Tailoring anesthesia by height may prevent dangerous drops in blood pressure during surgery in older adults
NCT ID NCT07363941
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways of giving spinal anesthesia to elderly patients (ages 60-80) having leg surgery. One method uses a standard fixed dose, while the other adjusts the dose based on the patient's height. The goal is to see if the height-based approach reduces risks like low blood pressure and slow heart rate during surgery. About 104 participants will be enrolled to find out which method provides safer and more stable anesthesia.
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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 104 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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May 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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60 to 80 years
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Individuals aged 60 to 80 years. Either gender (male or female). Patients who are ASA physical status I-III. Individuals scheduled to undergo elective lower limb orthopaedic surgeries (e.g., fracture fixation, total knee replacement, open reduction and internal fixation). Patients planned to receive spinal anaesthesia as the primary anaesthetic technique. Those who provide informed written consent for participation in the study. Exclusion Criteria: Individuals exhibiting a stature inferior to 150 cm. Patients receiving anti-hypertensive drugs or those on beta blockers or beta-agonists. Patients with a history of neurological disease like CVA or Parkinsonism. Patients presenting with sepsis (≥ 2 positive SIRS criteria with positive aseptically obtained blood or wound culture). Patients with a history of coagulation disorders like haemophilia or vWD or those with a history of anti-platelet drug intake in the last 2 weeks. Individuals possessing a documented history of hypersensitivity reactions to pharmacological agents utilized in the research. Patients who will be diagnosed with a skin infection at the spinal needle puncture site. Patients undergoing emergency orthopaedic procedures requiring immediate intervention
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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
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Contacts and locations
Locations
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Shaheed Mohtarma Benazir Bhutto Institue of Trauma
RECRUITINGKarachi, Sindh, 74600, Pakistan
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