Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement
Patients with spinal cord injuries (SCIs) often develop pressure sores owing to prolonged immobility, necessitating multiple debridement surgeries. General and regional anesthesia are commonly used during surgical or examination procedures; however, autonomic dysreflexia frequently occurs. There is...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Journal of Medical Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jmedsci.jmedsci_122_24 |
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| author | Meng-Hsuan Lei Yi-Han Chu Kuei-Lin Liao Zhi-Fu Wu |
| author_facet | Meng-Hsuan Lei Yi-Han Chu Kuei-Lin Liao Zhi-Fu Wu |
| author_sort | Meng-Hsuan Lei |
| collection | DOAJ |
| description | Patients with spinal cord injuries (SCIs) often develop pressure sores owing to prolonged immobility, necessitating multiple debridement surgeries. General and regional anesthesia are commonly used during surgical or examination procedures; however, autonomic dysreflexia frequently occurs. There is no consensus on the ideal technique for the perioperative anaesthesia management in this population. Here, we present the case of a 74-year-old female with a SCI who successfully received procedural sedation and analgesia with intravenous midazolam and remifentanil. |
| format | Article |
| id | doaj-art-e4b6773861884615ba142dd7df3f0e21 |
| institution | Kabale University |
| issn | 1011-4564 2542-4939 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Sciences |
| spelling | doaj-art-e4b6773861884615ba142dd7df3f0e212025-08-20T03:30:08ZengWolters Kluwer Medknow PublicationsJournal of Medical Sciences1011-45642542-49392025-07-0145311411610.4103/jmedsci.jmedsci_122_24Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing DebridementMeng-Hsuan LeiYi-Han ChuKuei-Lin LiaoZhi-Fu WuPatients with spinal cord injuries (SCIs) often develop pressure sores owing to prolonged immobility, necessitating multiple debridement surgeries. General and regional anesthesia are commonly used during surgical or examination procedures; however, autonomic dysreflexia frequently occurs. There is no consensus on the ideal technique for the perioperative anaesthesia management in this population. Here, we present the case of a 74-year-old female with a SCI who successfully received procedural sedation and analgesia with intravenous midazolam and remifentanil.https://journals.lww.com/10.4103/jmedsci.jmedsci_122_24spinal cord injuryautonomic dysreflexiaremifentanilmidazolam |
| spellingShingle | Meng-Hsuan Lei Yi-Han Chu Kuei-Lin Liao Zhi-Fu Wu Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement Journal of Medical Sciences spinal cord injury autonomic dysreflexia remifentanil midazolam |
| title | Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement |
| title_full | Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement |
| title_fullStr | Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement |
| title_full_unstemmed | Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement |
| title_short | Remifentanil and Midazolam for Procedure Sedation and Analgesia in a Patient with Spinal Cord Injury Undergoing Debridement |
| title_sort | remifentanil and midazolam for procedure sedation and analgesia in a patient with spinal cord injury undergoing debridement |
| topic | spinal cord injury autonomic dysreflexia remifentanil midazolam |
| url | https://journals.lww.com/10.4103/jmedsci.jmedsci_122_24 |
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