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CompletedNCT06053489Updated Nov 1, 2024

Effect of Remimazolam and Sevoflurane Anesthesia on Recovery in Pediatric Patients

An observational study in Ophthalmic Abnormalities and Pediatric Disorder, sponsored by Pusan National University Yangsan Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2024-11-01.

Sponsored by Pusan National University Yangsan Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
146
Ages
3 Years to 18 Years
Sex
All
01

Study summary

The most commonly used anesthetic for general anesthesia in pediatric patients is sevoflurane, an inhalation anesthetic. However, the incidence of emergence agitation after sevoflurane anesthesia in pediatric patients is high, with reports of up to 67%. Remimazolam (Byfavo Inj., Hana Pharm Col, Ltd., Seoul, Korea) has a short context-sensitive half-life of 7.5 minutes, and the time it takes from the end of anesthesia until the patient wakes up is predictable. According to a study by Yang X et al., administering a small amount of remimazolam (0.2 mg/kg) intravenously at the end of general anesthesia using sevoflurane reduced the incidence of emergence agitation. However, very few studies have evaluated the use of remimazolam in general anesthesia in pediatric patients.

Read the detailed description
  • The most commonly used anesthetic for general anesthesia in pediatric patients is sevoflurane, an inhalation anesthetic. It has the advantage of being able to induce anesthesia without securing an intravenous route and causing less irritation to the airway. However, the incidence of emergence agitation after sevoflurane anesthesia in pediatric patients is high, with reports of up to 67%. Emergence agitation can cause physical damage to the patient, workload in the recovery room, and dissatisfaction of the caregiver.
  • Remimazolam (Byfavo Inj., Hana Pharm Col, Ltd., Seoul, Korea) is a benzodiazepine drug used for inducing and maintaining general anesthesia and for sedation during procedures. When remimazolam is used as a general anesthetic, it has the advantage of being metabolized quickly by enzymes in the liver compared to propofol, has a short context-sensitive half-life of 7.5 minutes, and can be reversed with flumazenil. Therefore, during general anesthesia using remimazolam, the time it takes from the end of anesthesia until the patient wakes up is predictable. According to a study by Yang X et al., administering a small amount of remimazolam (0.2 mg/kg) intravenously at the end of general anesthesia using sevoflurane reduced the incidence of emergence agitation.
  • However, very few studies have evaluated the use of remimazolam in general anesthesia in pediatric patients and its effect on endotracheal extubation time after anesthesia in operating room, emergence agitation, pain, and discharge time in the postanesthesia care unit (PACU).
02

Conditions studied

  • Ophthalmic Abnormalities
  • Pediatric Disorder
03

In context

Congenital Abnormalities

980 studies on the registry are indexed under Congenital Abnormalities; 177 are open to participants now.

This study's enrollment of 146 is close to the median of 153 across 446 observational studies indexed under Congenital Abnormalities.

Browse Congenital Abnormalities studies →

Lead sponsor

Pusan National University Yangsan Hospital is the lead sponsor of 106 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
3 Years to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients aged between 3 and 18 years old who underwent ophthalmic surgery under general anesthesia

Inclusion criteria

  • Patients aged between 3 and 18 years old who underwent ophthalmic surgery under general anesthesia
  • When anesthesia was induced and maintained with remimazolam, or anesthesia was induced with propofol and maintained with sevoflurane.

Exclusion criteria

Exclusion Criteria:

  • none
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
146 participants (actual)
Patient registry
No

Interventions

  • Othergeneral anesthesia with remimazolam

    general anesthesia with remimazolam in pediatric patients undergoing ophthalmic surgery

06

What researchers measure

Primary outcomes

  1. Time to extubation

    Time to extubation after the end of general anesthesia

    Time frame: Immediate after the end of general anesthesia

Secondary outcomes

  1. Time for post-anesthesia recovery

    Time taken until the patient can leave the PACU. The post-anesthesia recovery score (modified Aldrete score) is used for assessment of patient's activity, respiration, blood pressure, consciousness, and peripheral oxygen saturation. A score 9 points or more is required for discharge from the PACU.

    Time frame: From the time of immediate after entering the PACU until until achieving post-anesthesia recovery score of 9 or more, assessed up to 4 hours

  2. Postoperative pain

    Visual analog scale (VAS) is going to be measured after entering the PACU. The VAS is a validated, subjective measure for acute and chronic pain. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').

    Time frame: Immediate after entering the PACU, 15 minutes after entering the PACU

  3. Incidence of emergence delirium

    Emergence delirium measured after entering the PACU

    Time frame: Immediate after entering the PACU, 15 minutes after entering the PACU

  4. Adverse events and complications

    Adverse events and complications that occur during anesthesia and recovery from anesthesia

    Time frame: during general anesthesia, and recovery after general anesthesia, up to 1 day

07

Study locations

1 site
  • Pusan National University Yangsan Hospital
    Yangsan, Korea, Republic of
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06053489
Lead sponsor
Pusan National University Yangsan Hospital
Responsible party
Kim Hee Young (Assistant professor for fund, Pusan National University Yangsan Hospital) — Principal investigator
First posted
Sep 25, 2023
Start date
Jul 31, 2023
Primary completion
Aug 31, 2024
Completion
Aug 31, 2024
Last update
Nov 1, 2024

Study contacts

Hee Young Kim, MD, PhD
principal investigator · Pusan National University Yangsan Hospital, Yangsan, South Korea

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

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