Setting Time Research Articles

An Injectable Magnesium-Based Cement Stimulated with NIR for Drug-Controlled Release and Osteogenic Potential.

Magnesium phosphate bone cement (MPC) has gained widespread usage in orthopedic implantation due to its fast-setting and high initial strength benefits. However, the simultaneous attainment of drug-controlled release and osteogenic potential in MPC remains a significant challenge. Herein, a strategy to create a smart injectable cement system using nanocontainers and chondroitin sulfate is proposed. It employs nanocontainers containing alendronate-loaded mesoporous silica nanoparticles, which are surface-modified with polypyrrole to control drug release in response to near-infrared (NIR) stimulation. The alendronate-incorporated cement (ACMPC) exhibits improved compressive strength (70.6 ± 5.9 MPa), prolonged setting time (913 s), and exceptional injectability (96.5% of injection rate and 242 s of injection time). It also shows the capability to prevent degradation, thus preserving mechanical properties. Under NIR irradiation, the cement shows good antibacterial properties due to the combined impact of hyperthermia, reactive oxygen species, and alendronate. Furthermore, the ACMPC (NIR) group displays good biocompatibility and osteogenesis capabilities, which also lead to an increase in alkaline phosphatase activity, extracellular matrix mineralization, and the upregulation of osteogenic genes. This research has significant implications for developing multifunctional biomaterials and clinical applications.

Effect of impurity components in titanium gypsum on the setting time and mechanical properties of gypsum-slag cementitious materials

Abstract The use of titanium gypsum instead of gypsum as a raw material for the preparation of gypsum-slag cementitious materials (GSCM) can reduce the cost and improve the utilization of solid waste. However, titanium gypsum contains impurities such as Fe2O3, MgO, and TiO2, which make its effect on the performance of GSCM uncertain. To investigate this issue, GSCM doped with different ratios of Fe2O3, MgO, and TiO2 were prepared in this study, the setting time and the strength of GSCM at 3, 7, and 28 days were tested. The effects of different oxides on the performance of GSCM were also investigated by scanning electron microscopy, energy spectrum analysis, X-ray diffraction analysis, and thermogravimetric analysis. The experimental results showed that Fe2O3, MgO, and TiO2 all had a certain procoagulant effect on GSCM and a slight effect on the strength. Through micro-analysis, it was found that the main hydration products of GSCM were AFt phase and calcium–alumina–silicate–hydrate (C–(A)–S–H) gels. Fe-rich C–(A)–S–H gels were observed with the addition of Fe2O3, and Mg(OH)2 and M–S–H gels were observed with the addition of MgO. The addition of TiO2 did not result in new hydration products from GSCM.

Effect of glass powder on mechanical properties and electromagnetic transmission properties of high alumina cement paste

The mechanical properties and electromagnetic transmission properties of high alumina cement (HAC) paste with different glass powder (GP) contents were investigated in this paper. The effects of hydration phase, unhydrated phase, GP phase and pore phase on the dielectric properties of HAC paste were quantitatively analyzed. The results show that the strength, fluidity and setting time of HAC paste decrease with the increase of GP replacement rate. The real part, imaginary part and loss angle tangent of dielectric constant decrease. The addition of GP leads to a reduction in reflectivity and absorptivity of electromagnetic waves in the paste, while increasing transmittivity.Furthermore, the real part of the dielectric constant of each phase in the HAC paste follows the order: hydration product phase > unhydrated phase > GP phase > pore phase. With an increase in GP content, the real part of the dielectric constant of the hydration product phase increases. Finally, based on the results of vector network analysis (VNA), mercury intrusion porosimetry (MIP) and scanning electron microscopy (SEM), the reasons for the changes of mechanical properties and electromagnetic properties of HAC paste under different GP replacement rates were analyzed from the aspects of phase composition, pore distribution and microstructure.

Effects of vehicles on the physical properties and biocompatibility of premixed calcium silicate cements.

