Status:

RECRUITING

Treating Intraoperative Bradycardia in Non-cardiac Surgery Patients With Atropine at Heart Rates Below 60 Versus 30 Beats Per Minute and Norepinephrine Requirements

Lead Sponsor:

University of Hamburg-Eppendorf

Conditions:

Intraoperative Bradycardia

Eligibility:

All Genders

50+ years

Phase:

NA

Brief Summary

The RAPID trial is a randomized, single-center trial investigating whether giving atropine at heart rates below 60 beats per minute versus giving atropine only at heart rates below 30 beats per minute...

Eligibility Criteria

Inclusion

  • Consenting patients ≥50 years scheduled for elective non-cardiac surgery with general anesthesia that is expected to last ≥60 minutes with at least two of the following risk criteria for developing acute kidney injury:
  • Age ≥65 years
  • American Society of Anesthesiologists physical status III or IV
  • Chronic arterial hypertension
  • Diabetes mellitus requiring medication
  • Intraabdominal surgery
  • Preoperative renal insufficiency (serum creatinine ≥1.2 mg/dL)

Exclusion

  • Patients with the following exclusion criteria: contraindication for atropine administration (e.g., myasthenia gravis, high-grade aortic stenosis, high-grade coronary artery disease, glaucoma, paralytic ileus, prostatic hypertrophy); renal replacement therapy within the previous 3 months; chronic kidney disease with an estimated glomerular filtration rate \<20 mL/min/1.73 m2; pregnancy.

Key Trial Info

Start Date :

April 7 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2026

Estimated Enrollment :

186 Patients enrolled

Trial Details

Trial ID

NCT06922097

Start Date

April 7 2025

End Date

February 1 2026

Last Update

May 20 2025

Active Locations (1)

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University Medical Center Hamburg-Eppendorf

Hamburg, Germany, 20246