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Preventing Cardiovascular Collapse With Vasopressors During Tracheal Intubation
Sponsor: University of Turin, Italy
Summary
Tracheal intubation (TI) is associated with a high risk of adverse events in critically ill patients and peri-intubation hemodynamic collapse is the most commonly observed. The primary aim of the PREVENTION trial is to compare the effect of the pre-emptive use of noradrenaline versus no peri-intubation use of noradrenaline on incidence of cardiovascular collapse following TI in adult critically ill patients. Patients with absolute indication or contraindication to vasopressor support will be excluded from this trial. Patients will be randomized 1:1 to a continuous infusion of noradrenaline started before induction titrated according to baseline mean arterial pressure. The primary outcome will be the incidence of cardiovascular collapse. Secondary outcomes will include lowest systolic blood pressure and cardiac arrest within 30 minutes from intubation.
Official title: Preventing Cardiovascular Collapse With Vasopressors During Tracheal Intubation. The PREVENTION Randomized Multicenter Study
Key Details
Gender
All
Age Range
18 Years - 90 Years
Study Type
INTERVENTIONAL
Enrollment
420
Start Date
2024-08-01
Completion Date
2026-04
Last Updated
2025-03-28
Healthy Volunteers
No
Conditions
Interventions
Noradrenaline
Pre-emptive continuous infusion of noradrenaline during the peri-intubation period
Locations (6)
CHU de Nantes
Nantes, France
Galway University Hospitals
Galway, Ireland
Humanitas Research Hospital
Rozzano, Milan, Italy
University Hospital San Luigi Gonzaga
Orbassano, Turin, Italy
ASST Grande Ospedale Metropolitano Niguarda
Milan, Italy
Policlinico di Milano
Milan, Italy