Premixed calcium silicate cements (pCSCs) contain vehicles which endow fluidity and viscosity to CSCs. This study aimed to investigate the effects of three vehicles, namely, polyethylene glycol (PEG), propylene glycol (PG), and dimethyl sulfoxide (DMSO), on the physicochemical properties and biocompatibility of pCSCs. The setting time, solubility, expansion rate, and mechanical strength of the pCSCs were evaluated, and the formation of calcium phosphate precipitates was assessed in phosphate-buffered saline (PBS). The effects of pCSC extracts on the osteogenic differentiation of mesenchymal stem cells (MSCs) were investigated. Finally, the tissue compatibility of pCSCs in rat femurs was observed. CSC containing PEG (CSC-PEG) exhibited higher solubility and setting time, and CSC-DMSO showed the highest expansion rate and mechanical strength. All pCSCs generated calcium phosphate precipitates. The extract of CSC-PG induced the highest expressions of osteogenic markers along with the greatest calcium deposites. When implanted in rat femurs, CSC-PEG was absorbed considerably, whereas CSC-PG remained relatively unaltered inside the femur.

Using superabsorbent polymer to mitigate the fast setting and high autogenous shrinkage of carbide slag and sodium silicate activated ultrafine GGBS based composites

Alkali-activated GGBS based composite is a low carbon engineering material, but limited by some unavoidable disadvantages, such as fast setting and high autogenous shrinkage. In present work, superabsorbent polymer (SAP), which was synthesized by copolymerizing acrylic acid and acrylamide, was used to control the setting time and autogenous shrinkage of carbide slag and sodium silicate activated ultrafine GGBS based composites (CSGC). Results indicated that the fast setting of CSGC was effectively controlled by the addition of SAP. The initial and final setting time were delayed by more than 30 min and 60 min respectively, which provides the possibility to ensure the on-site construction operation. Although SAP mitigated the fast setting of CSGC, it had a negligible effect on the heat release during hydration. Autogenous shrinkage was reduced by 27% when only 0.1% SAP was added, and the compensation of autogenous shrinkage became more pronounced with the increased SAP dosage. The amount of large capillary pores above 100 nm was significantly increased in CSGC incorporating high SAP dosage, which leads to a decline in compressive strength. However, the compressive strength of CSGC with low SAP dosage can match that of reference group at 28 d, due to the internal curing effect of released water from SAP.

Correlated Allele Frequency Changes Reveal Clonal Structure and Selection in Temporal Genetic Data.

In evolving populations where the rate of beneficial mutations is large, subpopulations of individuals with competing beneficial mutations can be maintained over long times. Evolution with this kind of clonal structure is commonly observed in a wide range of microbial and viral populations. However, it can be difficult to completely resolve clonal dynamics in data. This is due to limited read lengths in high-throughput sequencing methods, which are often insufficient to directly measure linkage disequilibrium or determine clonal structure. Here, we develop a method to infer clonal structure using correlated allele frequency changes in time-series sequence data. Simulations show that our method recovers true, underlying clonal structures when they are known and accurately estimate linkage disequilibrium. This information can then be combined with other inference methods to improve estimates of the fitness effects of individual mutations. Applications to data suggest novel clonal structures in an E. coli long-term evolution experiment, and yield improved predictions of the effects of mutations on bacterial fitness and antibiotic resistance. Moreover, our method is computationally efficient, requiring orders of magnitude less run time for large data sets than existing methods. Overall, our method provides a powerful tool to infer clonal structures from data sets where only allele frequencies are available, which can also improve downstream analyses.

