Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 65 to 85

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

PhasePhase 4
Study typeInterventional
Ages65 Years to 85 Years
SexAll
Enrollment170 (estimated)
SponsorShaheed Mohtarma Benazir Bhutto Institue of Trauma
Academic / other
Locations1 site (Karachi, Sindh)
StatusRecruiting
StartedFebruary 2025
Main results expectedApril 2025
Study endsMay 2025
Registry record updatedFebruary 11, 2025
Trial IDNCT06819436 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.