Cardiothoracic & vascular anaesthesia

Effect of remimazolam versus propofol on hypotension after anesthetic induction in patients undergoing coronary artery bypass grafting: A randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

Remimazolam may offer improved hemodynamic stability during anesthetic induction in patients undergoing CABG, suggesting its potential advantage over propofol for patients with significant coronary artery disease in terms of hemodynamic stability.

Study context

Population
Adults undergoing isolated coronary artery bypass grafting (CABG), tertiary teaching hospital
Participants
50 vs 50
Comparison
Remimazolam vs propofol for anesthetic induction
  • Remimazolamn = 50
  • Propofoln = 50reference
Primary endpoint
AUC below baseline mean arterial pressure (MAP)
Follow-up
First 10 min after anesthetic induction
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

Mean difference

50.8 mmHg·min

95% CI 10.4–91.2

P = 0.014

By group

Remimazolam vs Propofol
mean difference 50.8 mmHg·min (95% CI 10.4–91.2); P = 0.014

Secondary outcomes

AUC for MAP <65 mmHg

P = 0.007

Vasopressor use

P = 0.001

Original publication

Effect of remimazolam versus propofol on hypotension after anesthetic induction in patients undergoing coronary artery bypass grafting: A randomized controlled trial. J Clin Anesth. Published 9 August 2024. doi:10.1016/j.jclinane.2024.111580

Composed by AI from the published abstract and checked against it. How Briefs are made →

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