Evidence map›Paper›PMID 40786246›Full record

Trial reportDrug design, development and therapy2025

Effects of Remimazolam-Propofol with Flumazenil Reversal on the Emergence Time and Hemodynamics of Patients Undergoing Laparoscopic Partial Hepatectomy: A Prospective Randomized Controlled Trial.

Yan Feng, Ji-Ming Jia, Yong-Xiang Cheng, Jing Lin, Xin-Yue Zhang, Yi-Zheng Wang, You-Bo Zuo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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.

Yan Feng *Department of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Ji-Ming Jia *Department of Anesthesiology, North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Yong-Xiang ChengDepartment of Anesthesiology, North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Jing LinDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.ORCID 0009-0003-1176-1278
Xin-Yue ZhangDepartment of Anesthesiology, North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
Yi-Zheng WangDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.
You-Bo ZuoDepartment of Anesthesiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Laparoscopic partial hepatectomy, characterized by significant surgical trauma, profound stress responses, prolonged duration, and high anesthetic requirements, may lead to delayed recovery or emergence agitation. Whether remimazolam and propofol combined with flumazenil reversal can accelerate the recovery and enhance hemodynamic stability remains controversial. Methods: Fifty patients aged 18-70 years with American Society of Anesthesiologists (ASA) class I-III and Child-Pugh classification A or B undergoing elective laparoscopic partial hepatectomy were enrolled. Participants were randomly assigned to either the remimazolam combined with propofol group (RP group) or the propofol group (P group). Both groups received intravenous sufentanil and cisatracurium for induction, followed by either remimazolam-propofol with flumazenil reversal or propofol alone. Emergence parameters, including time to obey verbal commands, BIS over 80, and tracheal tube removal were recorded. The Sedation-Agitation Scale (SAS) and Visual Analog Scale (VAS) scores at predefined intervals, hemodynamics, and adverse events were recorded. Results: The time to obey verbal commands ( Conclusion: Compared to propofol alone, remimazolam-propofol with flumazenil reversal provides faster and more complete recovery, superior hemodynamic stability perioperatively, and reduced analgesic requirements in laparoscopic partial hepatectomy patients.

Indexed as

BenzodiazepinesFlumazenilHemodynamicsHepatectomyLaparoscopyPropofolAdolescentAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesYoung AdultBenzodiazepinesFlumazenilPropofolremimazolamemergence profileflumazenilhemodynamic stabilitypartial hepatectomypropofolremimazolam

Identifiers

PMID40786246
PMCPMC12335263

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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.