Evidence map›Paper›PMID 42137334›Full record

Trial reportFrontiers in pharmacology2026

Dose optimization of remimazolam as an adjunct to propofol for gastroscopy sedation: a randomized double-blind trial.

Yijie Zhang, Shanshan Xia, Hai Wang, Hanbing Shen, Lian Fang, Yating Chen, Yuanyuan Pan, Nana Bao, Lili Yang, Yingchao Ye and 2 more

Abstract readClinical Trial
In one paragraph

Trial report in Frontiers in pharmacology, 2026. 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

12 authors.

Yijie Zhang *Department of Anesthesiology, The Jinhua Affiliated Hospital of Wenzhou Medical University, Jinhua, China.
Shanshan Xia *Department of Anesthesiology, Wenzhou People's Hospital, Wenzhou, China.
Hai Wang *Hepatobiliary Pancreatic Gastrointestinal Surgery, The Jinhua Affiliated Hospital of Wenzhou Medical University, Jinhua, China.
Hanbing ShenDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Lian FangDepartment of Anesthesiology, The Jinhua Affiliated Hospital of Wenzhou Medical University, Jinhua, China.
Yating ChenDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yuanyuan PanDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Nana BaoDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Lili YangDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yingchao YeDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Junlu WangDepartment of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Yunchang MoDepartment of Anesthesiology, The Jinhua Affiliated Hospital of Wenzhou Medical University, Jinhua, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Propofol-based sedation for gastroscopy is effective but may cause dose-dependent cardiorespiratory depression; therefore, optimizing adjunct strategies to reduce propofol exposure is clinically important. Methods: We conducted a prospective, single-center, randomized, double-blind, dose-response trial to evaluate the propofol-sparing effect of remimazolam during procedural sedation for gastroscopy. A total of 150 ASA I-II adults aged 18-59 years were randomly assigned to receive remimazolam 0, 0.05, 0.1, 0.15, or 0.2 mg·kg Results: Remimazolam reduced the propofol EC50 in a dose-dependent manner, from 3.05 (95% CI, 2.88-3.21) μg·mL Discussion: Adjunctive remimazolam provided a dose-dependent propofol-sparing effect during gastroscopy sedation. Among the tested doses, 0.1 mg·kg Clinical Trial Registration: Chinese Clinical Trial Registry, identifier ChiCTR2400094449.

Indexed as

dose optimizationEC50gastroscopyprocedural sedationpropofolrandomized controlled trialremimazolam

Identifiers

PMID42137334
PMCPMC13168902

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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.