Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report
<i>Background</i>: With the rising prevalence of obesity, anesthesiologists are expected to increasingly encounter patients with obesity, which poses challenges for anesthetic management. The use of remimazolam, an intravenous anesthetic agent approved in 2020, may be beneficial in these...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/7/1247 |
| _version_ | 1797588394979622912 |
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| author | Sou Hyun Lee Hyeji Han |
| author_facet | Sou Hyun Lee Hyeji Han |
| author_sort | Sou Hyun Lee |
| collection | DOAJ |
| description | <i>Background</i>: With the rising prevalence of obesity, anesthesiologists are expected to increasingly encounter patients with obesity, which poses challenges for anesthetic management. The use of remimazolam, an intravenous anesthetic agent approved in 2020, may be beneficial in these patients. However, its use in patients with super-super obesity remains underexplored. <i>Case Description</i>: A 55-year-old woman with a body mass index (BMI) of 60.6 kg/m<sup>2</sup> and moderate obstructive sleep apnea (OSA) underwent laparoscopic sleeve gastrectomy under general anesthesia. The transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) technique was used along with the administration of remimazolam at a rate of 6 mg/kg/h based on the total body weight. The patient was sedated within 125 s without any signs of hemodynamic instability, and the surgery was completed successfully. <i>Conclusions</i>: This case study demonstrates the potential effectiveness of remimazolam infusion for inducing general anesthesia in patients with super-super obesity. The infusion rate, derived from the total body weight, yielded an outcome comparable with that observed in individuals without obesity. Further studies with larger cohorts are required to confirm these findings. |
| first_indexed | 2024-03-11T00:51:22Z |
| format | Article |
| id | doaj.art-fa72be979e62455b8e537b409fe61c42 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T00:51:22Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-fa72be979e62455b8e537b409fe61c422023-11-18T20:23:57ZengMDPI AGMedicina1010-660X1648-91442023-07-01597124710.3390/medicina59071247Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case ReportSou Hyun Lee0Hyeji Han1Department of Anesthesiology and Pain Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 42601, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu 42601, Republic of Korea<i>Background</i>: With the rising prevalence of obesity, anesthesiologists are expected to increasingly encounter patients with obesity, which poses challenges for anesthetic management. The use of remimazolam, an intravenous anesthetic agent approved in 2020, may be beneficial in these patients. However, its use in patients with super-super obesity remains underexplored. <i>Case Description</i>: A 55-year-old woman with a body mass index (BMI) of 60.6 kg/m<sup>2</sup> and moderate obstructive sleep apnea (OSA) underwent laparoscopic sleeve gastrectomy under general anesthesia. The transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) technique was used along with the administration of remimazolam at a rate of 6 mg/kg/h based on the total body weight. The patient was sedated within 125 s without any signs of hemodynamic instability, and the surgery was completed successfully. <i>Conclusions</i>: This case study demonstrates the potential effectiveness of remimazolam infusion for inducing general anesthesia in patients with super-super obesity. The infusion rate, derived from the total body weight, yielded an outcome comparable with that observed in individuals without obesity. Further studies with larger cohorts are required to confirm these findings.https://www.mdpi.com/1648-9144/59/7/1247anesthesiacase reportmorbid obesityremimazolam |
| spellingShingle | Sou Hyun Lee Hyeji Han Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report Medicina anesthesia case report morbid obesity remimazolam |
| title | Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report |
| title_full | Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report |
| title_fullStr | Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report |
| title_full_unstemmed | Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report |
| title_short | Remimazolam Induction in a Patient with Super-Super Obesity and Obstructive Sleep Apnea: A Case Report |
| title_sort | remimazolam induction in a patient with super super obesity and obstructive sleep apnea a case report |
| topic | anesthesia case report morbid obesity remimazolam |
| url | https://www.mdpi.com/1648-9144/59/7/1247 |
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