ClinicalTrials.gg
RecruitingNCT07777159Updated Oct 28, 2026

Carotid Doppler Changes After Passive Leg Raising for Prediction of Post-Induction Hypotension in Gastrointestinal Tumor Surgery

An observational study in Post-induction Hypotension (PIH) and Gastrointestinal Tumor Surgery, sponsored by Ankara City Hospital Bilkent. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Ankara City Hospital Bilkent · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Oct 28, 2026Now RecruitingSite recruiting status changed+3 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
99
Ages
18 Years and older
Sex
All
01

Study summary

This prospective study aims to investigate the role of the passive leg raise maneuver prior to anesthesia induction in predicting post-induction hypotension among elective gastrointestinal tumor surgery patients using carotid artery Doppler parameters.

Read the detailed description

The study will be conducted on patients scheduled for elective gastrointestinal tumor surgery. Prior to anesthesia induction, a passive leg raise maneuver will be performed. Carotid artery Doppler parameters and hemodynamic changes will be measured and recorded to evaluate their efficacy in predicting subsequent post-induction hypotension.

02

Conditions studied

  • Post-induction Hypotension (PIH)
  • Gastrointestinal Tumor Surgery

Browse trials for

Keywords

  • Carotid Doppler
  • Passive Leg Raise
  • Post-induction Hypotension
  • Anesthesia İnduction
03

In context

Hypotension

885 studies on the registry are indexed under Hypotension; 195 are open to participants now.

This study's planned enrollment of 99 is close to the median of 90 across 265 observational studies indexed under Hypotension.

Browse Hypotension studies →

Lead sponsor

Ankara City Hospital Bilkent is the lead sponsor of 443 studies on the registry; 111 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

The criteria were revised on the registry on Oct 28, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adults aged 18 years or older who are scheduled for elective gastrointestinal tumor surgery under general anesthesia. Eligible participants will be ASA physical status I-III and have a Body mass index (BMI) \<40 kg/m². Both sexes will be eligible.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18 years or older
  • Patients scheduled for elective gastrointestinal tumor surgery
  • Surgery planned under general anesthesia
  • (BMI) \<40 kg/m²
  • Written provided

Exclusion criteria

Exclusion Criteria:

  • Refusal to participate or inability to obtain written
  • (BMI) ≥40 kg/m²
  • Pregnancy
  • Emergency surgery
  • Difficult intubation
  • ≥IV
  • Pediatric patients (\<18 years)
  • Inability to perform carotid Doppler measurements
  • Arrhythmia other than continuous sinus rhythm or uncontrolled cardiac arrhythmia
  • Severe cardiac dysfunction or \<40%
  • Severe valvular heart disease
  • autonomic nervous system disorders
  • Inadequate noninvasive blood pressure monitoring or inability to obtain the required hemodynamic measurements
  • Active sepsis or systemic inflammatory syndrome
  • Severe peripheral vascular disease or significant carotid artery stenosis (>50%)
  • Severe pulmonary disease or advanced respiratory failure
  • Implanted cardiac device (pacemaker/ICD)
  • Baseline mean arterial pressure (MAP) \<65 mmHg
  • Preoperative systolic blood pressure >190 mmHg or diastolic blood pressure >110 mmHg
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
99 participants (estimated)
Patient registry
No

Groups and cohorts

  • Elective Gastrointestinal tumor surgery group

    Patients scheduled for elective gastrointestinal tumor surgery under general anesthesia who undergo preoperative carotid Doppler assessment and a passive leg raising (PLR) maneuver

06

What researchers measure

Primary outcomes

  1. Predictive performance of dynamic changes in carotid Doppler parameters (velocity time integral [VTI], peak systolic velocity [PSV], and corrected flow time [FTc]) for post-induction hypotension

    Evaluation of the predictive performance of percentage changes in carotid artery velocity time integral (ΔVTI), peak systolic velocity (ΔPSV), and corrected flow time (ΔFTc) after passive leg raising maneuver for post-induction hypotension

    Time frame: From pre-induction passive leg raising assessment to 20 minutes after general anesthesia induction

Secondary outcomes

  1. Association of baseline carotid Doppler parameters with post-induction hypotension

    Evaluation of the association between baseline carotid Doppler parameters (velocity time integral \[VTI\], peak systolic velocity \[PSV\], and corrected flow time \[FTc\]) and the development of post-induction hypotension.

    Time frame: From pre-induction assessment to 20 minutes after general anesthesia induction

  2. Cut-off values of changes in carotid Doppler parameters for prediction of post-induction hypotension

    Determination of the optimal cut-off values of velocity time integral \[VTI\], peak systolic velocity \[PSV\], and corrected flow time \[FTc\] for predicting post-induction hypotension.

