Regional anesthesia

Comparison of the recovery profiles of propofol, dexmedetomidine, and remimazolam for intraoperative sedation in patients undergoing upper limb surgery under brachial plexus blockade: a randomized controlled trial

Can J AnaesthPublished Randomised controlled trial

Primary result · Recovery timeResult — go to the resultMean difference 5 min 95% CI 3–8

Authors' conclusion

Patients in the propofol group exhibited the most rapid recovery time from intraoperative sedation under regional anesthesia, followed by those in the remimazolam and dexmedetomidine groups.

Study context

Population
Patients scheduled for upper limb surgery under brachial plexus blockade
Participants
119 patients
Comparison
Intraoperative sedation with propofol vs dexmedetomidine vs remimazolam
Primary endpoint
Recovery time (from completion of infusion to Modified Observer's Assessment of Alertness and Sedation score of 5)

Primary result

Recovery time

Mean difference

5 min

95% CI 3–8

P < 0.001

By group

Remimazolam vs Propofol
mean difference 5 min (95% CI 3–8); P < 0.001

As reported in the abstract

Secondary outcomes

Recovery-related secondary outcomes (LOS, quality of recovery, Aldrete score)

No significant differences among the three groups (all P > 0.05)

Original publication

Comparison of the recovery profiles of propofol, dexmedetomidine, and remimazolam for intraoperative sedation in patients undergoing upper limb surgery under brachial plexus blockade: a randomized controlled trial. Can J Anaesth. Published 13 June 2025. doi:10.1007/s12630-025-02987-3

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