Evidence map›Paper›PMID 40955311›Full record

Trial reportDrug design, development and therapy2025

Intravenous Anesthesia with Ciprofol and Remimazolam Besylate for Painless Gastroscopy: A Prospective, Single-Center, Randomized Controlled Trial.

Lin Li, Yusi Zhu, Jie Zhu, Mingyue Zeng, Yu Duan, Pengfei Cheng, Xiang Zhou

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 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. 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.

Lin Li *Department of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.ORCID 0009-0004-2179-2382
Yusi Zhu *Department of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.
Jie ZhuDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.
Mingyue ZengDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.
Yu DuanDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.
Pengfei ChengDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.
Xiang ZhouDepartment of Anesthesiology, General Hospital of Central Theater Command of PLA, Wuhan, People's Republic of China.ORCID 0000-0001-9635-8741

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate whether combining ciprofol and remimazolam offers superior safety and efficacy compared to propofol or ciprofol monotherapy for sedation during painless gastroscopy. We hypothesize improved hemodynamic and respiratory stability with the combination. Methods: A total of 641 patients undergoing gastroscopy were randomly assigned to one of three groups. Group P (Propofol) received an intravenous bolus of propofol at a dose of 1.5 mg/kg. Group CR (Ciprofol + Remimazolam) received an initial intravenous dose of remimazolam (0.08 mg/kg), followed by ciprofol (0.25 mg/kg). Group C (Ciprofol) received an intravenous bolus of ciprofol at a dose of 0.4 mg/kg. Sedation depth was maintained within the target range (Bispectral Index 40-60) through the administration of supplemental doses: propofol (10-20 mg boluses) in Group P, and ciprofol (2.5-5 mg boluses) in Groups CR and C. Results: Compared with group P, groups CR and C demonstrated significantly lower incidences of hypotension (CR: 7.8% vs P: 21.6%; C: 12.3% vs P: 21.6%; all Conclusion: The combination of ciprofol and remimazolam exerts a lesser impact on the respiration and circulation of patients undergoing gastroscopy, and demonstrates superior safety and efficacy compared to the use of propofol or ciprofol alone.

Indexed as

Anesthesia, IntravenousAnesthetics, IntravenousBenzodiazepinesGastroscopyPropofolAdultAgedCyclopropanesFemaleHumansMaleMiddle AgedProspective Studies(2-(1R)-1-cyclopropyl)ethyl-6-isopropyl-phenolAnesthetics, IntravenousBenzodiazepinesCyclopropanesPropofolremimazolamciprofolpainless gastroscopypropofolremimazolamsedation

Identifiers

PMID40955311
PMCPMC12433632

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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.