Remimazolam Besylate and Propofol Sedation on Hemodynamic for Coronary Artery Bypass Graft Patients
NCT06496165 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 338
Last updated 2024-07-11
Summary
In the immediate postoperative period following cardiac surgery, many patients require short-term sedation until cardiovascular and respiratory stability has been achieved and weaning from artificial ventilation can be started. For these patients, current guideline recommended propofol over benzodiazepine, mainly because of the short elimination half life of propofol. However, hypotension, a very common side effect of propofol, may impose restrictions on its use in some cardiac surgery patients. Remimazolam besylate is a novel, ultra-short-acting benzodiazepine that undergoes organ-independent metabolism by tissue esterases into an inactive metabolite. In other words, remimazolam has both the property of quick offset of effect like propofol and the stable hemodynamic effect like midazolam, making it favorable for use as a sedative in cardiac surgery patients. The aim of this study is to evaluate the hemodynamic effect of remimazolam besylate versus propofol in patients undergoing cardiac surgery.
Conditions
Interventions
- DRUG
-
Remimazolam
Intravenous pump injection. The loading dose will be 0.1mg/kg, the maintenance dose will be 0.1-0.5mg/kg/h, with the target RASS be -2-0
- DRUG
-
Propofol
Intravenous pump injection. The loading dose will be 0.5mg/kg, the maintenance dose will be 1-4mg/kg/h, with the target RASS be -2-0
Sponsors & Collaborators
-
Shanghai Zhongshan Hospital
lead OTHER
Principal Investigators
-
Zhe Luo · Fudan University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-15
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- China
Study Locations
More Related Trials
-
Safety and Efficacy of Remimazolam in OPCAB Surgery
NCT05396690 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Quality of Recovery After General Anesthesia With Remimazolam
NCT06332157 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Remimazolam vs Midazolam to Reduce Delirium in Adults ≥65 Undergoing CPB Valve Surgery
NCT07265128 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
The Dose Range of Remimazolam Besylate in Different Age Groups
NCT06009991 ·Status: RECRUITING ·Phase: NA
-
Effects of Remimazolam on the Intraoperative Hemodynamics in Bypass Surgery
NCT05557253 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Remimazolam Besylate Versus Propofol for Sedation in Critically Ill Patients With Deep Sedation
NCT05539521 ·Status: UNKNOWN ·Phase: PHASE2
-
Remimazolam vs. Midazolam for Sedation and Cognitive Outcomes in Orthopedic Surgery
NCT07113483 ·Status: RECRUITING ·Phase: PHASE3
-
Remimazolam Versus Propopol Based Total Intravenous Anesthesia for Breast Surgery
NCT05375747 ·Status: WITHDRAWN ·Phase: NA
-
Effect of Remimazolam on Postoperative Delirium
NCT06180876 ·Status: COMPLETED ·Phase: NA
-
The Effect of Remimazolam on Postoperative Sleep Quality
NCT07094945 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
A Randomized, Controlled Clinical Trial Comparing Remimazolam Besylate Combined With Alfentanil Versus Propofol Combined With Alfentanil for Anesthesia in Thoracic Surgery
NCT07347496 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Long-term Sedation With Remimazolam Besylate in Critically Ill Patients
NCT05555667 ·Status: RECRUITING ·Phase: PHASE3
-
RCT Comparing Remimazolam With Propofol Under EEG DSA Guidance During Cardiac Electrophysiology Studies and Ablation
NCT06700681 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Efficacy and Safety of Remimazolam Besylate Versus Propofol for Sedation in Mechanically Ventilated ICU Patients
NCT04790734 ·Status: COMPLETED ·Phase: PHASE2
-
Study of the Efficacy and Safety of Remimazolam in General Anesthesia in Adults Undergoing Cardiac Surgery
NCT02523859 ·Status: TERMINATED ·Phase: PHASE3
-
Propofol or Midazolam for Sedation and Early Extubation Following Coronary Artery Bypass Graft Surgery
NCT05290324 ·Status: COMPLETED ·Phase: NA
-
Comparison of Hemodynamic Stability During Anesthesia Using Remimazolam and Sevoflurane in Minimally Invasive AVR
NCT05864625 ·Status: COMPLETED ·Phase: NA
-
Remimazolam Phase II Cardiac Anesthesia Study
NCT01937767 ·Status: COMPLETED ·Phase: PHASE2
-
Anesthesia and Lymphocytes Apoptosis
NCT01461551 ·Status: COMPLETED ·Phase: NA
-
The Effect of General Anesthesia with Remimazolam and Propofol on Rhythmic State and Cognitive Function
NCT06775366 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Quality of Recovery (QoR)-15 Scores Between Propofol and Remimazolam Anesthesia
NCT05016518 ·Status: COMPLETED ·Phase: NA
-
The Impact of Remimazolam for Postoperative Sedation on the Left Ventricular Systolic Performance in Cardiac Surgery
NCT05041725 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Remimazolam on the Recovery Quality After Day Surgery
NCT05748665 ·Status: COMPLETED ·Phase: NA
-
The Effects of Remimazolam on Cerebral Blood Flow Following General Anesthesia Induction
NCT07303985 ·Status: COMPLETED ·Phase: PHASE3
-
REmimazolam vs PrOpofol on Intraoperative hypotenSion in Major Noncardiac surgEry
NCT05436522 ·Status: COMPLETED ·Phase: PHASE4