Case Report
Copyright ©The Author(s) 2023.
World J Clin Cases. May 16, 2023; 11(14): 3330-3339
Published online May 16, 2023. doi: 10.12998/wjcc.v11.i14.3330
Table 1 Case report timeline
Preoperative1Discovery of right inguinal mass for > 7 mo
2History of hypertension for > 7 years
3Pulmonary function was reported to have severe obstructive ventilation dysfunction, mildly reduced total diffusion function, severely increased peripheral airway resistance, abnormal small airway function, and severely increased pulmonary elastic resistance
4The operation was performed under remimazolam sedation combined with epidural block anesthesia
Perioperative5The patient was admitted to the room at 15:40. The cuff blood pressure, electrocardiograph, saturation of pulse oximetry, and bispectral index was monitored
6Invasive blood pressure was monitored and arterial blood gas analysis was conducted. Sedation was provided with 2 mg remimazolam
7Induction of anesthesia: epidural puncture and tube placement were performed at 16:00
8At 16:25, the level of anesthesia block was determined again, and 5 mg remimazolam was injected to sedate the patient
9Surgery was initiated at 16:30
10To ensure stable intraoperative sedation, 40 mg/h remimazolam was infused intravenously using a micropump. At 17:05, 5 mL of 2% lidocaine was injected epidurally
11At 18:00, the operation was completed
Postoperative12The patient gained clear consciousness at 18:02, the patient’s vital signs were stable
13The patient’s vital signs were stable for 30 min, and he was returned to the ward at 18:32
14The patient was discharged 6 d after surgery
15The patient was followed up 2 mo after the operation