The Journal of Practical Medicine >
Efficacy and safety observation of ciprofol for painless fiber bronchoscopy in elderly patients
Received date: 2025-02-10
Online published: 2025-04-30
Objective To evaluate the safety and efficacy of ciprofol in the anesthesia of elderly patients undergoing bronchoscopy. Methods A total of 96 elderly patients （≥ 65 years old） undergoing fiberoptic bronchoscopy under sedation and anesthesia were randomly assigned to either the ciprofol group （Group C， n = 48） or the propofol group （Group P， n = 48）. In Group C， anesthesia was induced with an intravenous injection of sufentanil at 0.1 μg/kg and ciprofol at 0.3 mg/kg. In Group P， anesthesia was induced with an intravenous injection of sufentanil at 0.1 μg/kg and propofol medium/long-chain fat emulsion at 1.5 mg/kg. Hemodynamic parameters， including heart rate （HR）， mean arterial pressure （MAP）， and peripheral oxygen saturation （SpO2）， were recorded at five time points： before anesthesia induction （T1）， immediately after the bronchoscope passed through the glottis （T2）， immediately after it reached the carina （T3）， immediately after the bronchoscope was withdrawn from the nostril post-procedure （T4）， and upon full consciousness after leaving the recovery room （T5）. Additionally， the success rate of sedation and anesthesia， cough severity scores， induction time （t1）， bronchoscopy duration （t2）， recovery time （t3）， and orientation recovery time （t4） were documented for both groups. Intraoperative complications， such as hypotension， hypoxemia （SpO2 < 90%）， injection pain during induction， airway interventions （e.g.， jaw support， mask ventilation）， and the number of additional sedative doses administered， were also recorded. Results Compared with T1， MAP in both groups decreased at T2 and T3 （P < 0.05）. Compared with group P， group C exhibited a higher MAP at T2 and T3 （P < 0.05）. between the two groups in terms of sedation success rate， induction time， cough score， examination time， recovery time， and orientation recovery time （P > 0.05）. Compared with group P， group C demonstrated lower incidences of hypotension， hypoxemia， injection pain， and fewer airway intervention events （P < 0.05）. Conclusions Compared with propofol， ciprofol in combination with sufentanil demonstrates superior circulatory stability， a lower incidence of respiratory system-related adverse reactions， and reduced injection pain. Therefore， it can be safely and effectively utilized for painless bronchoscopic diagnosis and treatment in elderly patients.
Key words： ciprofol; elderly; fibrobronchoscopy
Hongxin LI , Haihao XIAO , Ren YANG , Wanwen HE , Qianwen MEI , Xiaojing YU , Zelin XIAO , Limei. ZHOU . Efficacy and safety observation of ciprofol for painless fiber bronchoscopy in elderly patients[J]. The Journal of Practical Medicine, 2025 , 41(8) : 1217 -1223 . DOI: 10.3969/j.issn.1006-5725.2025.08.019
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