Evidence map›Paper›PMID 40618022›Full record

Trial reportBMC anesthesiology2025

Comparison of the effects of esketamine/midazolam and remifentanil/midazolam on respiratory mechanics in mechanically ventilated patients with acute respiratory distress syndrome.

Dujuan Qiao, Wei Liu, Huanjia Xue, Rui Liu, Ya Gao, Jingzhi Dong, Wei Wu, Junkai Feng, Min Li, Linong Yao

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

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Trial
  3. 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

10 authors.

Dujuan Qiao *Department of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Wei Liu *Department of Anesthesiology, Tangdu Hospital, Air Force Military Medical University, Xi'an, Shaanxi, China.
Huanjia Xue *Department of Anesthesiology, Xi'an Hospital of Traditional Chinese Medicine, Xi'an, Shaanxi, China.
Rui LiuDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Ya GaoDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Jingzhi DongDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Wei WuDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Junkai FengDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Min LiDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China. neursylm@163.com.
Linong YaoDepartment of Critical Care Medicine, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China. yaolin@fmmu.edu.cn.

Funding

the Air Force Medical University of Military Medical Transformation Project 2021JSZH-004
6 · The paper itself

Abstract

backgroundEsketamine exerts analgesic effects and has pharmacological properties of bronchodilation and elevation of mean arterial pressure, making it an interesting analgesic agent for patients with ARDS. Therefore, we conducted a randomized controlled trial comparing the effects of esketamine/midazolam and remifentanil/midazolam on respiratory mechanics and oxygenation in mechanically ventilated patients with ARDS.

methodsIn this prospective, randomized, controlled study, patients with ARDS who were undergoing mechanical ventilation were randomly assigned to receive either remifentanil/midazolam (n = 25) or esketamine/midazolam (n = 25). Both groups maintained equivalent levels of sedation and analgesia. The primary outcomes were airway resistance (R

resultsC

conclusionEsketamine/midazolam leads to improved in C CLINICAL

trial registrationThis study was registered at Chinese Clinical Trial Registry (ChiCTR2300070733) on April 21, 2023. URL: https://www.chictr.org.cn/ .

Indexed as

KetamineMidazolamPiperidinesRespiration, ArtificialRespiratory Distress SyndromeRespiratory MechanicsAdultAgedAnalgesicsFemaleHumansHypnotics and SedativesMaleMiddle AgedProspective StudiesRemifentanilAnalgesicsEsketamineHypnotics and SedativesKetamineMidazolamPiperidinesRemifentanilARDSEsketamineMechanical ventilationRespiratory mechanics

Identifiers

PMID40618022
PMCPMC12229023

What OpenQuestion holds

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LicenceCC BY
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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.