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Comparative Efficacy of Remimazolam, Ciprofol, and Propofol Combined with Remifentanil in Maintaining Spontaneous Breathing During Fiberoptic Bronchoscopy: A Randomized Controlled Trial

Comparison of the effects of Remimazolam besylate or ciprofol combined with remifentanil in preserved spontaneous breathing fiberoptic bronchoscopy anesthesia

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500113865
Enrollment
Unknown
Registered
2025-12-04
Start date
2025-03-03
Completion date
Unknown
Last updated
2025-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Respiratory Diseases

Interventions

1:Propofol + Remifentanil Group
2:Ciprofol + Remifentanil Group
3:Remimazolam + Remifentanil Group

Sponsors

Xinjiang Medical University Cancer Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1.ASA II–III status with generally good or stable health, aged 18–65 years, any gender, BMI 18.5–28 kg/m²; 2.Patients undergoing non-intubated bronchoscopy with spontaneous breathing preservation (bronchial examination, biopsy, alveolar lavage, etc.), with an endoscopic procedure duration not exceeding 20 minutes; 3.Patients who voluntarily participate and sign an informed consent form; All patients enrolled in this study underwent the procedure under close anesthetic monitoring.

Exclusion criteria

Exclusion criteria: 1.Explicit refusal to participate or inability to communicate/cooperate effectively; 2. Known allergy to fat emulsions, benzodiazepines, or opioids; 3.Recent bronchial asthma attack, active massive hemoptysis, multiple pulmonary bullae, or severe superior vena cava syndrome; 4.Uncontrolled potentially life-threatening cardiovascular/respiratory conditions (e.g., acute coronary syndrome, uncontrolled severe hypertension [SBP =180 mmHg or DBP =110 mmHg] or hypotension [SBP <90 mmHg or DBP <60 mmHg], recent acute myocardial infarction, bradycardia [HR <50 bpm], severe arrhythmias, severe heart failure), poorly controlled diabetes, hepatic/renal insufficiency; acute upper respiratory infection within 2 weeks; severe airway narrowing or anticipated difficult airway management; 5. Long-term benzodiazepine use history; 6. Severe organ, neuromuscular, or psychiatric disorders; gastroesophageal reflux disease; gastroparesis; 7. Participation in other drug trials within the past 3 months; history of severe bleeding tendency or coagulation disorders; 8. Pregnancy. Patients meeting any exclusion criterion were excluded.

Design outcomes

Primary

MeasureTime frame
Hypoxemia(SPO2<90%);

Secondary

MeasureTime frame
Safety outcome(The incidence rates of hypotension, bradycardia and injection pain);Effective outcome(Anesthesia success rate, induction time, recovery time);The baseline characteristics of the three groups of patients (age, height, gender, weight, body mass index).;

Countries

China

Contacts

Public ContactSuliya.Dilixiati

Xinjiang Medical University Cancer Hospital

ppkrit012@qq.com+86 180 9983 9525

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026