Status:

NOT_YET_RECRUITING

Remiazolam vs Propofol Total Intravenous Anesthesia on Postoperative Neurodevelopment After General Anesthesia in Children

Lead Sponsor:

The First Affiliated Hospital of Anhui Medical University

Conditions:

Adenotonsillar Hypertrophy

Eligibility:

All Genders

3-6 years

Phase:

PHASE4

Brief Summary

The goal of this clinical trial is to learn the effects of remimazolam for total intravenous anesthesia on the neurodevelopment of children aged 3-6 years who underwent tonsil/adenoid removal surgery ...

Eligibility Criteria

Inclusion

  • Age: 3-6 years old;
  • Planned to undergo elective non-neurological, non-cardiac, and non-liver surgery under general anesthesia (abdominal surgery, orthopedic surgery, urological surgery, otolaryngological surgery, etc.);
  • Expected anesthesia duration to be more than 30 minutes;
  • ASA classification I-II;
  • BMI 14-25 kg/m2;
  • Postoperative plan not to be admitted to ICU;
  • Parents or legal guardians of the child have given informed consent;
  • Capable of communicating in Chinese.

Exclusion

  • Those who were exposed to general anesthetic drugs during infancy or in the late pregnancy of the mother;
  • Known chromosomal abnormalities or other known acquired or congenital diseases that may affect neural development, such as cerebral palsy, autism spectrum disorder or attention deficit hyperactivity disorder (ADHD), etc.;
  • Patients with severe liver dysfunction (Child-Pugh C grade);
  • Patients with severe kidney dysfunction (requiring dialysis before surgery);
  • Patients with a history of congenital heart disease requiring surgery or drug treatment;
  • Those allergic to the study drugs remimazolam or propofol;
  • Any known neural damage, such as cystic periventricular leukomalacia or grade 3 or 4 intraventricular hemorrhage;
  • Social or geographical factors that may lead to postoperative loss of follow-up;
  • Planned to undergo two surgeries within 7 days after the surgery;
  • Those currently participating in other clinical trials;
  • Those receiving special care or living in social welfare institutions or any other factors that may affect their ability to participate in the study.

Key Trial Info

Start Date :

October 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2030

Estimated Enrollment :

558 Patients enrolled

Trial Details

Trial ID

NCT07194109

Start Date

October 1 2025

End Date

October 1 2030

Last Update

September 26 2025

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