Actively Recruiting

Phase 4
Age: 18Years - 80Years
All Genders
ID06334549

Effects of Vasopressors on Brain Oxygen Levels During General Anesthesia in Abdominal Surgery

Led by Dalian Municipal Central Hospital · Updated on 2024-11-06

180

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effects of three vasopressors—norepinephrine, phenylephrine, and ephedrine—on brain oxygen levels during general anesthesia for abdominal surgery. This randomized, double-blind trial aims to understand how these drugs influence cerebral oxygen saturation and heart function in patients undergoing surgery with either propofol or sevoflurane anesthesia. Participants receive one of six treatment groups, combining one of the three vasopressors with either propofol or sevoflurane anesthesia. When a patient’s mean arterial blood pressure drops by 20% after anesthesia induction and intubation, they are given a dose of the assigned vasopressor to study its effect on blood pressure and cerebral oxygenation. Doses are tailored by weight and administered intravenously with close monitoring. During the study, patients’ brain oxygen levels and various heart and blood pressure measures are continuously recorded using specialized monitoring devices. Measurements are taken at key times, such as after entering the operating room, during blood pressure drops, and after vasopressor administration. The study tracks changes in heart rate, stroke volume, cardiac output, and vascular resistance to better understand each drug's impact on circulation and brain oxygen supply.

CONDITIONS

Brief Title

A Prospective Study of Vasopressor on Cerebral Oxygenation During General Anesthesia

Who Can Participate

Age: 18Years - 80Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • ASA physical status I to III, aged 18 to 80 years
  • Scheduled for elective abdominal surgery
  • Signed informed consent to participate
Not Eligible

You will not qualify if you...

  • ASA physical status IV or higher
  • Unstable blood pressure or blood flow before surgery
  • Allergy to ephedrine, phenylephrine, or norepinephrine
  • Mean arterial pressure decrease less than 20%
  • Severe cardiovascular disorders

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Duration of surgery and anesthesia

Participants receive general anesthesia for elective abdominal surgery and are randomized to receive one of three vasopressors (ephedrine, phenylephrine, or norepinephrine) during anesthesia when blood pressure decreases by 20% from baseline. Cerebral oxygenation and cardiovascular parameters are monitored continuously during surgery.

1 visit (in-person, during surgery)

Trial Site Locations

Total: 1 location

1

Dalian Municipal Central Hospital

Dalian, Liaoning, China, 116033

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Research Team

L

Liping Han, MD, MSc

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

6

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