Anesthetic drugs & techniques

Effective remimazolam loading dose for adequate sedation in regional anesthesia

Can J AnaesthPublished Dose-finding study

Authors' conclusion

The ED90 of the remimazolam loading dose to achieve adequate sedation in patients undergoing limb surgery under regional anesthesia was 0.617 mg·kg-1·hr-1 (95% CI, 0.511 to 0.722; 98% CI, 0.492 to 0.741).

Study context

Population
Patients aged 19–80 yr undergoing limb surgery under RA49 analysed
Participants
50 patients
Outcome
ED90 of remimazolam loading dose for MOAA/S score ≤ 3 points (loss of response to verbal command)
Follow-up
Within ten minutes

Main finding

As reported in the abstract

ED90 (log-logistic function)

Effective dose (ED90) 0.617 mg·kg-1·hr-1

0.617

95% CI 0.511 to 0.722; 98% CI, 0.492 to 0.741

Secondary outcomes

ED50 (log-logistic function)

ED50 0.438 mg·kg-1·hr-1
0.438 (95% CI, 0.335 to 0.541; 98% CI, 0.315 to 0.560)

Adequate sedation with assigned loading dose

Successful in 42 of 49 analysed patients

Original publication

Effective remimazolam loading dose for adequate sedation in regional anesthesia. Can J Anaesth. Published 20 February 2024. doi:10.1007/s12630-024-02698-1

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