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This study plans to categorize patients who underwent short-duration ENT surgeries with remimazolam TIVA combined with flumazenil antagonism based on whether their intraoperative BIS values were maintained below 60.
This study plans to categorize patients who underwent short-duration ENT surgeries with remimazolam TIVA combined with flumazenil antagonism into two groups based on whether their intraoperative BIS values were maintained below 60. It aims to compare the differences in postoperative recovery quality between the groups, thereby providing evidence-based support for determining the optimal BIS target range during remimazolam TIVA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AB group | Intraoperative BIS values ≤60 | ||
| HB group | Intraoperative BIS values >60 |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of intraoperative awareness | Modified Brice Interview From the start of surgery to the end of surgery | 2hours |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of secondary sedation | Incidence of secondary sedation from flumazenil antagonization to discharge from the PACU | 1 day |
| mean arterial pressure | The fluctuation range of intraoperative mean arterial pressure during surgery |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent short-duration surgeries with remimazolam TIVA combined with flumazenil antagonism in the Department of Otorhinolaryngology at Tongji Hospital, affiliated with Tongji Medical College, Huazhong University of Science and Technology, from January 1, 2024, to December 31, 2025, were included.
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| Name | Affiliation | Role |
|---|---|---|
| Aihua Du, Dr | Tongji Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tongji Hospital | Wuhan | Hubei | 430030 | China |
individual participant data (IPD) available to other researchers could be gotten from the PI Dr. aijun XU
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| 2 hours |
| heart rate | The fluctuation range of intraoperative heart rate during surgery | 2 hours |
| usage of vasoactive drugs | Intraoperative use of vasoactive drugs during surgery | 2 hours |
| Drug doses | Drug doses during surgery | 2 hours |
| Awakening time | From the end of anesthesia to awakening. | 1 hours |
| PACU stay | From admission to the PACU to discharge from the PACU. | 1 hours |