Work

Remimazolam for Procedural Sedation During Computed Tomography Angiography in a Patient With Poor Myocardial Performance Due to Cardiomyopathy

Year: 2026

Type: article

Abstract: Given their cognitive and developmental status, sedation is frequently required for procedural imaging in infants and children. Although generally free of adverse effects, the agents used for procedural sedation may impact airway, hemodynamic, and respiratory function, especially in the presence of comorbid cardiac involvement. We present the use of the novel benzodiazepine, remimazolam, administered by continuous infusion and supplemented with intermittent bolus doses of ketamine to provide sedation during computed tomography angiography in a 16-month-old girl, who presented with myocardial dysfunction related to a primary cardiomyopathy. Previous reports of remimazolam administration to patients with underlying comorbid cardiac disease are reviewed, and its applications in this scenario are discussed.

Source: Journal of Medical Cases

DOI: 10.14740/jmc5371

Authors: Joel Ravichandar, Kevin Spellman, Chris McKee, Joseph D. Tobias

Institutions: Northeast Ohio Medical University, Nationwide Children's Hospital, The Ohio State University

Language: English

Topic: Anesthesia and Sedative Agents

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7171489343

FWCI:

Cites:

Cited by:

Related to: