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Can keeping blood pressure higher during surgery prevent organ damage?

NCT ID NCT04789733

First seen Mar 19, 2026 · Last updated Jun 23, 2026 · Updated 14 times

Summary

This pilot study tests whether keeping blood pressure higher than usual during and after major surgery can reduce serious complications like heart attack, kidney injury, and confusion. About 80 adults aged 45 and older who take blood pressure medication and are having long surgeries will be randomly assigned to either tight or routine blood pressure management. The goal is to see if this approach is feasible and safe before a larger trial.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Locations

  • China Japan Union Hospital of Jilin University

    Changchun, Jilin, China

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

norepinephrine or phenylephrine (medicines to raise blood pressure)

What this could lead to

If it works, this could point toward a standard way to manage blood pressure during surgery to lower the risk of serious complications.

What could go wrong

This is a very small pilot study with only 80 people, so results may not apply widely. The tight control approach could also cause side effects like too-high blood pressure.

Conditions

The condition(s) this trial relates to.

acute kidney injury cardiovascular disorder delirium

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.