Evidence map›Paper›PMID 39516741›Full record

Trial reportBMC anesthesiology2024

Comparative efficacy of ciprofol and propofol in reducing respiratory depression during ERCP anesthesia: a randomized controlled trial.

Juanhong Wang, Rui Wang, Xiaofang Ma, Wenjing Zhu, Baoping Zhang, Yuhu Ma, Yatao Liu

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

Juanhong Wang *Department of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China.
Rui Wang *Department of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China.
Xiaofang MaDepartment of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China.
Wenjing ZhuDepartment of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China.
Baoping ZhangDepartment of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China.
Yuhu MaDepartment of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China. mayh20@lzu.edu.cn.
Yatao LiuDepartment of Anesthesiology, The First Hospital of Lanzhou University, Lanzhou, Gansu, 730030, China. doctorliuyt@163.com.

Funding

Foundation of The First Hospital of Lanzhou University ldyyyn2023-95
6 · The paper itself

Abstract

backgroundPropofol is one of the important drug causes of respiratory depression in endoscopic retrograde cholangiopancreatography (ERCP) anesthesia. This study aims to clarify whether Ciprofol in ERCP anesthesia reduces the respiratory depression rate.

methodsIn this randomized controlled trial performed at the Surgical Endoscopy Center, the First Hospital of Lanzhou University between Jun 01, 2022 and Feb 20, 2024, patients undergoing ERCP anesthesia were randomly assigned into ciprofol (study group) or propofol (control group). Primary outcomes included respiratory depression rate during anesthesia, and secondary outcomes included body movement and hypoxemia, awakening time, mean arterial pressure and heart rate changes at key points during surgery.

results20 of the 306 patients had respiratory depression (6.5%). The frequency of respiratory depression was 3.3% in the group C and 9.8% in the group P, with a difference of 6.5% between the two groups (P = 0.035). Ciprofol anesthesia decreased the hyoxemia, injection pain, and circulation and heart rate fluctuations. Multivariable logistic regression analyses showed that Propofol (OR 1.970; 95% CI, 1.121-3.461, P = 0.018), mallampati classification>II (OR 1.594; 95% CI, 1.129-2.249, P = 0.008), and fasting time>10.5 h (OR 3.184; 95% CI, 1.531-6.621, P = 0.002) were independent risk factors for incidence of respiratory depression in ERCP anesthesia.

conclusionsFor patients undergoing anesthesia for ERCP, Ciprofol, compared to Propofol, has been shown to effectively reduce the incidence of intraoperative respiratory depression, thereby enhancing the safety of the anesthesia process.

trial registrationThis study was registered in the Chinese Clinical Trial Registry on 15/01/2022 (ChiCTR2200055629).

Indexed as

Anesthetics, IntravenousCholangiopancreatography, Endoscopic RetrogradePropofolRespiratory InsufficiencyAdultAgedCyclopropanesFemaleHumansMaleMiddle Aged(2-(1R)-1-cyclopropyl)ethyl-6-isopropyl-phenolAnesthetics, IntravenousCyclopropanesPropofolCiprofolEndoscopic retrograde cholangiopancreatography (ERCP)PropofolRespiratory depression

Identifiers

PMID39516741
PMCPMC11546404

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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.