Using dexamethasone to prevent low blood pressure after spinal anesthesia in older patients undergoing orthopedic surgery
Official title: Effect of Dexamethasone on Post-spinal Hypotension in Geriatric Patients Undergoing Orthopaedic Surgery at Tertiary Care Hospital Karachi.
Run by Shaheed Mohtarma Benazir Bhutto Institue of Trauma · NCT06819436 · Data updated 2026-11-12
This study tests if giving dexamethasone before orthopedic surgery can help older patients avoid low blood pressure after receiving spinal anesthesia.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 65 Years to 85 Years |
| Sex | All |
| Enrollment | 170 (estimated) |
| Sponsor | Shaheed Mohtarma Benazir Bhutto Institue of Trauma Academic / other |
| Locations | 1 site (Karachi, Sindh) |
| Status | Recruiting |
| Started | February 2025 |
| Main results expected | April 2025 |
| Study ends | May 2025 |
| Registry record updated | February 11, 2025 |
| Trial ID | NCT06819436 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are geriatric patients undergoing orthopedic surgeries with an ASA classification of 2 or lower.
✕Probably not a fit
Patients with a history of cardiac arrhythmias, acute coronary syndrome, or contraindications to spinal anesthesia will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of intravenous dexamethasone in preventing post-spinal hypotension in geriatric patients undergoing orthopedic surgeries. Participants are divided into two groups: one receiving dexamethasone and the other receiving a placebo before their procedures. The study aims to determine if dexamethasone can significantly reduce the incidence of low blood pressure following spinal anesthesia. The trial is designed to provide insights into the management of hypotension in older adults during surgery.
Why it matters
Potential benefit: If successful, this treatment could help reduce the risk of post-spinal hypotension in older patients, improving their surgical outcomes and recovery.
How similar studies have gone: While there is limited data on the specific use of dexamethasone for this purpose, similar studies have explored its effects in various contexts, indicating potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patient undergoing orthopedic surgery in spinal anesthesia. ASA ≤ 2. Exclusion Criteria: Patients with history of cardiac arrhythmias. Patients with history of acute coronary syndrome. Patient with history of polytrauma. Patients with contraindication to SA (e.g., coagulopathy, thrombocytopenia, allergy to local anesthetic agent) and those on steroids or serotonin related medications (e.g., selective serotonin reuptake inhibitor) will be excluded.
Where it's running
-
Shaheed Mohtarma Benazir Bhutto Institute of Trauma
Karachi, Sindh, Pakistan Recruiting
Study contacts
- Study coordinator: Sidra Javed, MBBS, FCPS, Pain fellow
- Email: sidra_dow@yahoo.com
- Phone: +92333 2474831
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.