Evidence map›Paper›PMID 41878686›Full record

Trial reportDrug design, development and therapy2026

Patient-Controlled Sedation with Remimazolam Enables More Precise Intraoperative Sedation in Elderly Patients Under Spinal Anesthesia: A Randomized Controlled Trial.

Mei Wang, Tianqi Wang, Nan Wu, Yutao Zhang, Jindi Jia, Shengguo Zhao, Jie Yan, Airong Wang, Dajiang Yuan

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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

5 · Who and what money

Authors and funding

9 authors.

Mei WangCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.
Tianqi WangCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.
Nan WuDepartment of Anesthesiology, Second Hospital of Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.
Yutao ZhangCollege of Second Clinical Medical, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.ORCID 0009-0004-4822-9805
Jindi JiaCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.
Shengguo ZhaoCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.ORCID 0009-0004-7480-0438
Jie YanCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.ORCID 0009-0000-6546-7531
Airong WangCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.ORCID 0009-0004-5790-7858
Dajiang YuanCollege of Anesthesiology, Shanxi Medical University, Taiyuan, Shanxi, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To investigate whether patient-controlled sedation (PCS) with remimazolam provides more precise sedation control and superior overall outcomes compared to conventional sedation (CS) in elderly patients undergoing lower limb surgery under spinal anesthesia. Patients and Methods: 120 patients aged ≥65 years (ASA physical status II~III) were randomized to receive either PCS (n=60) or CS (n=60). PCS received a loading dose (1 mg), background infusion (0.75 mg·h Results: The proportion maintaining optimal sedation was higher in the PCS group (100% vs 88.3%, Conclusion: For elderly patients undergoing lower limb surgery under spinal anesthesia, patient-controlled sedation with remimazolam facilitates more precise sedation control. It ensures a higher proportion of optimal sedation depth while reducing drug consumption, accelerating recovery, and enhancing patient comfort and satisfaction. Under the conditions of this study, this approach constitutes a safe, effective, and individualized sedation strategy.

Indexed as

Anesthesia, SpinalHypnotics and SedativesAgedAged, 80 and overBenzodiazepinesFemaleGeriatric AnesthesiaHumansMaleBenzodiazepinesHypnotics and Sedativesremimazolamelderlypatient-controlled sedationremimazolamspinal anesthesia

Identifiers

PMID41878686
PMCPMC13007541

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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.