Evidence map›Paper›PMID 38971731›Full record

Trial reportBMC anesthesiology2024

Comparison of remimazolam tosilate and propofol during induction and maintenance of general anesthesia in patients undergoing laparoscopic cholecystectomy: a prospective, single center, randomized controlled trial.

Zhuxin Luo, Hai Cao, Li Luo, Long Chen, Dian Feng, Guihua Huang

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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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

6 authors.

Zhuxin LuoThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China. lzx206@126.com.ORCID 0000-0001-7872-1818
Hai CaoThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China.
Li LuoThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China.
Long ChenThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China.
Dian FengThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China.
Guihua HuangThe Third Affiliated Hospital of Zunyi Medical University, (The First People's Hospital of Zunyi), Guizhou, China.

Funding

the Science and Technology Bureau of Zunyi City Zunyi City KEHE HZ(2020)288
6 · The paper itself

Abstract

backgroundRemimazolam tosilate (RT) is a new, ultrashort-acting benzodiazepine. Here, we investigated the efficacy and safety of RT for general anesthesia in patients undergoing Laparoscopic Cholecystectomy (LC).

methodsIn this study, 122 patients undergoing laparoscopic cholecystectomy were randomly allocated to receive either remimazolam tosilate (Group RT) or propofol group (Group P). RT was administered as a slow bolus of 0.3 mg kg

resultsA total of 112 patients were recruited for study participation. Among them, the time to BIS ≤ 60 in Group RT was longer than that in Group P (Group RT: 89.3 ± 10.7 s; Group P: 85.9 ± 9.7 s, P > 0.05). While the time to LoC comparing remimazolam and propofol showed no statistical significance (Group RT: 74.4 ± 10.3 s; Group P: 74.7 ± 9.3 s, P > 0.05). The time to extubation in Group RT was significantly longer than that in Group P (Group RT: 16.0 ± 2.6 min; Group P: 8.8 ± 4.3 min, P < 0.001). Remimazolam tosilate had more stable hemodynamics and a lower incidence of hypotension during general anesthesia.

conclusionsRemimazolam tosilate can be safely and effectively used for general anesthesia in patients undergoing Laparoscopic Cholecystectomy. It maintains stable hemodynamics during induction and maintenance of general anesthesia compared with propofol. Further studies are needed to validate the findings.

trial registrationChictr.org.cn ChiCTR2300071256 (date of registration: 09/05/2023).

Indexed as

Anesthesia, GeneralAnesthetics, IntravenousBenzodiazepinesCholecystectomy, LaparoscopicPropofolAdultFemaleHumansMaleMiddle AgedProspective StudiesAnesthetics, IntravenousBenzodiazepinesPropofolremimazolamPropofolRemimazolam tosilateTotal intravenous anesthesia

Identifiers

PMID38971731
PMCPMC11227182

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Registered trials

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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.