Evidence map›Paper›PMID 41444866›Full record

ArticleBMC anesthesiology2025

Routine flumazenil administration confounds emergence time comparisons between remimazolam and propofol: a methodological concern.

Haishan Cui, Qingjun Zeng, Yi Zhang

Abstract readLetterComment
In one paragraph

Article 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

3 authors.

Haishan CuiDepartment of Anesthesiology, Maternal and Child Health Hospital of Wanzhou, No.8, Wanquan Road, Wanzhou District, Chongqing City, People's Republic of China.
Qingjun ZengDepartment of Anesthesiology, Maternal and Child Health Hospital of Wanzhou, No.8, Wanquan Road, Wanzhou District, Chongqing City, People's Republic of China.
Yi ZhangDepartment of Anesthesiology, Maternal and Child Health Hospital of Wanzhou, No.8, Wanquan Road, Wanzhou District, Chongqing City, People's Republic of China. joyfairy00@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This letter to the editor identifies a critical methodological concern in a recent clinical trial by Qin et al. that compared the emergence profiles of remimazolam and propofol in pediatric anesthesia. We argue that the study's findings are confounded by a fundamental"asymmetry in interventions". The remimazolam group routinely received flumazenil for pharmacological reversal, while the propofol group emerged spontaneously via natural metabolism.

Indexed as

Anesthesia Recovery PeriodAnesthetics, IntravenousBenzodiazepinesFlumazenilHypnotics and SedativesPropofolChildHumansTime FactorsAnesthetics, IntravenousBenzodiazepinesFlumazenilHypnotics and SedativesPropofolremimazolamFlumazenilPediatricAnesthesiaPropofolRemimazolam

Identifiers

PMID41444866
PMCPMC12729322

What OpenQuestion holds

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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.