Evidence map›Paper›PMID 40211149›Full record

Trial reportBMC anesthesiology2025

The effects of ciprofol on haemodynamics under general anaesthesia during thoracoscopic surgery: a randomised, double-blind, controlled trial.

Lifang Lan, Jianping Liao, Liuying Qin, Xuemei Wang, Tan Qin, Yanhua Chen, Jingchen Liu

Abstract readRandomized Controlled Trial
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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. 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.

Lifang Lan *Department of Anesthesiology, Cardiovascular Institute, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Jianping Liao *Department of Anesthesiology, Cardiovascular Institute, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Liuying QinDepartment of Anesthesiology, Cardiovascular Institute, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Xuemei WangDepartment of Anesthesiology, Guiyang Maternal and Child Health Care Hospital, Guiyang, 550001, Guizhou, China.
Tan QinDepartment of Anesthesiology, Cardiovascular Institute, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China.
Yanhua ChenDepartment of Anesthesiology, Cardiovascular Institute, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China. 402009694@qq.com.
Jingchen LiuDepartment of Anesthesiology, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, Guangxi, China. jingchenliugx@163.com.

Funding

Guangxi Zhuang Autonomous Region Health Commission Self-Financed Scientific Research Project Z-A20230559
6 · The paper itself

Abstract

backgroundPropofol, a widely administered sedative, is associated with potential hemodynamic instability during anaesthesia. Ciprofol introduces a cyclopropyl group to the chemical structure of propofol, forming an R-shaped hand structure and is characterised by rapid induction, rapid recovery, good controllability and a high degree of clinical safety.

methodsThis prospective randomised, double-blind, controlled clinical trial aimed to assess the effects of ciprofol on haemodynamics and its safety and efficacy under general anaesthesia during thoracoscopic surgery. A total of 60 patients undergoing thoracoscopic surgery at First Affiliated Hospital of Guangxi Medical University between March 2023 and June 2023 were enrolled and 1:1 randomly assigned to receive anaesthesia with ciprofol or propofol. The primary outcomes were the incidences of cardiovascular events including hypertension, hypotension, bradycardia and tachycardia, the fluctuations in haemodynamic parameters. The secondary outcomes were injection pain, the bispectral index (BIS), the time of loss of consciousness and the time of disappearance of the eyelash reflex. For baseline characteristics, continuous variables were compared using Student's t-tests or Wilcoxon rank-sum tests, while categorical variables were analysed using the Chi-square test. For fluctuations in haemodynamic parameters, repeated measures analysis of variance (ANOVA) was performed.

resultsThe Chi-square tests revealed no difference in the incidence of cardiovascular events (hypertension, hypotension, bradycardia and tachycardia) between ciprofol group and propofol group during both anaesthesia induction and maintenance. The ANOVA test showed that the decrease of mean arterial pressure (MAP) at T1 was gentler in the ciprofol group compared to the propofol group (p = 0.02). The difference between the heart rate at T5 and baseline (▲HR) in the ciprofol group was significantly lower than in the propofol group (p = 0.01). The ciprofol group had a lower incidence of injection pain in comparison with the propofol group (10.0% versus 23.3%, p = 0.028). The time of disappearance of the eyelash reflex was less in the ciprofol group than in the propofol group (p = 0.004).

conclusionsCiprofol is a safe and effective anaesthetic that may be used as a substitute for propofol in the induction and maintenance of anaesthesia in thoracoscopic surgery.

trial registrationThis study was registered in the Chinese Clinical Trial Registry (ChiCTR2300069650) on March 22, 2023.

Indexed as

Anesthesia, GeneralAnesthetics, IntravenousHemodynamicsPropofolThoracoscopyAdultAgedCyclopropanesDouble-Blind MethodFemaleHumansMaleMiddle AgedProspective Studies(2-(1R)-1-cyclopropyl)ethyl-6-isopropyl-phenolAnesthetics, IntravenousCyclopropanesPropofolCardiovascular eventsCiprofolGeneral anaesthesiaHaemodynamicPropofolThoracoscopic surgery

Identifiers

PMID40211149
PMCPMC11984254

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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.