The Experience of General Anesthesia with Remimazolam in Patient with Cardiac Tamponade Due to Cardiac Injury by Bone Cement Embolism: A Case Report

Abstract

Background: In patients with cardiac injury, it is crucial to maintain hemodynamic stability during the induction and maintenance of general anesthesia. Remimazolam provides hemodynamic stability during anesthetic induction. Case Presentation: An 83-year-old female was transferred for emergency surgery after pericardiocentesis with cardiac tamponade resulting from aorta and right atrium injury from bone cement fragments after percutaneous vertebroplasty. She was admitted to the operation room with was given inotropes, vasopressors and blood. Remimazolam was used for induction (6.0 mg/kg/h) and maintenance (1 mg/kg/h) of general anesthesia. The patient underwent surgery without major hemodynamic concerns and later recovered. Conclusion: Remimazolam can be used in patient with cardiac injury with hemodynamic instability for the induction and maintenance of general anesthesia.