Cardiothoracic & vascular anesthesia

Efficacy of Single-Bolus Administration of Remimazolam During Induction of Anesthesia in Patients Undergoing Cardiac Surgery: A Prospective, Single-Center, Randomized Controlled Study

Anesth AnalgPublished Randomised controlled trial

Authors' conclusion

A single-bolus injection of remimazolam provided efficient anesthetic induction in patients undergoing cardiac surgery. A 0.2 mg/kg bolus injection of remimazolam resulted in the shortest time to loss of responsiveness among the 3 groups, without significantly altering the hemodynamic parameters.

Study context

Population
Patients undergoing elective cardiac surgery
Comparison
Remimazolam single bolus 0.1 or 0.2 mg/kg vs continuous infusion 6 mg/kg/h for induction
Primary endpoint
Time to loss of responsiveness (modified Observer's Assessment of Alertness/Sedation Scale <3)
Methodological detailsprospective, single-centre
  • Prospective
  • Single-centre

Primary result

As reported in the abstract

Time to loss of responsiveness
Mean difference (95% CI)
Continuous vs bolus 0.2
89.0(79.1–98.9)
Continuous vs bolus 0.1
65.8(46.9–84.7)
Bolus 0.1 vs bolus 0.2printed as between the bolus 0.2 and bolus 0.1 groups
23.2(6.6–39.8)

Safety

Arterial BP and heart rate during induction

No significant differences between groups

Original publication

Efficacy of Single-Bolus Administration of Remimazolam During Induction of Anesthesia in Patients Undergoing Cardiac Surgery: A Prospective, Single-Center, Randomized Controlled Study. Anesth Analg. Published 5 February 2024. doi:10.1213/ane.0000000000006861

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

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