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This study is a randomized, controlled trial. A total of 72 patients will be randomized to receive remimazolam anesthesia or balanced anesthesia (propofol + desflurane) during extracranial-intracranial bypass surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| remimazolam group | Experimental | General anesthesia is induced and maintained with remimazolam. |
|
| balanced group | Active Comparator | General anesthesia is induced with propofol and maintained with desflurane. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Remimazolam | Drug | Anesthesia induction: remimazolam 6-12 mg/kg/h Anesthesia maintenance: remimazolam 1-2 mg/kg/h |
|
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative hypotension | Target Systolic Blood Pressure < 80% | During surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Inotropic requirements | Dose of inotropics administered during surgery | During surgery |
| Incidence of bradycardia | heart rate < 40 /min |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chang-Hoon Koo | Contact | +821085098841 | vollock9@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Chang-Hoon Koo | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeonggi-do | 13620 | South Korea |
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| ID | Term |
|---|---|
| C522201 | remimazolam |
| D058126 | Balanced Anesthesia |
| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Balanced Anesthesia | Drug | Anesthesia induction: propofol 1.5-2 mg/kg Anesthesia maintenance: Desflurane 6-8 vol% |
|
| During surgery |
| Incidence of tachycardia | heart rate > 100 /min | During surgery |
| Maximum systolic blood pressure | Maximal systolic blood pressure during surgery (mmHg) | During surgery |
| Minimum systolic blood pressure | Minimal systolic blood pressure during surgery (mmHg) | During surgery |
| Brain relaxation score | 1=perfectly relaxed, 2=satisfactorily relaxed, 3=firm brain, 4=bulging brain | Immediately after dura opening |