eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2024-02-02 12 2 10 14 10.12691/ajmcr-12-2-1 AJMCR20241221 article Qian Huang 1 Tao Hu 1 Ying Yang 1 Yuying He 1 Yingzi Ling 1 Gaoyin Kong 1 Yi Zou 819189502@qq.com 1 Department 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 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. https://pubs.sciepub.com/ajmcr/12/2/1/ajmcr-12-2-1.pdf remimazolam propofol hemodynamics bispectral index cognitive elderly