Prophylactic Noradrenaline Infusion and Its Impact on Post-induction Hypotension

NCT ID: NCT07022730

Last Updated: 2025-09-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-22

Study Completion Date

2025-09-17

Brief Summary

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researchers aim to evaluate the influence of prophylactic noradrenaline infusion on post-induction hypotension

Detailed Description

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If post-induction hypotension is not addressed promptly, it can lead to severe complications such as reduced blood flow, acute kidney damage, and myocardial ischemia. As a result, early detection and proactive intervention are crucial. Researchers of the current study decided to investigate impact of noradrenaline administered as a prophylaxis on post induction hypotension

Conditions

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Post Induction Hypotension Sepsis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Noradrenaline

Noradrenaline will be infused at a fixed rate of 0.2 mic/kg/min at 5 minutes before induction

Group Type ACTIVE_COMPARATOR

Noradrenaline 0.2 mcg/kg/min at 5 minutes before induction

Intervention Type DRUG

noradrenaline will be given at a rate of 0.2 mcg/kg/min that will start 5 minutes before induction

Control

Patients will receive normal saline

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Noradrenaline 0.2 mcg/kg/min at 5 minutes before induction

noradrenaline will be given at a rate of 0.2 mcg/kg/min that will start 5 minutes before induction

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients with sepsis undergoing source control surgery.

Exclusion Criteria

* Patient refusal
* Patient with cardiac pathology ( ischemic heart disease or heart failure)
* Preoperative hemodynamic instability (defined as MAP \< 65 mmHg)
* Rapid sequence induction
Minimum Eligible Age

20 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Mina Adolf Helmy

Lecturer of anesthesia and critical care

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo University

Cairo, Cairo Governorate, Egypt

Site Status

Countries

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Egypt

References

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Goertz AW, Lindner KH, Seefelder C, Schirmer U, Beyer M, Georgieff M. Effect of phenylephrine bolus administration on global left ventricular function in patients with coronary artery disease and patients with valvular aortic stenosis. Anesthesiology. 1993 May;78(5):834-41. doi: 10.1097/00000542-199305000-00005.

Reference Type BACKGROUND
PMID: 8489054 (View on PubMed)

Czajka S, Putowski Z, Krzych LJ. Post-induction hypotension and intraoperative hypotension as potential separate risk factors for the adverse outcome: a cohort study. J Anesth. 2023 Jun;37(3):442-450. doi: 10.1007/s00540-023-03191-7. Epub 2023 Apr 21.

Reference Type BACKGROUND
PMID: 37083989 (View on PubMed)

Tangkulpanich P, Angkoontassaneeyarat C, Trainarongsakul T, Jenpanitpong C. Factors Associated with Postintubation Hypotension Among Patients with Suspected Sepsis in Emergency Department. Open Access Emerg Med. 2023 Nov 14;15:427-436. doi: 10.2147/OAEM.S426822. eCollection 2023.

Reference Type BACKGROUND
PMID: 38022743 (View on PubMed)

Other Identifiers

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noradrenaline and PIH

Identifier Type: -

Identifier Source: org_study_id

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