Simple infusion may keep blood pressure stable during emergency surgery
NCT ID NCT07529795
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if giving a low-dose norepinephrine drip just before anesthesia can prevent low blood pressure during emergency surgery for a serious belly infection (peritonitis). About 60 adults with stable blood pressure after initial treatment will be randomly assigned to receive either the drug or a placebo. The main goal is to see how long blood pressure stays too low during the start of surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 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.
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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: * Adults aged 18 years or older. * Secondary peritonitis requiring emergency surgery under general anesthesia with endotracheal intubation. * Planned induction with fentanyl, propofol, and rocuronium according to the study protocol. * Hemodynamically stabilized after initial resuscitation, with MAP at least 65 mmHg and no ongoing vasopressor infusion before induction. * ASA physical status I to III. * Written informed consent from the participant or a legally authorized representative. Exclusion Criteria: * Allergy or contraindication to norepinephrine, propofol, fentanyl, or rocuronium. * Severe cardiovascular disease likely to confound hemodynamic assessment, including decompensated heart failure, acute coronary syndrome, severe arrhythmia, severe valvular disease, or major cardiomyopathy. * Ongoing vasopressor therapy before induction. * Shock before surgery, including hypovolemic, septic, or cardiogenic shock. * Severe hypertension before induction (systolic blood pressure \>180 mmHg or mean arterial pressure \>110 mmHg). * Severe peripheral vascular disease or clinically significant limb ischemia. * Current monoamine oxidase inhibitor use. * Pregnancy or breastfeeding. * Contraindication to arterial catheter placement. * Refusal of consent.
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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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Center for Anesthesia and Surgical Intensive Care, Bach Mai Hospital
Hanoi, Vietnam
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New anesthesia combo may prevent dangerous blood pressure drops in emergency surgery