Can a tiny dose of norepinephrine during surgery save lungs?
NCT ID NCT07627360
First seen Jun 27, 2026 · Last updated Jul 14, 2026 · Updated 2 times
Summary
This study tests whether giving a low, steady dose of norepinephrine during laparoscopic abdominal surgery can reduce the amount of IV fluids needed and lower the risk of lung complications afterward. It includes 130 adults at high risk for lung problems. The drug is given from the start of anesthesia until the surgery ends, and the results are compared to a placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- norepinephrine
- What this could lead to
- If it works, this could point toward a safer way to manage blood pressure during surgery, reducing fluid overload and lung complications.
- What could go wrong
- This is a small, early-phase trial with only 130 patients, so results may not apply to everyone. Norepinephrine can cause side effects like rapid heart rate or high blood pressure.
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 130 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- 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.
- 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: * Adult patients aged 18 years or older. * American Society of Anesthesiologists (ASA) physical status I-III. * Scheduled for elective laparoscopic major abdominal surgery under general anesthesia with an expected duration greater than 2 hours. * Patients with ARISCAT score ≥ 45 indicating high risk for postoperative pulmonary complications. Exclusion Criteria: * Known hypersensitivity to norepinephrine. * Severe left ventricular dysfunction with ejection fraction \< 35%. * Significant cardiac arrhythmia. * Uncontrolled hypertension defined as systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg. * End-stage renal disease. * Requirement for vasopressor support before induction of anesthesia. * Emergency surgery.
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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
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
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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Suez Canal University Hospitals
Ismailia, Ismailia Governorate, 41522, Egypt
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