Evaluation of anesthetic effects of remimazolam using mouse model with jugular vein cannulation

Aoi Ikuse-Oshio1, Yuki Azetsu2, Aiko Hirayama1

  • 1Department of Pharmacology, Graduate School of Dentistry, Showa Medical University, 1-5-8 Hatanodai, Shinagawa, Tokyo, 142-8555, Japan; Department of Anesthesiology, Graduate School of Dentistry, Showa Medical University, 2-1-1 Kitasenzoku, Ota, Tokyo, 145-8515, Japan.

Journal of Oral Biosciences
|February 19, 2026
PubMed
Abstract

Insights

Remimazolam provides effective procedural sedation with rapid recovery and minimal vital sign depression compared to propofol. This ultra-short-acting anesthetic demonstrates faster defensive reflex suppression in a mouse model.

Area of Science:

  • Pharmacology
  • Anesthesiology
  • Preclinical Research

Background:

  • Remimazolam is a novel ultra-short-acting benzodiazepine anesthetic with rapid recovery and minimal circulatory depression, suitable for procedural sedation.
  • Global regulatory differences and safety concerns necessitate further studies on remimazolam's pharmacological properties and safety profile.

Purpose of the Study:

  • To compare the sedative effects of remimazolam with midazolam and propofol in a jugular vein-cannulated mouse model.
  • To evaluate the time-dependent sedative effects and safety of remimazolam during continuous infusion.

Main Methods:

  • Jugular vein-cannulated mice received single intravenous doses of remimazolam or midazolam, with sedation assessed using a sedation scale.
  • Continuous infusion of remimazolam or propofol was administered, analyzing sedation scores, defensive reflexes, and vital signs.

Main Results:

  • Both remimazolam and midazolam showed concentration-dependent sedation after single administration, with gradual recovery.
  • Continuous remimazolam infusion (30 mg/kg/h) achieved sedation comparable to propofol (120 mg/kg/h) with less vital sign depression.
  • Remimazolam demonstrated faster defensive reflex suppression and recovery cycles than propofol.

Conclusions:

  • The jugular vein-cannulated mouse model effectively evaluates time-dependent sedative effects.
  • Continuous remimazolam administration ensures stable sedation with minimal vital depression and superior defensive reflex suppression compared to propofol.

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