Binding Mechanism of Aviation Wire Harness Based on Improved Particle Swarm Optimization

ABSTRACT To solve the problems of low efficiency and easy error of manual bundling, a binding mechanism of aviation wire harness was designed. During the test, we found that the parameter tuning problem of the PID controller led to its insufficient accuracy and stability, which led to the failure of wire harness bundling. Therefore, we use the particle swarm optimization to tune the PID parameters, but it is not ideal. To solve the problems of poor balance between exploration and exploitation and easy falling into local optimum, we have proposed an improved particle swarm optimization (GRPSO). GRPSO improves the above problems by introducing a population partitioning strategy and a new position update method, optimizing inertia weights and learning factor formulas, and introducing Cubic chaotic maps for population initialization. GRPSO and its comparison algorithms are tested and verified through CEC2020 and through analyzing the algorithm’s running time, convergence results, etc. The results show that GRPSO is significantly superior to the comparison algorithm. The PID controller with GRPSO and comparison algorithm parameter tuning is simulated and analyzed, and the results show that the PID controller with GRPSO has the advantages of small overshoot, fast setting time, and good stability, and it is found that the control system can meet the usage requirements after physical test.

Modification of methacrylate bone cement with eugenol – A new material with antibacterial properties

Abstract Nowadays, the search for unconventional antibacterial agents is very common. One of them may be eugenol (EU) (4-allyl-2-methoxyphenol), which exhibits antimicrobial properties against pathogenic bacteria and is used in the pharmaceutical industry. Owing to its structure, EU decreases the exotherm of polymerization without a negative impact on the degree of conversion. The properties of EU-modified bone cement, such as doughing time, maximum temperature, and setting time, will be characterized, as well as mechanical properties, EU release, and antibacterial properties. Bone cements were synthesized by mixing a powder phase composed of two commercially available methacrylate copolymers (Evonic) and a liquid phase containing 2-hydroxyethyl methacrylate, methyl methacrylate, triethylene glycol dimethacrylate, and EU with an amount of 0.5 wt% of bone cement sample. As an initiating system, benzoyl peroxide and N,N-dimethylaniline were used. Samples were prepared with various amounts of the initiating system. The doughing time, maximum temperature (T max), setting temperature (T set), setting time (t set), and compressive strength tests were determined according to the ISO 5833:2002 standard requirements. The doughing time for bone cement depends on the amount of the initiating system. The maximum temperature during curing of bone cement is very low; however, the setting time is closer to the upper limit set by the standard. The compressive strength of the tested materials is good and significantly exceeds the requirements of the standard. EU release was very high and ranged from around 43–62% after 168 h. Moreover, antibacterial studies show that the tested bone cements are bacteriostatic for Staphylococcus aureus or and Escherichia coil strains. In summary, modified bone cements meet the ISO 5833:2002 standard requirements in all parameters and are characterized by good mechanical properties (similar to or higher than commercial bone cement), high EU release, and bacteriostatic properties.

Obstetric imaging practice characteristics associated with prenatal detection of critical congenital heart disease in a rural US region over 20years.

To identify clinical practice characteristics associated with the frequency of prenatal critical congenital heart disease (CCHD) detection (i.e., the number of liveborn infants with postnatally confirmed CCHD identified on prenatal sonography) over 20years in a rural setting comprised of 11 primarily low-volume obstetric hospitals and the single tertiary academic hospital to which they refer. This was a retrospective cohort study of all patients in the referral region with an initial prenatal and/or postnatal diagnosis of CCHD from 01/01/2002 to 12/31/2021. The frequency of prenatal CCHD detection at the time of an obstetric ultrasound was reported, as was the change in detection over time. Critical congenital heart disease detection was assessed as a function of cardiac lesion type, practice setting, and practice characteristics. There were 271 cases with a confirmed postnatal CCHD diagnosis, of which 49% were identified prenatally. The majority of community practices each averaged <10 CCHD cases in total over the study period. Prenatal detection at the tertiary academic hospital's obstetric ultrasound unit was 64%, compared to 22% at the combined referring community practices (p<0.001), though CCHD detection improved over time in both settings. Professional accreditation by the American Institute of Ultrasound in Medicine, image interpretation by radiology or Maternal Fetal Medicine, and use of video clips of ventricular outflow tracts were associated with improved prenatal CCHD detection. Our data demonstrate the infrequency of CCHD cases at small-volume, rural hospitals and the substantial variation in prenatal CCHD detection across practice settings. Our methods allowed for the identification of practice characteristics associated with prenatal CCHD detection.

