Abstract
Remimazolam is a novel ultra-short-acting benzodiazepine sedative, which has shown great promise in clinical scenarios such as outpatient surgeries, endoscopic examinations, intensive care units, and emergency departments due to its rapid onset, adjustable sedation level, and fast metabolic clearance. Currently, there is no consensus on the clinical application of remimazolam in non-operating room anesthesia. This article provides a comprehensive overview of its pharmacological properties and metabolic characteristics, with a particular focus on its application in special populations such as the elderly, patients with high cardiovascular risk, and children. The main purpose is to evaluate its safety and sedative effect in non-operating room settings by comparing it with traditional sedatives, and to provide insights for future research directions, thereby offering theoretical basis and practical guidance for the rational clinical application of this drug outside the operating room.