Superiority Of Phenylephrine Versus Norepinephrine In Complex Spine Surgery (SPiNeS)

Overview

About this study

The purpose of this research is to compare two commonly used medications, phenylephrine and norepinephrine, that are used to treat low blood pressure during complex spine surgery. The goal is to determine whether one medication better maintains blood flow to the body's organs during surgery and whether it leads to better recovery and fewer complications after surgery.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

* Scheduled for elective complex spine surgery including posterior fusion of 5 or more levels of the thoracic and/or lumbar region.
* ASA physical status classification I-III.
* Able to provide informed consent.

Exclusion Criteria:

* Known allergies or contraindication to NE or PE.
* Pregnant or breastfeeding women.
* Emergency surgeries.
* Persistent atrial fibrillation
* LVEF \< 40%
* Moderate or severe valvular dysfunction
* RVSP ≥ 60 mm Hg
* Liver failure or cirrhosis
* eGFR \< 15 and/or on hemodialysis
* Minimally invasive or endoscopic surgeries

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Jacksonville, Fla.

Mayo Clinic principal investigator

Eric Deloso, D.O., M.S.

Open for enrollment

Contact information:

Eric Deloso

deloso.eric@mayo.edu

More information

Publications

Publications are currently not available