Evidence map›Paper›PMID 40731317›Full record

Trial reportBMC anesthesiology2025

Pharmacodynamics study of remimazolam besylate in anxious patients undergoing gastroscopy: a biased-coin design up-and-down sequential allocation trial.

Bao-Zhu Cha, Shuang-Yan Hu, Nian-Ping Chen, Jia-Fei Cao, Cheng Xu, Kai Qiu, Foquan Luo

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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Bao-Zhu ChaDepartment of Anesthesiology, Affiliated Hospital of Shaoxing University, Shaoxing, 312000, China.
Shuang-Yan HuDepartment of Anesthesiology, Shaoxing People's Hospital, Shaoxing, 312000, China.
Nian-Ping ChenDepartment of Anesthesiology, Affiliated Hospital of Shaoxing University, Shaoxing, 312000, China.
Jia-Fei CaoDepartment of Anesthesiology, Affiliated Hospital of Shaoxing University, Shaoxing, 312000, China.
Cheng XuDepartment of Anesthesiology, Shaoxing People's Hospital, Shaoxing, 312000, China.
Kai QiuDepartment of Anesthesiology, Shaoxing People's Hospital, Shaoxing, 312000, China.
Foquan LuoDepartment of Anesthesiology, Zhejiang Provincial People's Hospital, Affiliated People's Hospital, Hangzhou medical college, Hangzhou, 310014, China. lfqjxmc@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the impact of anxiety on the pharmacodynamics of remimazolam besylate in patients undergoing gastroscopy.

methodsPatients undergoing gastroscopy were divided into two groups: an anxiety group (Self -rating Anxiety scale, SAS ≥ 50) and a non-anxiety group (SAS < 50). All patients received intravenous administration of 5 µg/kg alfentanil combined with remimazolam besylate. The biased coin design up-and-down sequential method (BCD-UDM) was used to determine the target doses of remimazolam besylate: the initial dose was 0.1 mg/kg, with a dose gradient of 0.01 mg/kg. If coughing, swallowing, or body movement reactions occurred within the first 2 min from the start of gastroscopy, it was considered a positive reaction, and the dose was increased for the next patient. Otherwise, it was considered a negative reaction, and the dose of remimazolam besylate for the next patient was determined according to the BCD-UDM. Discharge time from the recovery room and adverse reactions were recorded. The ED

resultsThe ED

conclusionsWhen combined with 5 µg/kg alfentanil, the ED

trial registrationThe study was registered in the Chinese Clinical Trial Registry. (ChiCTR2400086957) on July 15, 2024.

Indexed as

Anti-Anxiety AgentsAnxietyBenzodiazepinesGastroscopyAdultAlfentanilDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedAlfentanilAnti-Anxiety AgentsBenzodiazepinesremimazolamAlfentanilAnxietyGastroscopeRemimazolam besylate

Identifiers

PMID40731317
PMCPMC12309047

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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.