Evidence map›Paper›PMID 42564244›Full record

ArticleJournal of medical cases2026

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

Joel Ravichandar, Kevin Spellman, Chris McKee, Joseph D Tobias

Abstract readCase Reports
In one paragraph

Article in Journal of medical cases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Joel RavichandarNortheast Ohio College of Medicine, Rootstown, OH, USA.
Kevin SpellmanDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Chris McKeeDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Joseph D TobiasDepartment of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

AngiographyBenzodiazepineCardiomyopathyProcedural sedationRemimazolam

Identifiers

PMID42564244
PMCPMC13442607

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.