AI vs. simple alarm: which prevents surgery danger better?
NCT ID NCT06631482
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two methods to prevent dangerously low blood pressure during surgery. One uses a new AI tool (HPI) that predicts drops in blood pressure, while the other simply raises the alarm threshold on standard monitors. About 100 adults having long surgeries will be randomly assigned to one method. The goal is to see which approach keeps blood pressure more stable and improves patient outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Hypotension Prediction Index (HPI) device and elevated monitor alarm threshold
- What this could lead to
- If HPI works better, it could give doctors a smarter way to prevent dangerous low blood pressure during surgery, potentially improving patient recovery.
- What could go wrong
- This is a small, early-stage study (100 people) comparing two methods. The AI tool is expensive, and may not be better than simply raising the alarm threshold. Results may not apply to all surgeries.
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 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- 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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18 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: * A: Patients undergoing surgeries requiring general anesthesia lasting more than two hours, and requiring continuous arterial blood pressure monitoring via arterial catheter according to standard medical practice. This includes: ASA Class II or higher. Estimated surgery duration of three hours or more. High cardiovascular risk, such as poorly controlled hypertension, diabetes, coronary artery disease, chronic kidney disease, or chronic emphysema. * B: Patients aged 18 years or older. Exclusion Criteria: * ASA Class I: Patients with mild systemic disease. * Pregnancy: Pregnant women. * End-stage renal disease: Patients with eGFR below 30 ml/min/1.73 m². * Cardiac shunt: Presence of intracardiac shunt. * Severe arrhythmias: Including supraventricular tachycardia (heart rate \>100 bpm), ventricular tachycardia, or ventricular fibrillation. * Factors affecting SVV accuracy: Conditions such as atrial fibrillation (A-Fib) or thoracic surgery that can invalidate stroke volume variation (SVV) measurements.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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National Taiwan University Hosipital
Taipei, 100, Taiwan
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National Taiwan University Hospital Hsin-Chu Branch
Hsinchu, 302, Taiwan
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