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Continuous Versus Bolus Norepinephrine Administration to Treat Postinduction Hypotension

INDUCT-Multi is a multicenter randomized trial investigating whether continuous, compared to bolus, administration of norepinephrine during induction of general anesthesia reduces postinduction hypotension in high-risk non-cardiac surgery patients.

Condition(s)Postinduction Hypotension
StatusRecruiting
PhaseNA
Study typeInterventional
SummaryINDUCT-Multi is a multicenter randomized trial investigating whether continuous, compared to bolus, administration of norepinephrine during induction of general anesthesia reduces postinduction hypotension in high-risk non-cardiac surgery patients.
Who can participateInclusion Criteria: We will include consenting patients ≥45 years scheduled for elective major non-cardiac surgery under general anesthesia with planned continuous intra-arterial blood pressure monitoring with a radial arterial catheter and with at least two of the following risk criteria for developing acute kidney injury: * Age ≥65 years * ASA physical status III or IV * Chronic arterial hypertension * Diabetes mellitus requiring medication * Intra-abdominal surgery * Preoperative renal insufficiency (serum creatinine ≥1.2 mg/dL) Exclusion Criteria: * Pregnancy * Cardiac arrhythmia * History of intracranial hemorrhage or intracranial aneurysm * Clinical indication for continuous norepinephrine infusion during induction of general anesthesia (e.g., severe aortic valve stenosis, coronary a
Ages45 Years
SexAll
Lead sponsorUniversitätsklinikum Hamburg-Eppendorf
LocationsDüsseldorf, Germany; Giessen, Germany; Hamburg, Germany; München, Germany
Start date2026-05-07
NCT IDNCT07538388
Official listinghttps://clinicaltrials.gov/study/NCT07538388

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