Anesthetic drugs & techniques

Efficacy and safety of Ciprofol for procedural sedation and anesthesia in non-operating room settings

J Clin AnesthPublished Randomised controlled trial

Authors' conclusion

Ciprofol induced a level of sedation or anesthesia equivalent to that induced by propofol in non-operating room settings except for a prolonged induction time in patients undergoing FB. Ciprofol had a safety profile similar to that of propofol. No pain on injection was reported by ciprofol.

Study context

Population
Patients scheduled for an endoscopic procedure (endoscopic submucosal dissection, ERCP, flexible bronchoscopy) in non-operating room settings, university-affiliated teaching hospital
Participants
207 patients
Comparison
Ciprofol 6 or 8 mg/kg/h vs propofol 40 mg/kg/h (induction dose) for sedation or anaesthesia
  • Ciprofol 6 mg/kg/hn = 69
  • Ciprofol 8 mg/kg/hn = 69
  • Propofoln = 69reference
Primary endpoint
Success rate of sedation or anesthesia for the procedures
Methodological detailsprospective, double-blind, parallel-group, single-centre
  • Prospective
  • Double-blind
  • Parallel-group
  • Single-centre

Primary result

As reported in the abstract

Procedure success rate

Secondary outcomes

Induction time, flexible bronchoscopy (subgroup) — Ciprofol 6 mg/kg/h and Ciprofol 8 mg/kg/h vs Propofol · longer with ciprofol only in FB

P = 0.004

OutcomeP value
Time to full alertness and PACU dischargeCiprofol 6 mg/kg/h, Ciprofol 8 mg/kg/h vs PropofolP > 0.05

Time to full alertness and PACU discharge

Comparable across the three groups

Neurological outcomes and inflammatory responses

Comparable among the three groups

Safety

Drug-related AEs

Pain on injection

No pain on injection reported in ciprofol groups

Original publication

Efficacy and safety of Ciprofol for procedural sedation and anesthesia in non-operating room settings. J Clin Anesth. Published 2 January 2023. doi:10.1016/j.jclinane.2022.111047

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