The Effects of Remimazolam and Propofol on Hemodynamics, Bispectral Index and Postoperative Cognitive Function in Elderly Patients Undergoing Neurointerventional Operation

Qian Huang¹, Tao Hu¹, Ying Yang¹, Yuying He¹, Yingzi Ling¹, Gaoyin Kong¹ and Yi Zou^1,

¹Department of Anesthesiology, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal University, Clinical Research Center for Anesthesiology of ERAS in Hunan Province, Changsha, China

Cite this paper:
Qian Huang, Tao Hu, Ying Yang, Yuying He, Yingzi Ling, Gaoyin Kong and Yi Zou. The Effects of Remimazolam and Propofol on Hemodynamics, Bispectral Index and Postoperative Cognitive Function in Elderly Patients Undergoing Neurointerventional Operation. American Journal of Medical Case Reports. 2024; 12(2):10-14. doi: 10.12691/ajmcr-12-2-1

Abstract

Previous studies have shown that remimazolam has a lesser effect on hemodynamics and postoperative cognitive function than propofol. In this study, we recruited sixty elderly patients undergoing neurointerventional operation under remimazolam or propofol anesthesia. The results showed that in comparison with propofol, remimazolam provided more stable hemodynamics but higher bispectral index during anesthesia induction. Patients' cognitive function declined slightly after operation, but did not differ between the two anesthetic protocols.

Keywords:
remimazolam propofol hemodynamics bispectral index cognitive elderly

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