Evidence map›Paper›PMID 41488756›Full record

Trial reportDrug design, development and therapy2025

Effects of Remimazolam-Propofol Anesthesia on Recovery and Sleep Quality in Older Adult Patients Undergoing Laparoscopic Colorectal Cancer Surgery: A Randomized Controlled Trial.

Peng Shi, Chun Wang, Yingying Tang, Jiong Hou, Jinjun Bian, Lulong Bo

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.

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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

6 authors.

Peng Shi *Faculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.ORCID 0009-0006-9776-4948
Chun Wang *Faculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.
Yingying TangFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.
Jiong HouFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.
Jinjun BianFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.
Lulong BoFaculty of Anesthesiology, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.ORCID 0000-0001-6787-1837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Propofol and remimazolam monotherapy have their own limitations for general anesthesia in elderly patients. Optimizing anesthesia protocols is essential to enhance recovery and postoperative outcomes. This study aimed to evaluate the effects of combined sub-anesthetic doses of remimazolam and propofol on anesthesia recovery and sleep quality in this population. Patients and Methods: This single-center, single-blind, prospective, randomized controlled trial enrolled 92 patients aged 65-80 years scheduled for elective laparoscopic colorectal cancer surgery. Patients were randomly allocated to either group P (propofol alone, 4-12 mg/kg/h) or group PR (propofol 2-4 mg/kg/h combined with remimazolam 0.3 mg/kg/h). The primary outcome was awakening time. The secondary outcomes included sedation scores, intraoperative hemodynamics, postoperative Pittsburgh Sleep Quality Index (PSQI) scores, Visual Analogue Scale (VAS) scores, Quality of Recovery-15 (QoR-15) scores, and the incidence of adverse events. Results: Awakening time was significantly reduced in group PR compared with group P (14.8 ± 4.8 min vs 18.9 ± 5.1 min, Conclusion: Anesthesia maintenance using a sub-anesthetic dose of remimazolam combined with propofol was associated with shorter awakening time and improved postoperative recovery quality. This combination may represent a promising anesthetic strategy, but further research with objective sleep monitoring is warranted to confirm these findings.

Indexed as

BenzodiazepinesColorectal NeoplasmsLaparoscopyPropofolSleep QualityAgedAged, 80 and overAnesthesia Recovery PeriodFemaleHumansMaleProspective StudiesSingle-Blind MethodBenzodiazepinesPropofolremimazolamanesthesia maintenanceanesthesia recoveryolder adult patientspropofolremimazolamsleep quality

Identifiers

PMID41488756
PMCPMC12764239

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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.