Evidence map›Paper›PMID 40205333›Full record

Trial reportBMC anesthesiology2025

Ciprofol versus propofol for long-term sedation in mechanically ventilated patients with sepsis: a randomized controlled trial.

Feng-Zhi Zhao, Long-Zhu Li, Pei-Yan Luo, Xiang-Jie Duan, Shi-Fang Huang, Hai-Yan Yin, Wan-Jie Gu

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC anesthesiology, 2025. 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
–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. Trial
  2. Trial
  3. Observational
  4. 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.

Feng-Zhi Zhao *Department of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China.
Long-Zhu Li *Department of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China.
Pei-Yan Luo *Department of Intensive Care Unit, Liancheng County Hospital, Liancheng, Fujian Province, China.
Xiang-Jie DuanDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China.
Shi-Fang HuangDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China. huangsf@jnu.edu.cn.
Hai-Yan YinDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China. haiyanyin1867@126.com.
Wan-Jie GuDepartment of Intensive Care Unit, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China. guwanjie@jnu.edu.cn.

Funding

2021 Annual Medical Teaching and Education Management Reform Research Project of Jinan University 2021YXJG029Fundamental Research Funds for the Central Universities 21623302Funding by Science and Technology Projects in Guangzhou 2024A04J3706National Natural Science Foundation of China 82072232Science and Technology Program of Guangzhou, China 202201020028Special Projects in Key Areas of General Colleges and Universities in Guangdong Province 2022ZDZX2003
6 · The paper itself

Abstract

backgroundSedatives are often used to facilitate mechanical ventilation in patients with sepsis. Ciprofol is a new promising sedated candidate with a higher binding activity to the gamma-aminobutyric acid-A receptor than propofol. This study aimed to compare the efficacy and safety of ciprofol and propofol for long-term sedation in mechanically ventilated patients with sepsis.

methodsIn this single-center randomized clinical trial, mechanically ventilated adults with sepsis in the intensive care unit (ICU) who anticipated to require long-term sedation ≥ 24 h were randomly assigned to receive intravenous ciprofol or propofol. The target sedation goal was - 3 to 0 according to the Richmond Agitation-Sedation Scale. The primary outcome was weaning time. Secondary outcomes included the percentage of time within the target sedation range, successful sedation (the percentage of time within the target sedation range ≥ 70% without rescue sedation), ICU and in-hospital mortality, length of ICU and hospital stay, hypotension, and bradycardia.

resultsA total of 60 patients were randomized, 4 were excluded because of withdrawing treatment, 28 were assigned to ciprofol group and 28 to propofol group. Weaning time in ciprofol group was shorter than propofol group (median [interquartile range (IQR)], 104.0 [40.8-147.3] hours vs 132.5 [69.8-207.8] hours), but not reached significant difference between groups (P = 0.123). Ciprofol had significantly higher percentage of time within the target sedation range (median [IQR], 72.2% [14.3-92.7%] vs 22.6% [0.0-45.4%]) and successful sedation (53.6% [15/28] vs 14.3% [4/28]) than propofol. No significant differences were observed in ICU mortality, in-hospital mortality, length of ICU stay, length of hospital stay, hypotension, and bradycardia between groups.

conclusionsCiprofol is an effective and safe agent among mechanically ventilated patients with sepsis who anticipated to require long-term sedation. TRIAL REGISTRATION NUMBER: The trial was registered at the Chinese Clinical Trial Registry (ChiCTR2200066835) on December 19, 2022.

Indexed as

Hypnotics and SedativesPropofolRespiration, ArtificialSepsisAgedCyclopropanesFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMaleMiddle AgedTime Factors(2-(1R)-1-cyclopropyl)ethyl-6-isopropyl-phenolCyclopropanesHypnotics and SedativesPropofolCiprofolMechanical ventilationPropofolSedationSepsis

Identifiers

PMID40205333
PMCPMC11983952

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.