a remimazolam infusion for sedation. While various sedation agents have been used successfully in patients with ALS, remimazolam, a new short-acting benzodiazepine with unique pharmacologic properties and reversible anxiolysis, provides amnesia while avoiding ventilatory depression.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Insuficiencia Respiratoria
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Enfermedades Neurodegenerativas
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Esclerosis Amiotrófica Lateral
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Anestesia de Conducción
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
A A Pract
Año:
2023
Tipo del documento:
Article