Evidence map›Paper›PMID 40010808›Full record

ArticleBMJ open2025

Comparison of remimazolam-based and propofol-based general anaesthesia on postoperative quality of recovery in patients undergoing laparoscopic sleeve gastrectomy: protocol for a prospective, randomised, parallel-group, non-inferiority trial.

Dong-Jiao An, Jing Wang, Chuning Ren, Yanjun Zhao, Changwei Wei, Anshi Wu

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

6 authors.

Dong-Jiao AnDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0003-0244-1937
Jing WangDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China.
Chuning RenDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China.
Yanjun ZhaoDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China.
Changwei WeiDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China.ORCID http://orcid.org/0000-0001-5652-600X
Anshi WuDepartment of Anesthesiology, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, China wuanshi88@163.com.ORCID http://orcid.org/0000-0001-9744-8802

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRemimazolam is a novel short-acting benzodiazepine that exhibits sedative and hypnotic properties without compromising respiratory function and while maintaining haemodynamic stability. Its safety and efficacy have been demonstrated to be non-inferior to those of propofol in the context of general anaesthesia. Nevertheless, the non-inferiority in terms of postoperative recovery quality in obese patients has not been established. Thus, we conducted a prospective, randomised, parallel-group, non-inferiority study to compare remimazolam-based general anaesthesia with propofol-based general anaesthesia on the postoperative quality of recovery (QoR) in patients undergoing laparoscopic sleeve gastrectomy. METHODS AND ANALYSIS: All participants meeting the included criteria will be enrolled after signing an informed consent form. Patients will be randomly allocated to either the propofol group (n=63; induction and maintenance with propofol) or the remimazolam group (n=63; induction and maintenance with remimazolam). The primary endpoint of the study is the 15-item QoR Scale assessed at 24 hours postoperatively. Secondary endpoints include the doses of anaesthetic required for loss of consciousness (LOC), the time to LOC, the time to recovery of consciousness, the total amount of anaesthetic administered during the surgery and the incidence of hypotension and bradycardia. Additionally, postoperative profiles of pain, nausea and vomiting, delirium, intraoperative awareness, adverse events and patient satisfaction will be collected. Statistical analyses will be performed using IBM SPSS Statistics V.26.0 and GraphPad Prism V.5.01. Statistical significance is set at two-sided p values<0.05. ETHICS AND DISSEMINATION: Ethical approval was obtained from the ethics committees of Beijing Chaoyang Hospital, Capital Medical University (No. 2023ke715-1). The findings will be disseminated in peer-reviewed publications. TRIAL REGISTRATION NUMBER: ChiCTR2400083700.

Indexed as

Anesthesia, GeneralAnesthetics, IntravenousBenzodiazepinesGastrectomyHypnotics and SedativesLaparoscopyPropofolAdultAnesthesia Recovery PeriodEquivalence Trials as TopicFemaleHumansMaleMiddle AgedProspective StudiesRandomized Controlled Trials as TopicAnesthetics, IntravenousBenzodiazepinesHypnotics and SedativesPropofolremimazolamANAESTHETICSBariatric SurgeryObesityPropofol

Identifiers

PMID40010808
PMCPMC11865783

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.