Remimazolam: Induction dose of remimazolam: 0.2-0.4 mg/kg; maintenance dose of remimazolam: 0.2-1 mg/kg/h. Maintain BIS values between 40 and 60.
Propofol: Induction dose of propofol : 1.5 -2.5mg/kg; maintenance dose of propofol : 1.5-4.5mg/kg/h. Maintain BIS values between 40 and 60.
Study summary
This study is designed as a prospective, double-blind, randomized controlled trial to investigate the effect of remimazolam on intraoperative cardiac output (CO) in elderly patients undergoing general anesthesia, and to evaluate its protective efficacy against elevated high-sensitivity cardiac troponin T (hs-cTnT) levels and perioperative myocardial injury.
Eligibility
Sex
ALL
Min age
65 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age ≥ 65 years
* Elderly hospitalized patients scheduled to undergo general anesthesia
* American Society of Anesthesiologists (ASA) physical status I-III
* Surgery to be performed in the supine position
* Ability to communicate with the investigator and to cooperate in completing the assessment scales
* Expected duration of surgery ≥ 2 hours
Exclusion Criteria:
* Congenital heart disease, severe cardiac conduction block, or implanted cardiac pacemaker;
* History of cerebral infarction, cerebral hemorrhage, or stroke within the past 3 months;
* Known allergy to remimazolam or propofol;
* Severe mental illness, history of analgesic abuse, or addiction to psychotropic drugs;
* Patient or family members refuse surgery or anesthesia, or are unable to complete the required questionnaires.
Primary outcome measure(s)
postoperative day 1 hs-cTnT — postoperative day 1 postoperative day 1 hs-cTnT level
Trial sites (1)
Facility
City
Region
Status
Jiaxing University Affiliated Hospital
Jiaxing
Zhejiang
More Affiliated Hospital of Jiaxing University trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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