    Time frame: From pre-induction passive leg raising assessment to 20 minutes after general anesthesia induction

  3. Association of carotid Doppler changes with duration and severity of hypotension

    Evaluation of the association between velocity time integral \[VTI\], peak systolic velocity \[PSV\], and corrected flow time \[FTc\] and the duration and severity of post-induction hypotension.

    Time frame: From general anesthesia induction to 20 minutes post-induction

  4. Association of carotid Doppler changes with vasopressor requirement

    Evaluation of the association between velocity time integral \[VTI\], peak systolic velocity \[PSV\], and corrected flow time \[FTc\] and the requirement for vasopressor treatment after anesthesia induction.

    Time frame: From general anesthesia induction to 20 minutes post-induction

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Chowdhury AR, Thakuria R, Maitra S, Nath S, Baidya DK, Subramanium R, Anand RK, Kayina CA. Carotid artery corrected flow time and respiratory variation of blood flow peak velocity for prediction of hypotension after induction of general anesthesia in adult patients undergoing emergency laparotomy for peritonitis: A prospective, observational study. J Anaesthesiol Clin Pharmacol. 2023 Jul-Sep;39(3):444-450. doi: 10.4103/joacp.joacp_372_21. Epub 2023 May 5. PubMed 38025582 ↗
  • Wang J, Li Y, Su H, Zhao J, Tu F. Carotid artery corrected flow time and respiratory variations of peak blood flow velocity for prediction of hypotension after induction of general anesthesia in elderly patients. BMC Geriatr. 2022 Nov 19;22(1):882. doi: 10.1186/s12877-022-03619-x. PubMed 36402973 ↗

Individual participant data

Plan to share: No — The data will not be shared to protect patient privacy and confidentiality in accordance with institutional policies and local regulations

09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 28, 2026
Sites
Ankara Bilkent City Hospital is now Recruiting
Oct 28, 2026
Eligibility
1 exclusion criterion edited
What changed in the criteria
Exclusion criteria
  • EditedBody mass index (BMI) ≥40 kg/m²
Oct 28, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedPredictive performance of dynamic changes in carotid Doppler parameters (ΔVTIvelocity time integral [VTI], ΔPSVpeak systolic velocity [PSV], ΔFTcand corrected flow time [FTc]) for post-induction hypotensionTime frame: From pre-induction passive leg raising assessment to 20 minutes after general anesthesia induction
Oct 28, 2026
Secondary outcomes
4 description edited
What changed in the outcomes
  • DescriptionAssociation of baseline carotid Doppler parameters with post-induction hypotension: how it is measured was reworded
  • DescriptionAssociation of carotid Doppler changes with duration and severity of hypotension: how it is measured was reworded
  • DescriptionAssociation of carotid Doppler changes with vasopressor requirement: how it is measured was reworded
  • DescriptionCut-off values of changes in carotid Doppler parameters for prediction of post-induction hypotension: how it is measured was reworded
Oct 28, 2026
Contact
Study contact changed: s•••@gmail.com · •••3618→s•••@gmail.com · •••3618. See the current contact
Oct 28, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Ankara Bilkent City Hospital · Ankara, Turkey (Türkiye)Contact s•••@gmail.com · •••3618→s•••@gmail.com · •••3618
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    Not yet recruiting→Recruiting
    Ankara Bilkent City Hospital is now Recruiting
    Eligibility 1 exclusion criterion edited
    What changed in the criteria
    Exclusion criteria
    • EditedBody mass index (BMI) ≥40 kg/m²
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedPredictive performance of dynamic changes in carotid Doppler parameters (ΔVTIvelocity time integral [VTI], ΔPSVpeak systolic velocity [PSV], ΔFTcand corrected flow time [FTc]) for post-induction hypotensionTime frame: From pre-induction passive leg raising assessment to 20 minutes after general anesthesia induction
    Secondary outcomes 4 description edited
    What changed in the outcomes
    • DescriptionAssociation of baseline carotid Doppler parameters with post-induction hypotension: how it is measured was reworded
    • DescriptionAssociation of carotid Doppler changes with duration and severity of hypotension: how it is measured was reworded
    • DescriptionAssociation of carotid Doppler changes with vasopressor requirement: how it is measured was reworded
    • DescriptionCut-off values of changes in carotid Doppler parameters for prediction of post-induction hypotension: how it is measured was reworded
    Contact Study contact changed: s•••@gmail.com · •••3618→s•••@gmail.com · •••3618. See the current contact
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Ankara Bilkent City Hospital · Ankara, Turkey (Türkiye)Contact s•••@gmail.com · •••3618→s•••@gmail.com · •••3618
    + 3 other changes: identifiers, date precision and responsible party

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07777159
Responsible party
Seçilnaz Ünlü Tuncer (Principal Investigator, Ankara City Hospital Bilkent) — Principal investigator
First posted
Aug 20, 2026
Start date
Sep 1, 2026
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Oct 28, 2026

Study contacts

Seçilnaz Ünlü Tuncer, