The Effect of Remimazolam Versus Propofol on Postoperative Extubation Time
31 augustus 2026 bijgewerkt door: Xuyu Zhang
The Effect of Remimazolam Versus Propofol on Postoperative Extubation Time in Patients Undergoing Laparoscopic Hepatectomy: A Randomized Controlled Trial
This clinical trial aims to help us understand how two drugs, Propofol and Remazoloam, affect when researchers remove a Participants' breathing tube after liver surgery (laparoscopic liver resection).The main research questions include: comparing the time to breathing tube removal between patients who receive each drug, comparing changes in heart rate and blood pressure during surgery, and comparing the rates of unwanted medical events after surgery.
Researchers will give either Propofol or Remimazolam as a sedative medicine for anesthesia.
This will allow the researchers to compare the time to breathing tube removal after surgery.
Participants will complete their surgery according to a pre-planned surgical plan.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This study is a clinical randomized controlled trial aimed at comparing the postoperative extubation time of remimazolam versus propofol in patients undergoing laparoscopic liver resection.
Additionally, the study will compare intraoperative hemodynamic parameters, the incidence of adverse events during the anesthesia emergence period, length of stay in the post-anesthesia care unit (PACU), hospital length of stay, and the incidence of postoperative complications.
Patients meeting the inclusion criteria will sign informed consent forms and be randomly assigned to one of two groups.
Routine preoperative preparation will be performed.
After entering the operating room, anesthesia induction and maintenance will be carried out according to the study protocol.
After surgery, all patients will be transferred to the PACU.
Extubation will be performed when extubation criteria are met, and patients will be returned to the ward when the Steward recovery score reaches ≥4.
Data on postoperative extubation time, PACU stay, hospital length of stay, and postoperative complications will be recorded.
Finally, data analysis and results reporting will be conducted.This trial can provide meaningful references for clinical drug selection.
At the same time, this study will fill the gaps in clinical evidence in this field.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
82
Fase
- Fase 4
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510000
- The First Affiliated Hospital of Sun Yat-sen University
-
-
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Ja
Beschrijving
Inclusion Criteria:
1): Planned to undergo laparoscopic hepatectomy.
2): Has signed the informed consent form.
3): Aged 18 to 80 years.
4): Body Mass Index (BMI) ranging from 18 to 28 kg/m².
5): American Society of Anesthesiologists (ASA) physical status classification I to III.
Exclusion Criteria:
1）: Severe cardiopulmonary dysfunction, or hepatic/renal dysfunction.
2）: Diagnosis of neuropsychiatric disorders.
3）: Pregnant or lactating women.
4）: A history of allergy or contraindication to benzodiazepines, propofol, or any of their components.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ander
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verdrievoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Actieve vergelijker: Propofol
|
Anesthesia induction: Intravenous injection of propofol 1.5-2.5 mg/kg.
Anesthesia maintenance: Continuous infusion of propofol at 4-10 mg/kg/h.
|
|
Experimenteel: Remimazolam
|
Anesthesia induction: Intravenous injection of remimazolam 0.2-0.4
mg/kg.
Anesthesia maintenance: Continuous infusion of remimazolam at 0.4-0.7mg/kg/h.
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Extubation time (minutes)
Tijdsspanne: From the time of cessation of intravenous sedative infusion until the time of tracheal extubation, up to 24 hours postoperatively.
|
The time (in minutes) from stopping intravenous sedative infusion to tracheal extubation.
|
From the time of cessation of intravenous sedative infusion until the time of tracheal extubation, up to 24 hours postoperatively.
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Incidence of Adverse Events During Anesthesia Emergence (per patient)
Tijdsspanne: From the time of cessation of continuous intravenous sedative infusion until the time of PACU discharge, up to 24 hours postoperatively.
|
Incidence (per patient) of adverse events including nausea and vomiting, hypotension (MAP < 60 mmHg or MAP < 80% of baseline value), hypoxemia (SpO₂ < 90%), emergence agitation, dizziness, sore throat, hoarseness, shivering, occurring from cessation of continuous intravenous sedative infusion until PACU discharge.
|
From the time of cessation of continuous intravenous sedative infusion until the time of PACU discharge, up to 24 hours postoperatively.
|
|
PACU Length of Stay (minutes)
Tijdsspanne: From the time of PACU admission until the time of PACU discharge, up to 24 hours postoperatively.
|
The time (in minutes) from PACU admission to PACU discharge.
|
From the time of PACU admission until the time of PACU discharge, up to 24 hours postoperatively.
|
|
Postoperative Hospital Stay (days)
Tijdsspanne: From the time of the end of surgery until the time of hospital discharge, up to 30 days postoperatively.
|
The time (in days) from the end of surgery to hospital discharge.
|
From the time of the end of surgery until the time of hospital discharge, up to 30 days postoperatively.
|
|
Incidence of Postoperative Complications (per patient)
Tijdsspanne: From the time of the end of surgery until the time of hospital discharge, up to 30 days postoperatively.
|
Incidence (per patient) of postoperative complications including pleural effusion, ascites (or peritoneal effusion), atelectasis, pulmonary embolism, kidney injury, wound infection, etc., occurring from the end of surgery to hospital discharge.
|
From the time of the end of surgery until the time of hospital discharge, up to 30 days postoperatively.
|
|
Mean Arterial Pressure (mmHg)
Tijdsspanne: From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
Mean arterial pressure (MAP) measured at time points: before anesthesia induction (T0), after anesthesia induction but before tracheal intubation (T1), immediately after tracheal intubation (T2), at skin incision (T3), at the start of porta hepatis clamping (T4), 5 minutes after porta hepatis clamping (T5), 10 minutes after porta hepatis clamping (T6), at the end of porta hepatis clamping (T7), 1 minute after porta hepatis release (T8), 3 minutes after porta hepatis release (T9), at the end of surgery (T10), and upon PACU admission (T11).
|
From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
|
Heart Rate (bpm)
Tijdsspanne: From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
Heart rate (HR) measured at time points: before anesthesia induction (T0), after anesthesia induction but before tracheal intubation (T1), immediately after tracheal intubation (T2), at skin incision (T3), at the start of porta hepatis clamping (T4), 5 minutes after porta hepatis clamping (T5), 10 minutes after porta hepatis clamping (T6), at the end of porta hepatis clamping (T7), 1 minute after porta hepatis release (T8), 3 minutes after porta hepatis release (T9), at the end of surgery (T10), and upon PACU admission (T11).
|
From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
|
Stroke Volume Variation (%)
Tijdsspanne: From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
Stroke volume variation (SVV) measured at time points: before anesthesia induction (T0), after anesthesia induction but before tracheal intubation (T1), immediately after tracheal intubation (T2), at skin incision (T3), at the start of porta hepatis clamping (T4), 5 minutes after porta hepatis clamping (T5), 10 minutes after porta hepatis clamping (T6), at the end of porta hepatis clamping (T7), 1 minute after porta hepatis release (T8), 3 minutes after porta hepatis release (T9), at the end of surgery (T10), and upon PACU admission (T11).
|
From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
|
Cardiac Index (L/min/m²)
Tijdsspanne: From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
Cardiac index (CI) measured at time points: before anesthesia induction (T0), after anesthesia induction but before tracheal intubation (T1), immediately after tracheal intubation (T2), at skin incision (T3), at the start of porta hepatis clamping (T4), 5 minutes after porta hepatis clamping (T5), 10 minutes after porta hepatis clamping (T6), at the end of porta hepatis clamping (T7), 1 minute after porta hepatis release (T8), 3 minutes after porta hepatis release (T9), at the end of surgery (T10), and upon PACU admission (T11).
|
From the time of patient entering the operating room until the time of PACU admission, up to 24 hours postoperatively.
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Xuyu Zhang, M.D., Department of Anesthesiology,The first affiliated hospital of Sun Yat-sen University
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
31 mei 2026
Primaire voltooiing (Werkelijk)
24 augustus 2026
Studie voltooiing (Werkelijk)
31 augustus 2026
Studieregistratiedata
Eerst ingediend
16 mei 2026
Eerst ingediend dat voldeed aan de QC-criteria
21 mei 2026
Eerst geplaatst (Werkelijk)
28 mei 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
1 september 2026
Laatste update ingediend die voldeed aan QC-criteria
31 augustus 2026
Laatst geverifieerd
1 augustus 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IRB[2025]680
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JA
Beschrijving IPD-plan
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IPD-tijdsbestek voor delen
Starting 6 months after publication.
IPD delen Ondersteunend informatietype
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