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Japanese

June. 27, 2024

June. 27, 2024

jRCT1031240189

Effect of remimazolam on autonomic circulatory control function: a randomized controlled trial

Effect of remimazolam on autonomic circulatory control function

Sato Hanae

Nihon University School of Medicine

30-1 Oyaguchi-Kamimachi, Itabashi-ku, Tokyo

+81-3-3972-8111

nakamura.hanae@nihon-u.ac.jp

Sato Hanae

Nihon University School of Medicine

30-1 Oyaguchi-Kamimachi, Itabashi-ku, Tokyo

+81-3-3972-8111

nakamura.hanae@nihon-u.ac.jp

Recruiting

June. 27, 2024

40

Interventional

randomized controlled trial

open(masking not used)

active control

parallel assignment

other

1) Persons who are between 18 and 65 years old at the time of obtaining consent (pre-operative examination)
2) Cases with American Society of Anesthesiologists pre-anesthesia risk assessment 2 or lower (ASA classification 1: No organic, physiological, biochemical or mental abnormality. 2: Mild to moderate systematic disorder. 3: Severe systematic disorder. 4: Severe systematic disease that is threatening life and cannot be cured even with surgery.)
3) Subjects who have received sufficient explanation at the pre-operative examination to participate in this study, and who have given their voluntary written informed consent with full understanding.

1)Patients with autonomic nerve imbalance
2)Patients with hypertension
3) Cases with moderate to severe systemic complications (American Society of Anesthesiologists preanesthesia risk assessment 3 or higher)
4)Poorly controlled diabetic patients
5) Patients taking oral medications that affect the autonomic nervous system
6)Other persons who are judged by the research director to be inappropriate as research subjects.
7) Persons who have requested refusal to participate in this research

20age old over
65age old under

Both

Diseases that require general anesthesia in the operating room

Assign anesthesia maintenance to propofol group and remimazolam group.
In the propofol group, propofol 2-2.5 mg/kg was administered intravenously, and in the remimazolam group, remimazolam 12 mg/kg/hour was administered intravenously to induce sleep.
Anesthesia maintenance should be 4-10 mg/kg/h in the propofol group and 1-2 mg/kg/h in the remimazolam group.

Spontaneous fluctuation waveforms of heart rate and blood pressure obtained from electrocardiogram and arterial pressure waveforms

Heart rate, blood pressure, cardiac output, respiratory rate, end-tidal carbon dioxide concentration, percutaneous arterial oxygen saturation, BIS value

Nihon University School of Medicine clinical research ethics committee
30-1 Oyaguchi-Kamicho, Itabashi-ku, Tokyo, Tokyo

+81-3-3972-8111

med.itabashi.clinicalresearch@nihon-u.ac.jp
Approval

May. 23, 2024

No

none