Utilizing the Adsorbability of Pseudoboehmite for Tailoring the Stability of an Aluminum Sulfate Alkali-free Accelerator for Shotcrete.

Shotcrete is widely used in tunnels, bridges, culverts, and other large-scale projects. The accelerator is an additive employed to expedite the setting time of shotcrete. Previous research primarily concentrated on enhancing the early strength of accelerators, whereas their long-term stability has been inadequately investigated. In this study, pseudoboehmite (PB) and amorphous aluminum hydroxide (AAH) were incorporated into the accelerator to enhance its stability over a period of 90 days without any signs of crystallization or delamination. Furthermore, the accelerator exhibited an initial setting time of 170 s, a final setting time of 550 s, and a compressive strength of 11.58 MPa after 1 day. The mechanism of effects was studied by isothermal calorimetry, FTIR, XRD, TG-DTG, and SEM analysis. The enhancement in stability is attributed to the distinctive adsorption and thixotropic properties of PB, which facilitate the formation of an electrical double-layer structure in acidic solutions. The expedited setting and hardening are primarily due to the equilibrium between Al3+, SO42-, and Ca2+ ions, which accelerates the hydration process of cement. This research offers a methodology for developing a high-performance, alkali-free liquid accelerator.

Improving the early-age properties of eco-binder with high volume waste gypsum: Hydration process and ettringite formation

The long setting times and low early-age mechanical properties resulting from the insufficient hydration products (especially ettringite at early age), limited the application of an eco-binder with minor clinker and without calcination, in which phosphogypsum was intensively reused (45 wt%) as raw material. The external addition of aluminate phase was proposed to promoting the ettringite formation in this study by using sodium aluminate (0∼2.5 wt% of binder). The hydration kinetics and products, microstructure, slag reaction degree, etc. Were thoroughly investigated. The results showed that, with sodium aluminate addition, the setting times were significantly improved and complied with standard requirements, the compressive strengths were increased, especially the 3 d-hydration samples. The hydration heat released in the initial reaction period was highly increased and the induction period was accelerated. And the ettringite and C-A-S-H gels formation at early ages was enhanced, and ettringite morphology was modified. The slag reaction degree was increased from 48% to 70% when 1.5% sodium aluminate was used. The early-age property improvement of this phosphogypsum slag binder could enlarge its application potential.

Effect of Na2CO3 Replacement Quantity and Activator Modulus on Static Mechanical and Environmental Behaviours of Alkali-Activated-Strain-Hardening-Ultra-High-Performance Concrete

The application of alkali-activated concrete (AAC) shows promise in reducing carbon emissions within the construction industry. However, the pursuit of enhanced performance of AAC has led to a notable increase in carbon emissions, with alkali activators identified as the primary contributors. In an effort to mitigate carbon emissions, this study introduces Na2CO3 as a supplementary activator, partially replacing sodium silicate. The objective is to develop a low-carbon alkali-activated-strain-hardening-ultra-high-performance concrete (ASUHPC). The experimental investigation explores the impact of varying levels of Na2CO3 replacement quantity (0, 0.75 Na2O%, and 1.5 Na2O%) and activator modulus (1.35, 1.5, and 1.65) on the fresh and hardened properties of ASUHPC. The augmentation of Na2CO3 replacement quantity and activator modulus are observed to extend the setting time of the paste, indicating an increase in the modulus of the activator and Na2CO3 replacement quantity would delay the setting time. While the use of Na2CO3 intensifies clustering in the fresh paste, it optimizes particle grading, resulting in higher compressive strength of ASUHPC. The tensile crack width of ASUHPC conforms to the Weibull distribution. ASUHPC with a Na2CO3 replacement quantity of 0.75 Na2O% exhibits superior crack control capabilities, maintaining a mean crack width during tension below 65.78 μm. The tensile properties of ASUHPC exhibit improvement with increasing Na2CO3 replacement quantity and activator modulus, achieving a tensile strength exceeding 9 MPa; otherwise, increasing the activator modulus to 1.5 improves the deformation capacity, reaching 8.58%. Moreover, it is observed that incorporating Na2CO3 as a supplementary activator reduces the carbon emissions of ASUHPC. After considering the tensile performance indicators, increasing the activator modulus can significantly improve environmental performance. The outcomes of this study establish a theoretical foundation for the design of low-carbon, high-performance-alkali-activated-strain-hardening-ultra—high-performance concrete.

