ICU sedation, delirium & recovery

Remimazolam besylate versus propofol for deep sedation in critically ill patients: a randomized pilot study

Crit CarePublished Randomised controlled trial

Authors' conclusion

Remimazolam besylate appears to be an effective and safe agent for short-term deep sedation in critically ill patients.

Study context

Population
Critically ill intensive care unit (ICU) patients requiring deep sedation (Richmond Agitation and Sedation Scale (RASS) −4 or −5)
Participants
30 vs 30
Comparison
Remimazolam besylate vs propofol for deep sedation
  • Remimazolamn = 30
  • Propofoln = 30reference
Primary endpoint
Percentage of time within target sedation range without rescue sedation
Methodological detailssingle-center, prospective, pilot
  • Single-center
  • Prospective
  • Pilot

Primary result

As reported in the abstract

Time at target RASS

Secondary outcomes

Sedation depth during intervention (both groups)

Median (IQR) RASS score
- 5.0 (- 5.0, - 4.0)
Median (IQR) Narcotrend Index (NI) value
29.0 (21.0, 37.0)

Ventilator-free hours within 7 days, successful extubation, ICU LOS, 28-day mortality

No significant differences between groups

Safety

Hypotension

P > 0.05

Bradycardia

No patient experienced bradycardia

Original publication

Remimazolam besylate versus propofol for deep sedation in critically ill patients: a randomized pilot study. Crit Care. Published 4 December 2023. doi:10.1186/s13054-023-04760-8

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