Artificial intelligence may help surgeons manage fluids better during major abdominal operations
NCT ID NCT06871150
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether artificial intelligence can help doctors give the right amount of fluids during major abdominal cancer surgery. 150 patients aged 65 or older will be randomly assigned to one of three fluid management protocols, all using AI tools. The goal is to see if AI-guided care reduces complications like kidney injury and shortens hospital stays.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Flotrac sensor and AI software (Hypotension Prediction Index, Assisted Fluid Management)
- What this could lead to
- If successful, this could lead to a standard method for giving fluids during major abdominal surgery, reducing complications like kidney injury and shortening hospital stays.
- What could go wrong
- This is a small, early-stage trial (150 patients) comparing different monitoring strategies, not testing a new drug. The AI tools may not significantly improve outcomes over standard care.
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 150 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 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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65 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: * Age ≥ 65 years. * ASA physical status II-III-IV. * Patients undergoing elective major abdominal oncological surgery. * Revised Cardiac Index Score ≥ 2. * Plan to perform the procedure with invasive arterial monitoring. * Expected surgical time greater than 120 minutes. Exclusion Criteria: * Emergency or urgent surgeries. * Severe chronic renal failure (creatinine clearance \< 30 ml/min). * Chronic heart failure (NYHA Class IV). * Pregnant women. * Contraindications to pulse contour hemodynamic monitoring. * Liver surgery. * Patient refusal.
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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
3 sites. 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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ASST Papa Giovanni XXIII
RECRUITINGBergamo, Italy, 24127, Italy
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Humanitas Research Hospital
RECRUITINGRozzano, Italy, 20089, Italy
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University Hospital Varese ASST SetteLaghi
RECRUITINGVarese, Italy, 21100, Italy
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