Evidence map›Paper›PMID 36462032›Full record

Trial reportJournal of anesthesia2023

Sedation efficacy of different dose of remimazolam with sufentanil for nerve block in young and elderly patients: a randomized, controlled study.

Xue Li, Tegeleqi Bu, Yu-Ting Li, Ke-Qi Xie, Zhen-Zhen Xu, Xin-Quan Liang, Dong-Liang Mu

Open access · hybridFull text readRandomized Controlled Trial
In one paragraph

Trial report in Journal of anesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Evaluating Remimazolam for Procedural Sedation.Current neuropharmacology · 2025
    Review
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

7 authors at 2 institutions in 1 country.

Xue Li *Department of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China.
Tegeleqi Bu *Department of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China.
Yu-Ting Li *Department of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China.
Ke-Qi XieDepartments of Anesthesiology, Mianyang Central Hospital, Mianyang City, 621000, Sichuan Province, China.
Zhen-Zhen XuDepartment of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China.
Xin-Quan LiangDepartment of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China.
Dong-Liang MuDepartment of Anesthesiology, Peking University First Hospital, No. 7 Xishiku Street, Xicheng District, Beijing, 100034, China. mudongliang@bjmu.edu.cn.ORCID http://orcid.org/0000-0003-1092-9473
Peking University · CNMianyang Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnxiety and pain commonly occur during nerve block, we aimed to investigate the sedation efficacy of different doses of remimazolam with sufentanil in young and elderly patients.

methodsIn this randomized trial, patients aged 18-85 years who underwent nerve block was enrolled. All patients received sufentanil 0.08 μg/kg for analgesia. Young patients (age < 65 years) were randomized into the control group (Group C, 0.9% saline), medium-dose remimazolam (Group M, 0.06 mg/kg) and high-dose remimazolam group (Group H, 0.08 mg/kg). Elderly patients (age ≥ 65 years) were randomized into the Group C, low-dose remimazolam group (Group L, 0.04 mg/kg) and Group M. Primary outcome was the success rate of procedure sedation. Respiratory depression and hypoxia were the interested safety outcomes.

resultsNinety young and 114 elderly patients were enrolled, respectively. In comparison with Groups C and M, young patients in Group H had the highest success rate of procedure sedation (80.0 vs. 73.3 vs. 43.3%, P = 0.006). Elderly patients in Groups M and L had similar success rates of procedure sedation, which were significantly higher than that in Group C (78.9 vs. 78.9 vs. 50.0%, P = 0.007). In elderly patients, the incidence of respiratory depression and hypoxia tended to be higher in Group M than those in Groups L and C (both P < 0.001).

conclusionRemimazolam 0.08 mg/kg provided the best sedation efficacy in young patients while remimazolam 0.04 mg/kg with the trend of less respiratory adverse events was more optimal for elderly patients.

trial registrationhttp://www.chictr.org.cn/showproj.aspx?proj=122016 .

Indexed as

Nerve BlockRespiratory InsufficiencyAgedBenzodiazepinesDouble-Blind MethodHumansHypnotics and SedativesPainSufentanilBenzodiazepinesHypnotics and SedativesremimazolamSufentanilNerve blockProcedure sedationRemimazolam

Identifiers

PMID36462032
PMCPMC10042748
OpenAlexW4310644254

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read165
Read underepoch 390

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 OpenQuestion graph.