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July 5, 2026BJA OpenOpen Access

Patterns of remimazolam use and recovery after procedural sedation and anaesthesia: a multicentre cohort study

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Authors

AGAbhinav GoyalDSDarrell R. SchroederAAArnoley S. Abcejo

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Overview

Retrospective cohort study highlights rapid recovery with remimazolam in diverse procedural environments, suggesting safety and efficacy.

Key Points

  • To investigate the patterns of remimazolam use and recovery characteristics in a multicenter cohort.
  • Retrospective cohort study of patients receiving remimazolam from US academic health systems.
  • Assessment of primary outcomes, including recovery times and flumazenil usage.
  • Linear mixed models were employed to analyze associations with reported geometric mean ratios.
  • Median time to baseline Richmond Agitation–Sedation Scale was 13 min (IQR 5–30).
  • Median PACU discharge readiness time was 30 min (IQR 15–55).
  • Critical events occurred in only 0.7% of procedures, including 0.04% possible IgE-mediated reactions.

Cite This Study

Goyal et al. (2026) studied this question.

synapsesocial.com/papers/6a49f411f5d1d45b287ffbb0https://doi.org/10.1016/j.bjao.2026.100575
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Rethinking remimazolam: reconciling regulatory positioning with clinical reality2026
  2. 2Nurse-administered Remimazolam for procedural sedation in the emergency department: A prospective study of safety, effectiveness and patient satisfaction2026
  3. 3Real‐World Evaluation of Remimazolam for Sedation During Gastrointestinal Endoscopy: Efficacy, Safety, and Risk Factors2026
  4. 4Remimazolam Enables Faster Sedation Induction and Recovery Compared With Midazolam in Diagnostic Upper Gastrointestinal Endoscopy: A Multicenter Randomized Controlled Trial2025
  5. 5Remimazolam Enables Faster Sedation Induction and Recovery Compared With Midazolam in Diagnostic Upper Gastrointestinal Endoscopy: A Multicenter Randomized Controlled Trial2025