Evidence map›Paper›PMID 40107902›Full record

Trial reportBritish journal of anaesthesia2025

ED50 and ED95 of remimazolam for loss of consciousness in young children: a dose-finding study for induction of anaesthesia.

Yu-Hang Cai, Le-Qi Dong, John W Zhong, Zheng Lin, Cong-De Chen, Li-Bin Zhu, Xiao-Kun Lin, Peter Szmuk, Hua-Cheng Liu

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06061159 (The ED95 of Single Intravenous Bolus Remimazolam Besylate in Pediatric Patients During General Anesthesia Induction), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT06061159 phase4completednot on this map

The ED95 of Single Intravenous Bolus Remimazolam Besylate in Pediatric Patients During General Anesthesia Induction:a Randomised,Double-blind Clinical Trial

TypeinterventionalSponsorSecond Affiliated Hospital of Wenzhou Medical UniversityRan2023 to 2024Enrolled120ConditionsPediatric, ED95, Sedation, General AnesthesiaArmsRemimazolam besylate
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  3. EDFrontiers in medicine · 2026
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  12. Age-Stratified EDDrug design, development and therapy · 2026
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  16. Commentary: EDFrontiers in medicine · 2025
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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

9 authors.

Yu-Hang CaiDepartment of Anaesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Paediatric Anaesthesiology, Ministry of Education, Key Laboratory of Anaesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Le-Qi DongDepartment of Anaesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Paediatric Anaesthesiology, Ministry of Education, Key Laboratory of Anaesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China.
John W ZhongDepartment of Anaesthesiology and Pain Management, University of Texas Southwestern Medical Centre, Dallas, Texas and Outcome Research Consortium, Cleveland, OH, USA.
Zheng LinDepartment of Anaesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Paediatric Anaesthesiology, Ministry of Education, Key Laboratory of Anaesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Cong-De ChenDepartment of Paediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Li-Bin ZhuDepartment of Paediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiao-Kun LinDepartment of Paediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Peter SzmukDepartment of Anaesthesiology and Pain Management, University of Texas Southwestern Medical Centre, Dallas, Texas and Outcome Research Consortium, Cleveland, OH, USA. Electronic address: Peter.Szmuk@UTSouthwestern.edu.
Hua-Cheng LiuDepartment of Anaesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Paediatric Anaesthesiology, Ministry of Education, Key Laboratory of Anaesthesiology of Zhejiang Province, Wenzhou Medical University, Wenzhou, Zhejiang, China. Electronic address: huachengliu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal single i.v. bolus dose of remimazolam for induction of general anaesthesia in children is not defined. We aimed to determine the 50% (ED50) and 95% (ED95) effective doses of remimazolam for inducing loss of consciousness in children.

methodsA total of 120 children, aged 1-12 yr, were divided into three groups, with 40 children in each group: toddler (1 to <3 yr), preschool (≥3 to <6 yr), and school-age group (≥6 to <12 yr). Each child received a single i.v. bolus of remimazolam, with doses determined using a biased coin design up-and-down method. The primary outcome was the ED50 and ED95 of remimazolam for inducing loss of consciousness. Secondary outcomes included the incidence of hypotension, respiratory depression, and adverse events.

resultsThe ED50 and ED95 of remimazolam were 0.42 mg kg

conclusionsA single i.v. bolus of remimazolam at estimated doses of 0.45-0.60 mg kg CLINICAL

trial registrationClinicalTrials.gov (NCT06061159).

Indexed as

Anesthesia, GeneralBenzodiazepinesHypnotics and SedativesUnconsciousnessChildChild, PreschoolDose-Response Relationship, DrugFemaleHumansInfantMaleBenzodiazepinesHypnotics and Sedativesremimazolambenzodiazepinechildrenconsciousnessgeneral anaesthesiaremimazolam

Identifiers

PMID40107902
PMCPMC12106876

What OpenQuestion holds

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Registered trials

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.