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COMPLETED
NCT04789330
PHASE4

Norepinephrine vs Phenylephrine During General Anesthesia

Sponsor: University of California, San Francisco

View on ClinicalTrials.gov

Summary

50 million patients undergo surgery each year in the United States. Postoperative mortality is considered the third leading cause of death worldwide. Hypotension during surgery have been linked to increased postoperative morbidity and mortality. Episodes of hypotension during surgery are associated with an increased risk of acute kidney injury, stroke, cardiac events and death. Treating or preventing hypotension during general anesthesia and major surgery was found to improve outcomes. At this time, it is unclear what is the best vasopressor to maintain blood pressure during surgery under general anesthesia. With this pilot pragmatic trial, the investigators will explore the impact of norepinephrine (NE) or phenylephrine (PE) on post-operative events in patients undergoing major surgery with general anesthesia and needing vasopressors infusion to maintain their systemic arterial pressure.

Official title: The Choice of Vasopressor for Treating Hypotension During General Anesthesia: a Pilot Pragmatic Cluster Cross-over Randomized Trial (the VEGA-1 Trial)

Key Details

Gender

All

Age Range

18 Years - 99 Years

Study Type

INTERVENTIONAL

Enrollment

3626

Start Date

2021-07-01

Completion Date

2022-04-01

Last Updated

2026-09-01

Healthy Volunteers

No

Interventions

DRUG

Norepinephrine

Norepinephrine administered during anesthesia

DRUG

Phenylephrine

Phenylephrine administered during anesthesia

Locations (5)

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States

Zuckerberg San Francisco General Hospital

San Francisco, California, United States

UCSF Medical Center at Mount Zion

San Francisco, California, United States

UCSF Medical Center at Parnassus

San Francisco, California, United States

UCSF Medical Center at Mission Bay

San Francisco, California, United States