About this trial
To observe the effects of remimazolam versus ciprofol TIVA on PRAE in pediatric tonsillectomy and adenoidectomy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 2-12 years
ASA physical status I-II
Body mass index (BMI): 14-28 kg/m²
Scheduled for elective tonsillectomy with or without adenoidectomy
Disqualifiers
History of severe pulmonary diseases (e.g., asthma, bronchiectasis, severe OSA)
Previous episodes of significant PRAEs
Documented drug allergies (e.g., to remimazolam, propofol, or ciprofol)
Comorbidities including: Uncorrected congenital heart disease, neuromuscular disorders, Developmental delay, Abnormal hepatic/renal function
Trial design
Parallel
Treatments tested in this trial
Remimazolam
Drugremimazolam induction (0.3-0.5 mg/kg) + maintenance (1-3 mg/kg/h)
Propofol
DrugAnesthesia induction (2-3 mg/kg) + Anesthesia maintenance (6-10 mg/kg/h)
Ciprofol
DrugAnesthesia induction (0.4-0.5 mg/kg) + Anesthesia maintenance (0.8-1.2 mg/kg/h)
Treatment groups
Trial outcomes
Primary outcomes
The incidence of perioperative respiratory adverse events
The perioperative respiratory adverse events including: laryngospasm, bronchospasm, severe cough, oxygen desaturation, airway obstruction.
Secondary outcomes
Anesthesia duration
From anesthesia induction to discontinuation of anesthetics
Emergence time
From anesthetic discontinuation to eye opening on command
Extubation time
From anesthetic discontinuation to endotracheal tube removal
PACU stay duration
From PACU admission to meeting discharge criteria
Sponsors and contacts
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