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This study aims to find an excellent drug in terms of hemodynamic stability when comparing the propofol and remifentanil with the combined use of remimazolam and remifentanil. When the mean blood pressure falls by 20% or more from the baseline mean blood pressure, it is considered hypotension, and a vasopressor such as ephedrine, phenylephrine, or norpin is used to control the blood pressure to within 20% of the baseline blood pressure. If the blood pressure increases by 20% or more above the baseline mean blood pressure, nicardipine infusion or remimazolam, propofol or remifentanil should be increased to control the blood pressure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| propofol group | Active Comparator | During the induction, propofol was controlled according to sedline (Psi target 40) |
|
| remimazolam group | Experimental | During induction, remimazolam dose was controlled according to sedline (Psi target 40) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| propofol | Drug | during the induction, remimazolam dose was controlled according to sedline (Psi target 40) |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of hypotension events | Hypotension is considered when the mean blood pressure is 20% or more below the baseline mean blood pressure. | procedure (during induction before the surgery) |
| Measure | Description | Time Frame |
|---|---|---|
| blood pressure | Blood pressure will be recorded from the start of drugs infusion to 10 minutes after intubation every 1 minutes, and they will be compared between two groups. | procedure (during induction before the surgery) |
| heart rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sujung Park | Severance Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei University Health System, Severance Hospital | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38834996 | Derived | Choi SH, Min KT, Park EK, Park S. Comparison of hypotension incidence between remimazolam and propofol in patients with hypertension undergoing neurosurgery: prospective, randomized, single-blind trial. BMC Anesthesiol. 2024 Jun 4;24(1):198. doi: 10.1186/s12871-024-02578-7. |
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| ID | Term |
|---|---|
| D015742 | Propofol |
| C522201 | remimazolam |
| ID | Term |
|---|---|
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| remimazolam | Drug | During induction, remimazolam dose was controlled according to sedline (Psi target 40) |
|
heart rate will be recorded from the start of drugs infusion to 10 minutes after intubation every 1 minutes, and they will be compared between two groups.
| procedure (during induction before the surgery) |
| sedline psi | sedline psi will be recorded from the start of drugs infusion to 10 minutes after intubation every 1 minutes, and they will be compared between two groups. | procedure (during induction before the surgery) |
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |