# Total intravenous anaesthesia with remimazolam in a patient with progressive supranuclear palsy

## TL;DR

A patient with progressive supranuclear palsy successfully underwent surgery using remimazolam and remifentanil for anesthesia.

## Contribution

This case report introduces remimazolam as a potentially suitable anesthetic for patients with progressive supranuclear palsy.

## Key findings

- Remimazolam combined with remifentanil provided stable anesthesia for a patient with progressive supranuclear palsy.
- The cardiovascular stability and rapid reversibility of remimazolam make it a viable option for such patients.

## Abstract

Progressive supranuclear palsy is a neurodegenerative disease of unknown aetiology; few reports address its anaesthetic management. Remimazolam, a recently approved short‐acting benzodiazepine, was used in combination with remifentanil for total intravenous anaesthesia during open cholecystectomy in a patient with progressive supranuclear palsy. Due to its cardiovascular stable profile and rapid reversibility with flumazenil, remimazolam may serve as a viable option for general anaesthesia in patients with this condition.