Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 7, 2026CureusOpen Access

Severe Cardiovascular Collapse Associated With Remimazolam-Based Anesthetic Induction: A Case Series of Three Elderly Patients

View Full Paper
Ask AI
Bookmark
Share

Authors

DKDonghyo KimEKEunju Kim

Discussion

Loading...

Member takes

Overview

Case series reports severe cardiovascular collapse in elderly patients induced with remimazolam, suggesting hypersensitivity reactions.

Key Points

  • This research aims to report severe cardiovascular collapses associated with remimazolam during anesthesia induction in elderly patients.
  • Case series of three elderly patients experiencing cardiovascular collapse during anesthetic induction with remimazolam.
  • Review of six suspected hypersensitivity reactions over 18 months among elderly patients after anesthesia induction.
  • Clinical features included cardiovascular or respiratory instability, end-tidal CO₂ reduction, and hypotension.
  • Three patients experienced severe cardiovascular collapse requiring epinephrine and CPR.
  • Two patients progressed to cardiac arrest with minimal cutaneous manifestations.
  • Evidence of mast-cell activation through elevated histamine or tryptase levels was noted in selected cases.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a4c9754331bc25c9e5f4490https://doi.org/10.7759/cureus.112079
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Remimazolam-Induced Anaphylaxis After Spinal Anesthesia: A Case Report and Literature Review2026
  2. 2Suspected remimazolam formulation-associated peri-induction anaphylaxis: two cases highlighting diagnostic complexity - Two case reports -2026 · 1 citations
  3. 3Remimazolam for induction of anesthesia in elderly patients with severe aortic stenosis: a prospective, observational pilot study2021 · 82 citations
  4. 4Delayed emergence after general anesthesia using remimazolam for induction agent in laparoscopic cholecystectomy: a case report2023
  5. 5Remimazolam-Based Anesthesia in Patients with Heart Failure Due to Mitral Regurgitation and Low Left Ventricular Function: A Case Series2023 · 11 citations