{Reference Type}: Journal Article
{Title}: General anesthesia with remimazolam for a pediatric patient with MELAS and recurrent epilepsy: a case report.
{Author}: Yamadori Y;Yamagami Y;Matsumoto Y;Koizumi M;Nakamura A;Mizuta D;Yasuda K;Shirakami G;
{Journal}: JA Clin Rep
{Volume}: 8
{Issue}: 1
{Year}: Sep 2022 16
暂无{DOI}: 10.1186/s40981-022-00564-x
{Abstract}: BACKGROUND: Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) is a mitochondrial disease. We report here the safe use of remimazolam in a pediatric MELAS patient.
METHODS: A 10-year-old girl (118 cm, 16 kg) was scheduled for an open gastrostomy to improve nutrition and epileptic seizure control. We induced and maintained general anesthesia with remimazolam, remifentanil, fentanyl, and rocuronium. We also performed a bilateral subcostal transversus abdominis plane block before the surgery. The surgery finished uneventfully. After we discontinued remimazolam administration, the patient woke up immediately but calmly without flumazenil. Epileptic seizures did not occur during intra- and early post-operative periods.
CONCLUSIONS: Remimazolam enabled us to provide a pediatric MELAS patient with general anesthesia without causing delayed emergence or epileptic seizures.