Hidden flow drop: heart pump output may fall after anesthesia despite normal blood pressure
NCT ID NCT07810621
First seen Sep 09, 2026 · Last updated Sep 15, 2026 · Updated 3 times
Summary
Researchers are observing adults undergoing coronary artery bypass grafting to see how often cardiac output falls below a set threshold in the 30 minutes after general anesthesia begins. The study uses continuous arterial waveform monitoring to record cardiac index, blood pressure, and related measures every 30 seconds. No treatments or anesthesia routines are changed for the study. The goal is to define and measure this low-flow period, which current blood pressure readings may miss.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If the study identifies a pattern of low cardiac output after anesthesia induction, it could help doctors recognize and respond to reduced blood flow earlier during heart bypass surgery.
- What could go wrong
- This is an observational study, so it cannot prove that monitoring flow changes outcomes. The findings may not apply to other hospitals, and the small size limits how precisely the results can be estimated.
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.
- Participants
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About 103 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Nov 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.
Who is studied
Adults scheduled for isolated coronary artery bypass grafting with cardiopulmonary bypass at two tertiary cardiovascular surgery centre. Patients are approached before induction of anesthesia and enrolled consecutively. Every eligible patient during the enrollment period enters the cohort and no selection is applied.
- 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: * Age 18 years or older. * Scheduled for elective or emergency cardiac or non-cardiac surgery under general anesthesia. * Availability of peri-operative cardiac output monitoring using the MostCare hemodynamic monitoring system, starting before induction of anesthesia and continuing during surgery. * Availability of required baseline preoperative clinical and laboratory data. * Written informed consent obtained from the participant or legally authorized representative. Exclusion Criteria: * Age under 18 years * Coronary artery bypass grafting combined with valve or aortic surgery * Preoperative mechanical circulatory support * Preoperative infusion of an inotrope or a vasopressor * Technical failure to establish arterial waveform monitoring before induction of anesthesia
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Conditions
The condition(s) this trial relates to.
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
2 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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Ankara Bilkent City Hospital
RECRUITINGAnkara, Ankara, 06000, Turkey (Türkiye)
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Ataturk University
RECRUITINGErzurum, Erzurum, 25240, Turkey (Türkiye)
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