Analysis of clinical efficacy of remifentanil combined with propofol anesthesia in patients with traumatic brain injury - Report - MDSpire

Analysis of clinical efficacy of remifentanil combined with propofol anesthesia in patients with traumatic brain injury

  • By

  • Zhenyu Fan

  • Ling Wang

  • Wenjuan Wang

  • Hui Yang

  • Nina Chen

  • Ting Gong

  • July 14, 2026

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Clinical Report: Evaluation of Remifentanil and Propofol in TBI Anesthesia

Overview

This study evaluates the clinical effectiveness of remifentanil combined with propofol for anesthesia in patients with traumatic brain injury (TBI).

Background

Traumatic brain injury (TBI) is a significant cause of mortality and long-term disability, necessitating careful anesthetic management to mitigate complications. Conventional anesthesia often struggles to balance neuroprotection and hemodynamic stability.

Data Highlights

ParameterStudy Group (Remifentanil + Propofol)Control Group (Propofol)P-Value
Successful Intubation RateHigherLower< 0.05
VAS Scores at 12hLowerHigher< 0.05
VAS Scores at 24hLowerHigher< 0.05
RSAS Scores at 12hLowerHigher< 0.05
RSAS Scores at 24hLowerHigher< 0.05
NE Levels at ExtubationLowerHigher< 0.05
Ang II Levels at ExtubationLowerHigher< 0.05

Key Findings

  • No significant differences in general data between groups (P > 0.05).
  • Lower incidence rates of agitation and stress response in the study group (P < 0.05).
  • Higher successful intubation rate in the study group (P < 0.05).
  • Significantly lower VAS and RSAS scores at 12h and 24h post-medication in the study group (P < 0.05).
  • Lower norepinephrine and angiotensin II levels at extubation in the study group (P < 0.05).
  • No significant difference in GCS scores during follow-up (P > 0.05).

Clinical Implications

The combination of remifentanil and propofol may enhance anesthesia management in TBI patients.

Conclusion

The findings indicate the clinical effectiveness of remifentanil combined with propofol for anesthesia in TBI patients.

Related Resources & Content

  1. Evaluation of the Clinical Effectiveness of Combining Remifentanil and Propofol for Anesthesia in Traumatic Brain Injury Patients
  2. Frontiers in Medicine — Remimazolam Is Associated with Superior Cerebral and Pulmonary Protection over Propofol in Elderly Thoracic Surgery: A Real-World Study Validated by Propensity Score Matching
  3. Frontiers in Medicine — Feasibility and safety of an analgesia-first strategy without hypnotic sedatives in adult patients admitted to the intensive care unit after neurosurgical craniotomy: a protocol for a single-arm, single-center exploratory prospective study
  4. Critical Care (Springer) — Propofol versus sevoflurane: how many RCTs is enough?
  5. Evaluation of Beta-Blocker Treatment in Patients with Severe Traumatic Brain Injury: A Randomized Controlled Trial
  6. Emergency Neurological Life Support (ENLS) Protocol - TBI
  7. American College of Surgeons Best Practices Guidelines for TBI
  8. Seattle International Severe TBI Consensus Conference (SIBICC)
  9. A Focused Update to the Clinical Practice... : Critical Care Medicine
  10. Propofol and remifentanil anesthesia improves cerebral oxygen balance and accelerates recovery in patients undergoing craniotomy for traumatic brain injury - PMC
  11. A Comparative Analysis of Clinical Outcomes of Remifentanil-Propofol C | DDDT
  12. Sedation for moderate-to-severe traumatic brain injury in adults - PubMed

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