Sludge‐based geopolymer materials: A review

AbstractSludge refers to the solid waste produced after sewage treatment. Unreasonable disposal of sludge can cause environmental pollution. Nonetheless, the sludge contains large amounts of silica‐aluminate, which has pozzolanic activity by treatment, and the sludge can be used as a sustainable building material. The previous studies have recommended that it is reasonable to produce geopolymers, that is, a green low‐carbon cementitious material with excellent mechanical and durability properties, from sludge. This article provides an overview of recent advancements in the study of sludge‐based geopolymer. It delves into the mechanisms behind alkali‐activated geopolymer, examines the feasibility of preparing geopolymer from sludge, and discusses various preparation methods. Additionally, it elaborates on the impact of incorporating different auxiliary materials on sludge‐based geopolymer. The comprehensive performance of sludge‐based geopolymer, encompassing mechanical properties, durability, and setting time, is thoroughly summarized. An environmental assessment is conducted, evaluating heavy metal leaching and the lifecycle of sludge‐based geopolymer. Finally, we briefly discuss some problems in the current research and development trends in the future on sludge‐based geopolymer. The aim of this article is to provide comprehensive support and guidance for both the research and practical engineering applications of sludge‐based geopolymer.

Fixed/predefined-time projective synchronization for a class of fuzzy inertial discontinuous neural networks with distributed delays

In this article, fixed-time projective synchronization (FTPS) and predefined-time projective synchronization (PTPS) for a class of discontinuous fuzzy inertial neural networks (FINNs) with distributed delays are considered. To this end, regarding differential inclusion theories and the Lyapunov stability method, more precise and improved setting times of FTPS are systematically constructed. Furthermore, a more general and novel predefined-time stability lemma is established to make the synchronized time more flexible and can be an accurate value in advance. Meanwhile, some effective feedback controllers and new criteria are established to guarantee the proposed FINNs achieve FTPS and PTPS, respectively. Finally, the corresponding numerical simulations and image encryption application are offered to confirm the obtained results.

Synergistic Improvement in Setting and Hardening Performance of OPC-CSA Binary Blended Cement: Combined Effect of Nano Calcium Carbonate and Aluminum Sulfate

The combined effect and corresponding mechanism of nano calcium carbonate (NC) and aluminum sulfate (AS) on the setting and hardening performance of binary blended cement (ordinary Portland cement (OPC) and calcium sulfoaluminate cement (CSA)) were evaluated through multiple experiments, including setting time, calorimetry, compressive strength, X-ray diffraction (XRD), and mercury intrusion porosimetry (MIP). The results showed that, as compared to OPC, OPC-CSA binary blended cement exhibited reduced setting time but decreased early strength, which could be caused by the depressed silicate phase hydration due to the fast supply of aluminate ions during the hydration of aluminate-contained phases contained in CSA. However, through the combined addition of NC and AS, the depressed silicate phase hydration was greatly promoted by NC due to its nucleation effect, and the reduced early strength was significantly improved. Further analysis indicates that the combined addition of NC and AS can promote the formation of C-S-H gel and decrease the porosity of the hardened OPC-CSA binary paste. In this way, one promising repair material with rapid setting and hardening properties was prepared by OPC-CSA binary blended cement with the combined addition of NC and AS.

