Effect of Combined Administration of Sevoflurane and Remimazolam on Emergence
NCT06385002 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 146
Last updated 2025-08-01
Summary
Enhanced recovery after surgery (ERAS) protocols are being explored to improve patient outcomes. The method of inducing anesthesia and maintenance using inhalation anesthetics is common but may delay recovery. Remimazolam, a benzodiazepine-class drug, is noted for its rapid metabolism and fewer hemodynamic changes. Research suggests combining sevoflurane and propofol for anesthesia in adults enhances recovery, while studies in pediatric patients indicate a reduction in emergence agitation with remimazolam. However, the impact of combining sevoflurane and remimazolam on postoperative recovery in adult patients undergoing gynecologic and laparoscopic surgery is not yet studied. The study aims to compare the time to emergence from anesthesia and tracheal extubation between concurrent sevoflurane and remimazolam administration versus sevoflurane alone.
Conditions
- Gynecological Surgery
Interventions
- DRUG
-
Remimazolam
After tracheal intubation, the experimental group will maintain oxygen-air (O2-Air) at 2 liters/minute, and remimazolam will be infused at 1.0mg/kg/h, while adjusting the concentration of sevoflurane to maintain the depth of anesthesia with a bispectral index (BIS) of 40-60.
Sponsors & Collaborators
-
Pusan National University Yangsan Hospital
lead OTHER
Principal Investigators
-
Hee Young Kim, MD, PhD · Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Max Age
- 70 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-07-31
- Primary Completion
- 2024-08-31
- Completion
- 2025-06-30
Countries
- South Korea
Study Locations
More Related Trials
-
Effect of Remimazolam on Postoperative Nausea and Vomiting
NCT05439057 ·Status: COMPLETED ·Phase: NA
-
Effects of Repeated Intravenous Anesthesia With Propofol on the Postoperative Neurological Function of Patients Undergoing Hysteroscopic Surgery
NCT05297682 ·Status: UNKNOWN
-
Comparison of Remimazolam and Midazolam for Preventing Intraoperative Nausea and Vomiting During Cesarean Section Under Spinal Anesthesia
NCT05736341 ·Status: COMPLETED ·Phase: NA
-
The Effects of Remimazolam on the Incidence of Severe Hypoxia During Sedated Hysteroscopy for Assisted Reproduction in Overweight or Obese Patients
NCT06187896 ·Status: RECRUITING ·Phase: NA
-
Effects of Different Sedation Techniques on Early Cognitive Recovery After Ambulatory Gynecologic Surgery
NCT07267377 ·Status: COMPLETED ·Phase: NA
-
Regional Anesthesia Versus General Anesthesia
NCT03830086 ·Status: COMPLETED ·Phase: NA
-
the Effect of Opioid-free General Anesthesia
NCT04409964 ·Status: COMPLETED ·Phase: NA
-
Effect of Anesthetic Agents on Optic Nerve Sheath Diameter
NCT03701529 ·Status: COMPLETED ·Phase: NA
-
Sevoflurane With or Without Intravenous Lidocaine Infusion Versus Propofol Anesthesia on Intracranial Pressure and Cerebral Oxygenation During Laparoscopic Hysterectomy
NCT07062367 ·Status: RECRUITING ·Phase: NA
-
The Effect of TEAS on the Quality of Early Recovery
NCT02619578 ·Status: COMPLETED ·Phase: NA
-
the Effect of Dexmedetomidine and Licodaine on Acute Postoperative Pain in Gynecological Laparoscopy
NCT04906889 ·Status: WITHDRAWN ·Phase: NA
-
Opioid-free Anesthesia in Gynecologic Surgery
NCT04700761 ·Status: UNKNOWN ·Phase: NA
-
EEG and ANI Guided Anesthesia and Quality of Recovery
NCT05936671 ·Status: RECRUITING ·Phase: NA
-
Bellomic PCA in Laparoscopic Gynecologic Surgery
NCT05489796 ·Status: COMPLETED ·Phase: NA
-
Timing of Rocuronium After Induction With Propofol on Temporal Summation of Pain
NCT04547608 ·Status: COMPLETED ·Phase: NA
-
Comparison of Sevoflurane, Propofol, and Sevoflurane Plus Propofol for Maintenance of Anaesthesia
NCT01084200 ·Status: COMPLETED ·Phase: PHASE4
-
Synergistic Effect of Intravenous Lidocaine on Anesthetic Induction and Emergence in Patients Undergoing Laparoscopic Cholecystectomy or Gynecological Surgery
NCT07193836 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Propofol-ketamine or Propofol-fentanyl for Procedural Sedation in the Short-term Gynecological Case
NCT06412861 ·Status: COMPLETED ·Phase: NA
-
Effective Dose of Remimazolam Combined With Propofol in Painless Gastroscopy
NCT05876793 ·Status: COMPLETED ·Phase: NA
-
Anti Emetic Efficacy of Combination of Ramosetron and Premixture of Naloxone With Patient-controlled Analgesia
NCT02416115 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Different Anesthesia for Uterine Curettage
NCT00733564 ·Status: COMPLETED ·Phase: NA
-
Effect of Ramosetron on Post-discharge Nausea and Vomiting
NCT03409835 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Nausea and Vomiting After Laparoscopic Cholecystectomy
NCT03933605 ·Status: COMPLETED ·Phase: NA
-
The Effects of Gabapentin and Ramosetron on Postoperative Nausea and Vomiting in Laparoscopic Gynecological Surgery
NCT02617121 ·Status: UNKNOWN ·Phase: NA
-
Magnesium Sulfate; Postoperative Nausea and Vomiting; Laparoscopic Surgery
NCT03541915 ·Status: UNKNOWN ·Phase: NA