Pediatric anesthesia & critical care

ED50 and ED95 of remimazolam for loss of consciousness in young children: a dose-finding study for induction of anaesthesia

Br J AnaesthPublished Dose-finding study

Authors' conclusion

A single i.v. bolus of remimazolam at estimated doses of 0.45-0.60 mg kg-1 for children aged 1-6 yr and 0.35-0.45 mg kg-1 for those aged 6-12 yr effectively induces loss of consciousness in children.

Study context

Population
Children aged 1–12 yr undergoing induction of GA
Participants
120 children
Comparison
Single i.v. bolus remimazolam ED50 and ED95 across three paediatric age groups
  • Toddlern = 40
  • Preschooln = 40
  • School-agen = 40
Outcome
ED50 and ED95 of remimazolam for inducing loss of consciousness
Methodological detailsbiased coin design up-and-down method
  • Biased coin design up-and-down method

Main finding

As reported in the abstract

ED50 and ED95 of remimazolam for loss of consciousness
GroupED50ED95
Toddler0.42 (95% CI 0.37-0.44)0.57 (95% CI 0.48-0.59)
Preschool0.41 (95% CI 0.35-0.47)0.57 (95% CI 0.50-0.59)
School-age0.30 (95% CI 0.28-0.34)0.43 (95% CI 0.37-0.44)

ED50

Toddler0.42 (95% CI 0.37-0.44)
Preschool0.41 (95% CI 0.35-0.47)
School-age0.30 (95% CI 0.28-0.34)

ED95

Toddler0.57 (95% CI 0.48-0.59)
Preschool0.57 (95% CI 0.50-0.59)
School-age0.43 (95% CI 0.37-0.44)

Safety

Hypotension, respiratory depression, bradycardia, other adverse events

No significant cases in any of the three groups

Original publication

ED50 and ED95 of remimazolam for loss of consciousness in young children: a dose-finding study for induction of anaesthesia. Br J Anaesth. Published 18 March 2025. doi:10.1016/j.bja.2025.02.004

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