Efficacy and safety of remimazolam tosilate in anesthesia for short otolaryngology surgery.

IF 2.3 3区 医学 Q2 ANESTHESIOLOGY
Wen Cheng, Yi Cheng, Hongying He, Dandan Zhou, Jing Wang, Yi Zhang, Zhao Wang
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引用次数: 0

Abstract

Background: Remimazolam tosilate represents the novel ultrashort-acting benzodiazepine drug. This work focused on exploring whether remimazolam tosilate was effective and safe in anesthesia for short otolaryngology surgery in adults, and optimize its medication regimen, thus providing a theoretical basis for its widespread clinical application.

Methods: The present unicentric, double-blind, randomized controlled study enrolled altogether 85 otolaryngology surgery patients aged 18-60 years, and they were divided as remimazolam (RM, 42 cases) or midazolam (MD, 43 cases) group. Efficacy outcomes included successful sedation time, sedation effect (Modified Observer's Assessment of Alertness/Sedation (MOAA/S) score), bispectral index values (BIS), and postoperative recovery. The safety outcomes were patient vital signs at each time point (before induction (T0), 2 min and 5 min after trial drug treatment (T1 and T2 separately), during successful intubation (T3), at the end of surgery (T4), during extubation (T5), and at the time of exiting the room (T6)), any adverse reactions (AEs) during perioperative period, and patient satisfaction with anesthesia experience.

Results: Demographics were not significantly different in both groups (P > 0.05). RM group had significantly decreased successful sedation time relative to MD group (P < 0.05), while increased successful sedation rate (100%) relative to MD group (90.70%, P = 0.116). RM group showed decreased MOAA/S score and BIS value compared with MD group at T1 and T2 (P < 0.05). The spontaneous respiration recovery time and extubation time were not significantly different in both groups (P > 0.05), but RM group exhibited decreased discharge time compared with MD group (P < 0.05). Compared with MD group, the RM group had lower blood pressure (BP) at T3 (P < 0.05); whereas higher heart rate (HR) and respiration rate (RR) at T1 and T2 (P < 0.05). Difference in AEs was not of statistical significance. Finally, RM group exhibited the increased satisfaction of anesthesia experience compared with MD group (P < 0.05).

Conclusion: Remimazolam tosilate is effective on anesthesia for short otolaryngology surgery. Remimazolam shows the rapid onset, stable circulation, fast postoperative recovery, no increase in perioperative AEs, and high satisfaction with anesthesia experience compared with midazolam.

Trial registration: https://www.chictr.org.cn/ (ChiCTR2200067123) on 27/12/2022. This study was consistent with CONSORT guidelines.

在耳鼻喉科短手术麻醉中使用托西酸瑞马唑仑的有效性和安全性。
背景介绍甲磺酸雷马唑仑是一种新型超短效苯并二氮杂卓药物。这项工作的重点是探讨噻唑嘧啶在成人耳鼻咽喉科短小手术麻醉中是否有效、安全,并优化其用药方案,从而为其在临床上的广泛应用提供理论依据:本项单中心、双盲、随机对照研究共纳入 85 例耳鼻喉科手术患者,年龄在 18-60 岁之间,分为雷米马唑仑组(RM,42 例)和咪达唑仑组(MD,43 例)。疗效指标包括成功镇静时间、镇静效果(改良观察者警觉/镇静评估(MOAA/S)评分)、双频谱指数(BIS)值和术后恢复情况。安全性结果为各时间点(诱导前(T0)、试验药物治疗后 2 分钟和 5 分钟(分别为 T1 和 T2)、成功插管期间(T3)、手术结束时(T4)、拔管期间(T5)和离开病房时(T6))的患者生命体征、围术期的任何不良反应(AEs)以及患者对麻醉体验的满意度:两组患者的人口统计学无明显差异(P>0.05)。与 MD 组相比,RM 组的成功镇静时间明显缩短(P 0.05),但与 MD 组相比,RM 组的出院时间缩短(P 结论:与 MD 组相比,RM 组的成功镇静时间明显缩短(P 0.05):甲苯磺酸雷马唑仑对耳鼻喉科短小手术麻醉有效。与咪达唑仑相比,雷马唑仑起效快,循环稳定,术后恢复快,围术期AEs不增加,麻醉体验满意度高。试验注册:https://www.chictr.org.cn/(ChiCTR2200067123),2022年12月27日。本研究符合 CONSORT 指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Anesthesiology
BMC Anesthesiology ANESTHESIOLOGY-
CiteScore
3.50
自引率
4.50%
发文量
349
审稿时长
>12 weeks
期刊介绍: BMC Anesthesiology is an open access, peer-reviewed journal that considers articles on all aspects of anesthesiology, critical care, perioperative care and pain management, including clinical and experimental research into anesthetic mechanisms, administration and efficacy, technology and monitoring, and associated economic issues.
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