Low blood pressure in the recovery room after general anesthesia
Incidence of Hypotension in the Post-anesthesia Care Unit (PACU).
This project will test how often adults who have general anesthesia develop low blood pressure in the post-anesthesia recovery room and what factors are linked to it.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 100 (estimated) |
| Ages | 18 Years to 105 Years |
| Sex | All |
| Sponsor | Tomas Bata Hospital, Czech Republic Academic / other |
| Locations | 1 site (Zlín) |
| Trial ID | NCT07022210 on ClinicalTrials.gov |
What this trial studies
This is an observational audit of adults undergoing procedures with general anesthesia who spend time in the post-anesthesia care unit (PACU). Hypotension in the PACU is defined as systolic blood pressure below 90 mmHg or a drop greater than 20% from baseline, and blood pressure readings will be extracted from routine clinical records. The study will measure the frequency of PACU hypotension and use patient, anesthesia, and surgical variables to identify factors associated with its occurrence. Patients with incomplete records, direct ICU transfers, or preexisting unstable hemodynamics are excluded to preserve data quality.
Who should consider this trial
Good fit: Adults (age 18+) who undergo procedures under general anesthesia and remain in the hospital's PACU with consent for data use are eligible to participate.
Not a fit: Patients transferred directly to the ICU after surgery, children, those with preexisting resistant hypotension, or cases with missing PACU blood pressure records are unlikely to benefit from this study's findings.
Why it matters
Potential benefit: If successful, the findings could help clinical teams spot and treat low blood pressure earlier in the recovery room to reduce the risk of organ hypoperfusion after surgery.
How similar studies have performed: While intraoperative hypotension has been well described, PACU hypotension has been less studied and similar observational audits have reported variable incidence and identified several contributory factors.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * patients over 18 years old * patients undergoing a procedure under general anesthesia * patients who have consented to data processing * postoperative stay in PACU Exclusion Criteria: * patients younger than 18 years old. * patients transferred directly to the ICU/Anesthesiology and Resuscitation Department after surgery without staying in the recovery room. * patients with incomplete medical documentation or missing blood pressure values in the recovery room. * patients with a pre-existing diagnosis of resistant hypotension or unstable hemodynamics before surgery * patients with a history of long-term use of anxiolytics, antipsychotics, or other psychotropic medications that may affect cognitive function, emotional state, or predictive outcomes * patient refusal to participate in the study (including cases where they initially consented), with an emphasis on respecting patient autonomy
Where this trial is running
Zlín
- Tomas Bata regional Hospital — Zlín, Czechia (Recruiting)
Study contacts
- Study coordinator: Klára Nekvindová, M.D., P.h.D.
- Email: nekvindova.klara@gmail.com
- Phone: +420 577 551 111
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.