A common drug may prevent Anesthesia-Induced low blood pressure in High-Risk surgery patients
NCT ID NCT07722013
First seen Jul 23, 2026 · Last updated Aug 07, 2026 · Updated 3 times
Summary
This trial tests whether giving small, repeated doses of ephedrine during anesthesia induction can prevent dangerously low blood pressure in patients over 50 undergoing major abdominal surgery. Participants will receive either ephedrine or a placebo (saline) every five minutes for 20 minutes after anesthesia begins. The goal is to see if this simple preventive strategy reduces the need for emergency blood pressure support.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ephedrine given as intermittent boluses during anesthesia induction
- What this could lead to
- If effective, this simple preventive approach could reduce complications from low blood pressure during surgery in older or frail patients.
- What could go wrong
- This is a single-center trial with 124 participants, so results may not apply broadly. Ephedrine can raise heart rate and blood pressure, which may be risky for some patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 124 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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50 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients aged \>50 years, * weight \>50 kg, * American Society of Anesthesiologists (ASA) Physical Status score of \> I, * undergoing major abdominal surgery Exclusion Criteria: * Severe cardiac morbidities (impaired contractility with ejection fraction \< 40%, heart block, significant uncontrolled arrhythmias, tight stenotic valvular lesions) * Acute cardiovascular pathologies: acute/decompensated heart failure, acute coronary syndrome * Uncontrolled hypertension (systolic blood pressure\>150 mmHg) * Preoperative HR more than 110 bpm despite proper fluid management and patients with renal impairment * Renal impairment * Patients on vasopressor infusion, * Allergy of any of the study drugs
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kasr Alainy Hospital
RECRUITINGCairo, 11562, Egypt
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