Anesthesia Management of a Liver Transplant Recipient with Remimazolam
Background. Intraoperative anesthetic requirements might be altered due to the modulated metabolic function in living donor liver transplant recipients. Remimazolam may provide appropriate anesthesia in patients with cirrhosis. However, the efficacy and safety of remimazolam in liver transplant reci...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2023/5935657 |
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| author | Takashi Kawasaki Takafumi Oyoshi Naoyuki Hirata |
| author_facet | Takashi Kawasaki Takafumi Oyoshi Naoyuki Hirata |
| author_sort | Takashi Kawasaki |
| collection | DOAJ |
| description | Background. Intraoperative anesthetic requirements might be altered due to the modulated metabolic function in living donor liver transplant recipients. Remimazolam may provide appropriate anesthesia in patients with cirrhosis. However, the efficacy and safety of remimazolam in liver transplant recipients have not been reported. We present the successful anesthesia management of a liver transplant recipient using remimazolam. Case Presentation. A 54-year-old woman who was diagnosed with Child-Pugh C cirrhosis of unknown etiology was scheduled for living donor liver transplantation. Remimazolam was used for anesthesia management under electroencephalogram monitoring, including bispectral index (BIS) and patient state index (PSI) values. Despite the prolonged surgical time (1,037 min) and massive blood loss (22,500 mL), BIS and PSI values were maintained within acceptable ranges intraoperatively. There was no intraoperative awareness/recall or adverse events associated with remimazolam administered perioperatively. Conclusions. We safely managed general anesthesia for living donor liver transplantation with remimazolam using electroencephalogram monitoring. |
| format | Article |
| id | doaj-art-e04cfb037cce48609503cc4117cd6aee |
| institution | Kabale University |
| issn | 2090-6390 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-e04cfb037cce48609503cc4117cd6aee2025-02-03T06:04:51ZengWileyCase Reports in Anesthesiology2090-63902023-01-01202310.1155/2023/5935657Anesthesia Management of a Liver Transplant Recipient with RemimazolamTakashi Kawasaki0Takafumi Oyoshi1Naoyuki Hirata2Department of AnesthesiologyDepartment of AnesthesiologyDepartment of AnesthesiologyBackground. Intraoperative anesthetic requirements might be altered due to the modulated metabolic function in living donor liver transplant recipients. Remimazolam may provide appropriate anesthesia in patients with cirrhosis. However, the efficacy and safety of remimazolam in liver transplant recipients have not been reported. We present the successful anesthesia management of a liver transplant recipient using remimazolam. Case Presentation. A 54-year-old woman who was diagnosed with Child-Pugh C cirrhosis of unknown etiology was scheduled for living donor liver transplantation. Remimazolam was used for anesthesia management under electroencephalogram monitoring, including bispectral index (BIS) and patient state index (PSI) values. Despite the prolonged surgical time (1,037 min) and massive blood loss (22,500 mL), BIS and PSI values were maintained within acceptable ranges intraoperatively. There was no intraoperative awareness/recall or adverse events associated with remimazolam administered perioperatively. Conclusions. We safely managed general anesthesia for living donor liver transplantation with remimazolam using electroencephalogram monitoring.http://dx.doi.org/10.1155/2023/5935657 |
| spellingShingle | Takashi Kawasaki Takafumi Oyoshi Naoyuki Hirata Anesthesia Management of a Liver Transplant Recipient with Remimazolam Case Reports in Anesthesiology |
| title | Anesthesia Management of a Liver Transplant Recipient with Remimazolam |
| title_full | Anesthesia Management of a Liver Transplant Recipient with Remimazolam |
| title_fullStr | Anesthesia Management of a Liver Transplant Recipient with Remimazolam |
| title_full_unstemmed | Anesthesia Management of a Liver Transplant Recipient with Remimazolam |
| title_short | Anesthesia Management of a Liver Transplant Recipient with Remimazolam |
| title_sort | anesthesia management of a liver transplant recipient with remimazolam |
| url | http://dx.doi.org/10.1155/2023/5935657 |
| work_keys_str_mv | AT takashikawasaki anesthesiamanagementofalivertransplantrecipientwithremimazolam AT takafumioyoshi anesthesiamanagementofalivertransplantrecipientwithremimazolam AT naoyukihirata anesthesiamanagementofalivertransplantrecipientwithremimazolam |