Neuroanesthesia & neurocritical care

Effect of remimazolam versus propofol anesthesia on postoperative delirium in neurovascular surgery: study protocol for a randomized controlled, non-inferiority trial

Perioper Med (Lond)Published Study protocol for a randomised controlled trial

Study context

Population
Adults, ASA I–III, undergoing elective neurovascular surgery under GAplanned
Participants
696 adults
Planned comparison
Remimazolam- vs propofol-based total intravenous anesthesia (TIVA)
Primary endpoint
Incidence of POD
Follow-up
Within 5 days after surgery
Methodological detailsdouble-blind, non-inferiority, 1:1 randomisation, modified ITT analysis, Secondary outcomes: Postoperative delirium (POD) subtypes, number of positive assessments and severity, emergence agitation, intraoperative awareness and undesirable movement, intraoperative hypotension, postoperative cognitive function
  • Double-blind
  • Non-inferiority
  • 1:1 randomisation
  • Modified ITT analysis
  • Secondary outcomes: POD subtypes, number of positive assessments and severity, emergence agitation, intraoperative awareness and undesirable movement, intraoperative hypotension, postoperative cognitive function

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Effect of remimazolam versus propofol anesthesia on postoperative delirium in neurovascular surgery: study protocol for a randomized controlled, non-inferiority trial. Perioper Med (Lond). Published 14 June 2024. doi:10.1186/s13741-024-00415-6

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