The median effective dose of ciprofol combined with sufentanil in suppressing the laryngeal mask airway insertion response in both young and older adult patients
2024

Ciprofol and Sufentanil for Laryngeal Mask Airway Insertion in Young and Older Patients

Sample size: 46 publication 10 minutes Evidence: moderate

Author Information

Author(s): Zhou Xuelei, Zhao Li, Mao Wei, Chen Linlin, Liu Xianchun

Primary Institution: The Second Clinical Medical College, North Sichuan Medical College, Nanchong Central Hospital, Nanchong, China

Hypothesis

What is the median effective dose (ED50) of ciprofol required to suppress the laryngeal mask airway insertion response in both young and older adult patients?

Conclusion

The study found significant differences in the ED50 of ciprofol for suppressing the LMA insertion response between young and older adult patients.

Supporting Evidence

  • The ED50 of ciprofol for young adults was 0.38 mg·kg−1.
  • The ED50 of ciprofol for older adults was 0.29 mg·kg−1.
  • The confidence intervals for ED50 did not overlap between the two age groups.
  • Statistically significant differences were found in ASA grades and gender between the groups.

Takeaway

This study shows that younger patients need more ciprofol to handle the insertion of a breathing tube than older patients.

Methodology

46 patients were given ciprofol and sufentanil before LMA insertion, and the ED50 was calculated using logistic regression and bootstrap resampling.

Potential Biases

The study's design may have biases due to the differences in health profiles of the age groups.

Limitations

The study had a limited sample size and differences in ASA classifications between age groups, which may affect the results.

Participant Demographics

Participants were divided into two age groups: young adults (18-44 years) and older adults (60-79 years).

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI, 0.35–0.41 for young adults; 95% CI, 0.26–0.32 for older adults

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/s12871-024-02855-5

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