Evidence map›Paper›PMID 37878210›Full record

ArticleJA clinical reports2023

Anesthetic management with remimazolam in very elderly patients undergoing hybrid surgery of transcatheter aortic valve implantation plus off-pump coronary artery bypass grafting: report of two cases.

Takafumi Oyoshi, Yuki Mitsuta, Yumiko Uemura, Koichiro Tajima, Naoyuki Hirata

Open access · goldAbstract read
In one paragraph

Article in JA clinical reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Takafumi OyoshiDepartment of Anesthesiology, Kumamoto University, Graduate School of Medical Sciences, Kumamoto, Japan. turkey8505@yahoo.co.jp.ORCID http://orcid.org/0009-0004-8390-0406
Yuki MitsutaDepartment of Anesthesiology, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan.
Yumiko UemuraDepartment of Anesthesiology, Minamata City General Hospital and Medical Center, Kumamoto, Japan.
Koichiro TajimaDepartment of Anesthesiology, Kumamoto University, Graduate School of Medical Sciences, Kumamoto, Japan.
Naoyuki HirataDepartment of Anesthesiology, Kumamoto University, Graduate School of Medical Sciences, Kumamoto, Japan.
Kumamoto University · JPJapanese Red Cross Kumamoto Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRemimazolam is a short-acting benzodiazepine with small circulatory depression. We used remimazolam for general anesthesia management in two very elderly patients undergoing hybrid surgery of transcatheter aortic valve implantation (TAVI) plus off-pump coronary artery bypass grafting (OPCABG). CASE PRESENTATION: A 96-year-old man (case 1) and a 92-year-old woman (case 2) had complex coronary artery disease (CAD) and severe aortic stenosis (AS) and were scheduled for TAVI plus OPCAB. Anesthesia in both patients was induced with 6 mg/kg/h remimazolam and fentanyl and maintained with 0.3 mg/kg/h and 0.5 mg/kg/h remimazolam and fentanyl, respectively. Although catecholamines were required, we successfully maintained circulation during the induction of anesthesia and the procedures of OPCAB and TAVI. Both patients were discharged without complications.

conclusionRemimazolam can be a useful option for safe general anesthesia in very elderly patients when performing hybrid surgery.

Indexed as

Aortic stenosisElderlyHemodynamicsHybrid surgeryOff-pump coronary artery bypass graftingRemimazolamTranscatheter aortic valve implantation

Identifiers

PMID37878210
PMCPMC10600062
OpenAlexW4387930791

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.