Neuroanesthesia & neurocritical care

Effects of Fospropofol on intraoperative hemodynamics in patients undergoing Supratentorial tumor resection: A randomized controlled trial

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

Fospropofol provided more stable intraoperative hemodynamics than propofol in patients undergoing supratentorial tumor resection without increasing the delirium risk.

Study context

Population
Patients scheduled for elective supratentorial tumor resectionincluded in analysis
Participants
217 patients
Comparison
Fospropofol vs propofol for anaesthesia induction and maintenance
  • Fospropofoln = 108
  • Propofoln = 109reference
Primary endpoint
Area under the threshold (AUT) for MAP < 65 mmHg
Methodological detailsmulticentre, Fospropofol group had more males and a higher smoking rate
  • Multicentre
  • Fospropofol group had more males and a higher smoking rate

Primary result

As reported in the abstract

P < 0.05

Secondary outcomes

Intraoperative hypotension

P < 0.05

Time to recovery

P = 0.002

OutcomeP value
Ephedrine useLess ephedrine required with fospropofolP < 0.05

Safety

Delayed recovery

P = 0.005

Emergence and postoperative delirium

Comparable between the two groups
P > 0.05

Original publication

Effects of Fospropofol on intraoperative hemodynamics in patients undergoing Supratentorial tumor resection: A randomized controlled trial. J Clin Anesth. Published 23 May 2026. doi:10.1016/j.jclinane.2026.112237

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