Effects of natural zeolite on mechanical properties and durability indexes of concrete

This study evaluated the effects of a locally available natural zeolite (NZ), on properties of concrete. To the best knowledge of the authors, this paper is the first study wherein NZ concrete has been evaluated using durability index methods. The NZ studied is presently not used as pozzolan in the local cement industry, hence its potential use in concrete would be new. In the investigation, concrete mixtures of 0.50 and 0.70 water/cementitious ratios were prepared using CEM I 52.5R cement type blended with 0, 10, 20 and 30% NZ. Performance characteristics of NZ were compared with those of 20% or 30% fly ash (FA), which is a conventional pozzolan. The mechanical properties measured were strength development, workability and setting time. Durability properties including carbonation and a consortium of indexes comprising oxygen permeability index, water sorptivity index and chloride conductivity index were also tested. Interestingly, NZ concretes exhibited good or excellent durability index values and lower carbonation results, relative to those of the corresponding FA concretes. In fact, adding 20% NZ into concrete mixtures gave optimal performance, including significant reduction of carbonation, which is a unique beneficial effect as pozzolans typically increase carbonation.

Alkali-Activated Copper Slag with Carbon Reinforcement: Effects of Metakaolinite, OPC and Surfactants

Copper slag is an industrial residue with a large unutilized fraction. This study presents the development of alkali-activated composites from a copper slag named Koranel®. The effects of metakaolinite, ordinary Portland cement (OPC) and surfactants were investigated. The reactivity of Koranel with potassium silicate solutions with molar ratio R = SiO2/K2O varying from 1 to 2.75, with 0.25 intervals, was investigated using isothermal calorimetry. The reactivity was relatively low at 20 °C; the reaction started after a few hours with a low silica modulus, to several weeks with the highest silica modulus. The substitution of Koranel by OPC (5 wt.%) or by metakaolinite (10–20 wt.%), both led to higher reaction heat and rate; meanwhile, the addition of 2 wt.% polyethylene glycol/2-methyl 2,4 pentanediol delayed the reaction time in the system containing metakaolinite. Raising the curing temperature from 20 °C to 80 °C shortened the setting time of the low reactive systems, from several days to almost instantaneous, opening perspectives for their application in the production of prepreg composite materials. The use of carbon fabric as reinforcement in the alkali-activated matrix led to composite materials with flexural strength reaching 88 MPa and elastic modulus of about 19 GPa—interesting for engineering applications such as high-strength lightweight panels.

Neural Network-Based Fixed-Time Tracking Control for Input-Quantized Nonlinear Systems With Actuator Faults.

This study reports a fixed-time tracking control problem for strict-feedback nonlinear systems with quantized inputs and actuator faults where the total number of faults is allowed to be infinite. By taking advantage of radial basis function neural networks (RBFNNs), unknown nonlinear function terms in the system dynamic model can be effectively approached. In addition, based on the sector property of quantization nonlinearities and the structure of the actuator fault model, novel adaptive estimations and innovative auxiliary design signals are constructed to compensate for the influence caused by actuator faults and quantized inputs properly in the fixed-time convergence settings. Then, rigorous theoretical analysis manifests that the proposed control scheme can make the output tracking error converge to a small neighborhood of the origin within a fixed time, and the upper bound of the setting time not only does not depend on initial states of the system but also can be preassigned by selecting parameters appropriately. Meanwhile, all the signals in the closed-loop system remain bounded. Finally, a numerical example and a practical example of a single-link manipulator are presented to demonstrate the effectiveness of the proposed control algorithm.

Injectable macroporous naturally-derived apatite bone cement as a potential trabecular bone substitute.

