Endoscopy Clinical Trials

Clinical trials related to Endoscopy Procedure

A Prospective, Randomized Controlled Clinical Study of the Effect of Remimazolam on the Incidence of Hypoxia in High-risk Patients Undergoing Painless Tracheoscopy

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 4
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.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• ASA Class Ⅲ - Ⅳ

• Scheduled for elective painless bronchoscopy -

Locations
Other Locations
China
The First Affliated Hospital, Zhejiang University School Of Medicine
RECRUITING
Hangzhou
Shaoxing City First People's Hospital
NOT_YET_RECRUITING
Shaoxing
Contact Information
Primary
Yueying Zheng
1507128@zju.edu.cn
+8613777408863
Backup
Yeke Zhu
21618018@zju.edu.cn
+8613515815457
Time Frame
Start Date: 2026-02-09
Estimated Completion Date: 2026-12
Participants
Target number of participants: 360
Treatments
Active_comparator: The propofol - alfentanil group(The control group)
In this group, general anesthesia was administered using the classic propofol and alfentanil. The patients underwent fiberoptic bronchoscopy while maintaining spontaneous breathing and with a MOAA/S score of ≤2.
Experimental: The remimazolam and propofol - alfentanil group (The experimental group)
This group received general anesthesia with remimazolam combined with propofol for sedation and alfentanil. Fiberoptic bronchoscopy was done while patients maintained spontaneous breathing and had a MOAA/S score of ≤2.
Sponsors
Leads: First Affiliated Hospital of Zhejiang University
Collaborators: Shaoxing People's Hospital, The Second Affiliated Hospital of Jiaxing University, Affiliated Hospital of Jiaxing University

This content was sourced from clinicaltrials.gov