About this trial
The goal of this randomized controlled trial is to compare total intravenous anesthesia with remimazolam vs total intravenous anesthesia with propofol in moderate-to-high risk patients undergoing major elective noncardiac surgery under general anesthesia. The primary hypothesis is that total intravenous anesthesia with remimazolam can increase days alive and out of hospital at postoperative day 30 compared with total intravenous anesthesia with propofol.
Eligibility criteria
Qualifiers
Age ≥45 years;
Undergoing elective major surgery under general anesthesia (expected surgery time >2 h, expected length of postoperative stay >2 d);
history of coronary artery disease;
history of stroke;
Disqualifiers
Undergoing organ transplantation, cardiac, craniocerebral, burn or interventional operations;
Low risk or minor surgery
End-stage renal disease requiring renal-replacement therapy;
Hepatic dysfunction (Child B or C);
Trial design
Treatments tested in this trial
- Remimazolam
- Propofol