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The Effect of Preoperative Intravenous Fluid Bolus on Post-induction Hypotension in Elective Cystoscopies.

The Effect of Preoperative Intravenous Fluid Bolus on Post-induction Hypotension in Elective Cystoscopies.

Status
Enrolling by invitation
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06985654
Enrollment
100
Registered
2025-05-22
Start date
2025-07-14
Completion date
2026-12-31
Last updated
2025-09-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Postinduction Hypotension, Hypotension During Surgery

Keywords

postinduction hypotension, hypotension, cystoscopy, lactated ringers

Brief summary

This study aims to determine whether a standardized, weight-based crystalloid fluid bolus administered preoperatively reduces the incidence of postinduction hypotension (PIH) in patients undergoing cystoscopy.

Interventions

A bolus of Lactated Ringers (15mL/kg of ideal body weight) will be given to patients prior to anesthesia induction.

Sponsors

University of Missouri-Columbia
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Age ≥ 18 years old. 2. Undergoing elective cystoscopy surgery as the primary procedure. 3. Able to provide informed consent.

Exclusion criteria

1. Emergency surgeries. 2. Past history of amputations of any body part. 3. Allergies or contraindications to any medications used in the protocol or lactated ringers. 4. Systolic heart failure with LVEF \< 30% within the last year. 5. Severely depressed RV function within the last year. 6. Restrictive diastolic dysfunction within the last year. 7. Currently pregnant.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Postinduction HypotensionFrom the time patient enters the operating room to the end of surgery, assessed up to 24 hours.Number of patients that experience a decrease in mean arterial pressure (MAP) greater than 20% from the baseline MAP.

Other

MeasureTime frameDescription
Inferior Vena Cava SizeFrom the time of consent to the beginning of surgery, assessed up to 24 hours.Size of the inferior vena cava before surgery, approximated using a point-of-care ultrasound scan
Respiratory VariabilityFrom the time of consent to the beginning of surgery, assessed up to 24 hours.Change in the size of the inferior vena cava during respiration, approximated using a point-of-care ultrasound scan

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026