Investigating Flumazenil's Effects on Recovery from Anesthesia with Remimazolam
Official title: Effects of Flumazenil on Recovery After Total Intravenous Anesthesia With Remimazolam in Elderly Patients Undergoing Hip Joint Surgery: a Prospective Randomized Controlled Study.
Run by Pusan National University Yangsan Hospital · NCT05939674 · Data updated 2026-11-12
This study tests if using flumazenil after remimazolam anesthesia helps older patients recover faster and reduces memory problems after hip surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | Pusan National University Yangsan Hospital Academic / other |
| Locations | 1 site (Yangsan, Gyeongsangnam-do) |
| Status | Recruiting |
| Started | September 19, 2023 |
| Main results expected | February 2026 |
| Study ends | June 2026 |
| Registry record updated | September 12, 2025 |
| Trial ID | NCT05939674 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients over 65 years old scheduled for hip joint surgery.
✕Probably not a fit
Patients with impaired consciousness, hemodynamic instability, or certain neurological disorders may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study examines the necessity of using flumazenil, a reversal agent, after administering remimazolam for total intravenous anesthesia in elderly patients undergoing hip joint surgery. It aims to evaluate the impact of flumazenil on recovery time and the occurrence of postoperative cognitive dysfunction. The research will consider factors such as age, obesity, and plasma albumin levels that may affect recovery. By comparing flumazenil with normal saline, the study seeks to clarify its role in clinical practice.
Why it matters
Potential benefit: If successful, this study could lead to improved recovery times and reduced cognitive dysfunction in elderly patients after anesthesia.
How similar studies have gone: While flumazenil is commonly used in clinical settings, this specific investigation into its routine use with remimazolam is novel and has not been extensively studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients over 65 years old scheduled for hip joint surgery Exclusion Criteria: * Patients with impaired consciousness or delirium before surgery * Patients who are hemodynamically unstable before surgery * Patients with a history of neurological or neuromuscular disorders or use of medications that affect neurological or neuromuscular function * Patients who have taken sedatives (anti-anxiety medications, antipsychotics, antidepressants, sleep aids) within the past 24 hours * Patients with known allergy to benzodiazepine, flumazenil * Patients with galactose intolerance, Lapp lactase deficiency, glucose-galactose malabsorption * Patients with hypersensitivity to Dextran40 * Patients who have been taking benzodiazepine for long term * Patients with end stage renal disease requiring hemodialysis * Patients with history of acute angle glaucoma * Patients with alcohol or substance dependence * ASA classification 4 or 5
Where it's running
-
Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do, South Korea Recruiting
Study contacts
- Study coordinator: Jaesang BAE, MD
- Email: wotkdqo@gmail.com
- Phone: 820553602129
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Personalized dosing of remimazolam during general anesthesia using the Eleveld PK/PD model
This trial tests whether a model-guided dosing strategy for remimazolam, tailored to each patient, can improve recovery after general anesthesia in adults undergoing non-cardiac surgery compared with standard dosing.
-
Patient-controlled remimazolam sedation under spinal anesthesia for hip replacement
In adults having hip replacement with spinal anesthesia, this study tests whether letting patients control their own sedation with remimazolam works as well as standard clinician-controlled sedation.
-
Sublingual caffeine to shorten recovery and reduce agitation after general anesthesia in older adults
This trial will test whether a single dose of sublingual caffeine helps people aged 65 and older wake up faster and have less postoperative agitation after elective eye surgery under general anesthesia.
-
Post-isometric relaxation versus active isolated stretching for piriformis syndrome
We are testing whether post-isometric relaxation or active isolated stretching better reduces pain and improves movement in adults aged 20–55 with piriformis syndrome.
-
Venetoclax with azacitidine, chidamide and CAG chemotherapy for fit older adults with AML
This will test whether adding venetoclax and chidamide to azacitidine plus CAG chemotherapy helps people aged 60-75 with newly diagnosed AML achieve remission more often than the standard 3+7 regimen.
-
Remimazolam effects on brain activity, pain response, and memory during MRI
This project sees if the sedative remimazolam changes thinking, pain responses, and brain connectivity in healthy adults aged 18–59 during MRI scans.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.