Management of pneumonectomy in an adult congenital heart disease with Fontan circulation under general anesthesia with remimazolam: A case report
-
- Funatsu Yasutaka
- Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
-
- Shirozu Kazuhiro
- Operating Rooms, Kyushu University Hospital
-
- Eri Tomoka
- Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital
-
- Ando Taichi
- Operating Rooms, Kyushu University Hospital
-
- Tanabe Miwako
- Operating Rooms, Kyushu University Hospital
-
- Osawa Sayaka
- Intensive Care Unit, Kyushu University Hospital
-
- Yoshino Jun
- Department of Anesthesiology, Kyushu Hospital
-
- Yamaura Ken
- Department of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of Medicine
この論文をさがす
説明
Background Noncardiac surgery for adult congenital heart disease patients with Fontan circulation is increasing. Special care must be taken to maintain pulmonary circulation. Pneumonectomy is a particularly challenging procedure for pulmonary circulation because of the intraoperative one-lung ventilation (OLV) and lung resection. In this report, we describe the successful management of a partial pulmonary resection under general anesthesia with remimazolam. Case presentation A 39-year-old woman presented with a right ventricular single ventricle Fontan circulation. A laparoscopic partial pulmonary resection was planned. Remimazolam was used for general anesthesia, stable circulation was obtained with dobutamine and noradrenaline, and postoperative spontaneous respiration was quickly obtained with antagonism by flumazenil and managed with stable respiratory and circulatory dynamics. Conclusion General anesthesia with remimazolam could be one of the options for noncardiac surgery in the Fontan circulation because of its lower circulatory depression and rapid recovery of spontaneous breathing by antagonist.
収録刊行物
-
- 循環制御
-
循環制御 46 (1), 26-30, 2025
日本循環制御医学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390023229738724736
-
- ISSN
- 03891844
-
- 本文言語コード
- en
-
- データソース種別
-
- JaLC
-
- 抄録ライセンスフラグ
- 使用不可