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Remimazolam for Bronchoscopy in High-Risk Patients
Sponsor: First Affiliated Hospital of Zhejiang University
Summary
Bronchoscopy is currently widely used for the diagnosis and treatment of various respiratory diseases. However, the operation of bronchoscopy is irritating, causes a strong stress response, and shares the airway with the patient, making the patient highly susceptible to respiratory and cardiovascular risks. Among these risks, hypoxia is the most common adverse event.Different drug regimens can be selected for anesthesia under deep sedation. The combination of analgesic agents can help reduce coughing during bronchoscopy. Therefore, we employ a combination of sedative and analgesic drugs for painless bronchoscopy procedures. Among sedatives, propofol is the most commonly used. However, due to its disadvantages, such as respiratory and circulatory depression, we have introduced a novel approach combining remimazolam for sedation. The aim is to investigate whether this new regimen, compared to traditional propofol-based sedation, can reduce the incidence of hypoxia, minimize circulatory depression, and lead to faster postoperative awakening and recovery. Additionally, we hope to observe fewer adverse events, such as perioperative nausea and vomiting, excessive secretions, dizziness, and chills.
Official title: A Prospective, Randomized Controlled Clinical Study of the Effect of Remimazolam on the Incidence of Hypoxia in High-risk Patients Undergoing Painless Tracheoscopy
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
360
Start Date
2026-02-09
Completion Date
2026-12
Last Updated
2026-02-24
Healthy Volunteers
No
Interventions
propofol and alfentanil
General anesthesia with spontaneous breathing maintained is administered using propofol and alfentanil.
remimazolam combined with propofol and alfentanil
General anesthesia with spontaneous breathing maintained is administered using remimazolam combined with propofol and alfentanil.
Locations (2)
The First Affliated Hospital, Zhejiang University School Of Medicine
Hangzhou, Zhejiang, China
Shaoxing City First People's Hospital
Shaoxing, Zhejiang, China