Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2023; 11(14): 3330-3339
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3330
Successful remimazolam sedation-epidural block in an older patient with severe chronic obstructive pulmonary disease: A case report
Jia-Jia Yu, Huan-Shuang Pei, Yu Meng
Jia-Jia Yu, Huan-Shuang Pei, Yu Meng, Department of Anesthesiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050000, Hebei Province, China
Author contributions: Yu JJ and Meng Y participated in anesthesia management in the present case, and both were major contributors to this manuscript; Pei HS helped revise the manuscript; and all authors have read and approved the final version of the manuscript.
Informed consent statement: The patient profiled in this case report provided written informed consent for the anonymized publication of his case report findings and all accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Huan-Shuang Pei, MD, Associate Professor, Department of Anesthesiology, The Fourth Hospital of Hebei Medical University, No. 12 Jian-Kang Road, Chang’ an District, Shijiazhuang 050000, Hebei Province, China.
Received: February 15, 2023
Peer-review started: February 15, 2023
First decision: March 14, 2023
Revised: March 18, 2023
Accepted: April 4, 2023
Article in press: April 4, 2023
Published online: May 16, 2023
Core Tip

Core Tip: Chronic obstructive pulmonary disease (COPD) is associated with high morbidity and mortality rates. Older patients have degenerative systems with weak compensatory capacity. Therefore, their status must be carefully evaluated to optimize the anesthesia plan when choosing an anesthetic agent for surgery. Remimazolam sedation combined with an epidural block in older adults with hypertension and severe COPD has rarely been reported. Our management experience shows that remimazolam sedation combined with an epidural block is safe and effective in older adults with hypertension and severe COPD.