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Even though remimazolam is known to be safely administered without hemodynamic instability, hypotension is the one of the common side effects of remimazolam. Because elderly patients are susceptible to hypotension due to old age, multimodality, and multiple medications, hypotension can be harmful in elderly patients. Remimazolam can be administered either bolus or continuous for anesthetic induction. In our study the investigators aimed to compare the incidence of hypotension after anesthetic induction using remimazolam by bolus injection and continuous infusion in elderly patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bolus | Experimental | Remimazolam bolus injection for 20 seconds |
|
| Continuous | Active Comparator | Remimazolam continuous infusion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bolus of remimazolam | Drug | 0.19-0.25 mg/kg for 60-80 years old 0.14-0.19 mg/kg for >80 years old |
| |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of hypotension | Systolic blood pressure < 90 mmHg | 10 minutes after intubation |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of bradycardia | Heart rate < 40 beats per minute | 10 minutes after intubation |
| Number of participants with use of any vasopressors | Use of ephedrine, phenylephrine |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eunah Cho, PhD | Assistant Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kangbuk Samsung Hospital | Seoul | Seoul | South Korea |
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| ID | Term |
|---|---|
| D007022 | Hypotension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| Continuous infusion of remimazolam |
| Drug |
12 mg/kg/hr until loss of consciousness |
|
| 10 minutes after intubation |
| Lowest systolic blood pressure | The lowest systolic blood pressure measured within10 minutes after intubation | 10 minutes after intubation |
| Time to loss of consciousness | Time to loss of consciousness. Loss of consciousness is assessed by the loss of response to shoulder shaking. | 10 minutes after intubation |
| Total remimazolam used for anesthetic induction | Sum of remimazolam used during anesthetic induction | 10 minutes after intubation |