Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025;23(9):1009-1020.
doi: 10.2174/011570159X367968250117034551.

Evaluating Remimazolam for Procedural Sedation

Affiliations
Review

Evaluating Remimazolam for Procedural Sedation

Genevieve Monanian et al. Curr Neuropharmacol. 2025.

Abstract

Remimazolam, a novel short-acting benzodiazepine, has garnered interest in the realm of procedural sedation. Targeting a desired level of sedation requires a medication with both anesthetic and analgesic properties, particularly in non-operating room anesthetizing locations. Via gammaaminobutyric acid type A receptor agonism, Remimazolam has demonstrated organ-independent metabolism and rapid time to both onset and recovery and has efficacy for procedural sedation in clinical trials. This article provides a review of the current literature on the utility of remimazolam for procedural sedation.

Keywords: Remimazolam; analgesic properties; clinical trials; depressed consciousness.; procedural sedation; remimazolam.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest, financial or otherwise.

References

    1. Green S.M., Irwin M.G., Mason K.P. Procedural sedation: Providing the missing definition. Anaesthesia. 2021;76(5):598–601. doi: 10.1111/anae.15213. - DOI - PubMed
    1. Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018. A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology. 2018;128(3):437–479. doi: 10.1097/ALN.0000000000002043. - DOI - PubMed
    1. Andrade C.M., Patel B., Gill J., Amodeo D., Kulkarni P., Goldsmith S., Bachman B., Geerken R., Klein M., Anderson W., Miladinovic B., Fernandez I., Kumar A., Richter J., Vidyarthi G. Safety of gastrointestinal endoscopy with conscious sedation in patients with and without obstructive sleep apnea. J. Clin. Gastroenterol. 2016;50(3):198–201. doi: 10.1097/MCG.0000000000000305. - DOI - PubMed
    1. Bal B.S., Crowell M.D., Kohli D.R., Menendez J., Rashti F., Kumar A.S., Olden K.W. What factors are associated with the difficult-to-sedate endoscopy patient? Dig. Dis. Sci. 2012;57(10):2527–2534. doi: 10.1007/s10620-012-2188-2. - DOI - PubMed
    1. Shimizu H., Homma Y., Norii T. Incidence of adverse events among elderly vs non-elderly patients during procedural sedation and analgesia with propofol. Am. J. Emerg. Med. 2021;44:411–414. doi: 10.1016/j.ajem.2020.04.094. - DOI - PubMed

MeSH terms

LinkOut - more resources