Effect of Preemptive Low Dose Norepinephrine Infusion on Intraoperative Hemodynamic Stability and Postoperative Outcomes in Patients Undergoing Brain Tumor Resection With a Craniotomy
Effect pf Preemptive Low Dose Norepinephrine Infusion on Hemodynamic Stability in Brain Tumor Resection
1 other identifier
interventional
70
1 country
1
Brief Summary
In the experimental group, norepinephrine at a concentration of 5 mcg/ml is preemptively administered through peripheral venous catheter with a size of 20 G or more from the time of anesthesia induction to the end of anesthetic administration. The norepinephrine is not preemptively administered in the control group. For anesthesia, total intravenous anesthesia using propofol and remifentanil is performed. During anesthesia, the injection rate of the test drug is allowed to be adjusted according to the blood pressure within the permissible range, and anesthesia management such as fluid infusion, blood transfusions, and drug administration is performed according to the judgment of the anesthesiologist, and there are no restrictions. The achievement of hemodynamic stability during anesthesia is judged by the percentage (%) of the time when the target blood pressure falls outside of 90-110%, 80-120%, and 70-130% of the target blood pressure during the total anesthesia duration. The number of hemodynamic unstability occurred, and the number of patients with hemodynamic unstability are also sought. The incidence of postoperative complications between the two groups is also compared.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2023
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 28, 2023
CompletedFirst Posted
Study publicly available on registry
April 18, 2023
CompletedStudy Start
First participant enrolled
May 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2025
CompletedApril 18, 2023
April 1, 2023
1.3 years
February 28, 2023
April 14, 2023
Conditions
Outcome Measures
Primary Outcomes (3)
the percentage (%) of the time when the target blood pressure falls outside of 90-110%, 80-120%, and 70-130% of the target blood pressure during the total anesthesia duration
during the total anesthesia duration (maximum up to 24 hours)
The number of hemodynamic unstability occurred
※ hemodynamic unstability is defined when the target blood pressure falls outside of 90-110%, 80-120%, and 70-130% of the target blood pressure
during the total anesthesia duration (maximum up to 24 hours)
The number of patients with hemodynamic unstability
※ hemodynamic unstability is defined when the target blood pressure falls outside of 90-110%, 80-120%, and 70-130% of the target blood pressure
during the total anesthesia duration (maximum up to 24 hours)
Study Arms (2)
experimental group
EXPERIMENTALnorepinephrine at a concentration of 5 mcg/ml is preemptively administered
Control group
NO INTERVENTIONnorepinephrine at a concentration of 5 mcg/ml is not preemptively administered
Interventions
norepinephrine at a concentration of 5 mcg/ml is preemptively administered
Eligibility Criteria
You may qualify if:
- Patients aged 20 to 65 who undergo elective craniotomy for brain tumor resection
You may not qualify if:
- emergency surgery
- If the subject includes those who cannot read the consent form (e.g. illiterate, foreigners, etc.)
- cognitive dysfunction
- pregnant, lactating
- Congestive heart failure (New York Heart Association scores ≥3)
- arrhythmia
- Renal dysfunction (estimated Glomerular Filtration Rate less than 30 ml/min/1.73m2)
- Patients with severe respiratory disease (pneumonia, chronic obstructive pulmonary disease, asthma under treatment, etc.)
- Uncontrolled hypertension (baseline blood pressure greater than 140/90)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Yonsei University College of Medicine
Seoul, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hye Jin Kim
Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 28, 2023
First Posted
April 18, 2023
Study Start
May 1, 2023
Primary Completion
September 1, 2024
Study Completion
March 1, 2025
Last Updated
April 18, 2023
Record last verified: 2023-04
Data Sharing
- IPD Sharing
- Will not share