Using Remimazolam for Sedation in Patients After Heart Surgery

Remimazolam Besylate Versus Propofolfor Sedation of Postcardioperative Patients in Intensive Care Unit: a Prospective,Single-center,Randomized Non-inferior Trial

Not applicable Interventional First Affiliated Hospital of Zhejiang University · NCT06716840

This study tests if a new sedative called remimazolam can help heart surgery patients recover better and get off breathing machines faster compared to a standard sedative.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment120 (estimated)
Ages18 Years and up
SexAll
SponsorFirst Affiliated Hospital of Zhejiang University Academic / other
Locations1 site (Hangzhou, Zhejiang)
Trial IDNCT06716840 on ClinicalTrials.gov

What this trial studies

This study evaluates the effectiveness of remimazolam besylate as a sedative for patients recovering from cardiac surgery who require mechanical ventilation. Participants aged 18 and older will be randomly assigned to receive either remimazolam or propofol for sedation, with the goal of achieving effective sedation while minimizing adverse effects and facilitating quicker extubation. The study aims to determine if remimazolam can provide a safer and more efficient sedation option compared to traditional sedatives.

Who should consider this trial

Good fit: Ideal candidates are adults over 18 years old who have undergone cardiac surgery and require mechanical ventilation within 48 hours post-operation.

Not a fit: Patients who are pregnant, have certain cardiac conditions, or have a history of psychiatric illness may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved sedation practices in intensive care, enhancing recovery times for patients after cardiac surgery.

How similar studies have performed: While the use of remimazolam is relatively novel in this context, other studies have shown promising results with similar sedative approaches.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. age ≥ 18 years ;
2. admitted to the intensive care unit after cardiac surgery with techanical ventilation;
3. expected to extubation within 48hours ;
4. participant has given informed consent

Exclusion Criteria:

1. pregnant or lactating women
2. known or suspected hypersensitivity to the study drug
3. history of impaired consciousness or psychiatric illness
4. severe bradycardia with a heart rate of \< 50 beats per minute
5. systolic blood pressure \< 90 mmHg with fluid resuscitation and vasopressor maintenance
6. atrioventricular block(II or III degree), Left ventricular ejection fraction(LVEF) \<30%
7. participated in other clinical studies within 3 months

Where this trial is running

Hangzhou, Zhejiang

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions RemimazolamPropofolSedationMechanical VentilationIntensive CareCardiac Surgery
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.