In this study, we have formulated a novel apatite bone cements derived from natural sources (i.e. eggshell and fishbone) with improved qualities that is, porosity, resorbability, biological activity, and so forth. The naturally-derived apatite bone cement (i.e. FBDEAp) was prepared by mixing hydroxyapatite (synthesized from fishbone) and tricalcium phosphate (synthesized from eggshell) as a solid phase with a liquid phase (a dilute acidic blend of cement binding accelerator and biopolymers like gelatin and chitosan) with polysorbate (as liquid porogen) to get a desired bone cement paste. The prepared cement paste sets within the clinically acceptable setting time (≤20 min), easily injectable (>85%) through hands and exhibits physiological pH stability (7.3-7.4). The pure apatite phased bone cement was confirmed by x-ray diffraction and Fourier transform infrared spectroscopy analyses. The FBDEAp bone cement possesses acceptable compressive strength (i.e. 5-7 MPa) within trabecular bone range and is resorbable up to 28% in simulated body fluid solution within 12 weeks of incubation at physiological conditions. The FBDEAp is macroporous in nature (average pore size ~50-400 μm) with interconnected pores verified by SEM and micro-CT analyses. The FBDEAp showed significantly increased MG63 cell viability (>125% after 72 h), cell adhesion, proliferation, and key osteogenic genes expression levels (up to 5-13 folds) compared to the synthetically derived, synthetic and eggshell derived as well as synthetic and fishbone derived bone cements. Thus, we strongly believe that our prepared FBDEAp bone cement can be used as potential trabecular bone substitute in orthopedics.

Application of remimazolam-0.6% sevoflurane anesthesia for flash visual evoked potential monitoring during pituitary adenoma resection: a non-inferiority randomized controlled trial

BackgroundFlash visual evoked potential (FVEP) is a critical method for monitoring intraoperative visual function during neurosurgery. A new benzodiazepine drug called remimazolam has recently been used for general anesthesia. However, the impact of remimazolam on FVEP remains unclear. Therefore, we aimed to investigate how remimazolam, in comparison to propofol, when combined with 0.6% sevoflurane anesthesia, affects the FVEP waveform during pituitary adenoma resection.MethodsOverall, 36 patients undergoing pituitary adenoma resection under general anesthesia were randomly assigned to either the remimazolam group (Group R) or the propofol group (Group P) in a prospective, randomized, controlled, non-inferiority trial. For anesthesia induction, a bolus of 0.2 mg/kg remimazolam or 2 mg/kg propofol was intravenously infused for approximately one minute. The anesthesia was maintained by continuous infusion of either remimazolam (0.7-1.0 mg/kg/h) or propofol (4–6 mg/kg/h), in combination with 0.6% sevoflurane, aimed at sustaining the bispectral index (BIS) within the range of 40–60. The primary outcome was the N75-P100 amplitude of FVEP recorded at approximately 20 min after intubation (T0). 10% of the amplitude at T0 in group P was defined as the non-inferiority margin (δ). Confidence interval testing was used to evaluate the non-inferiority hypothesis. The secondary outcomes covered the P100 latency of FVEP, electroretinogram (ERG) b wave amplitude, demographic characteristics, hemodynamics, and occurrence of adverse events.ResultsThe BIS index during anesthesia was comparable between the groups at the same measured time points (P > 0.05). The N75-P100 amplitude at T0 in group R was 7.64 ± 1.36 µV, while it was 6.96 ± 0.95 µV in group P (P = 0.09), with a mean difference of 0.68 µV (95% CI, -0.11 µV to 1.48 µV). The δ was set at 0.7 and the lower limit of the 95% CI exceeded the -δ. Both remimazolam and propofol had little effect on ERG b-wave amplitudes. At the designated time points, FVEP amplitude and P100 latency displayed no appreciable variation between the two groups (P > 0.05). Furthermore, there were no significant differences in the incidence of adverse events related to anesthesia, needle electrodes, or surgery between the two groups (P > 0.05).ConclusionOur findings suggest that remimazolam-0.6% sevoflurane is non-inferior to propofol-0.6% sevoflurane for general anesthesia, based on the FVEP N75-P100 amplitude. The electrophysiological data obtained in both groups indicate that reproducible and stable FVEP and ERG waveforms can be acquired at set time points. Therefore, for reliable FVEP monitoring, remimazolam-0.6% sevoflurane appears to be a safe and effective protocol in general anesthesia.Trials registrationThis study was registered on chictr.org.cn (ChiCTR2200056803, 17/02/2022).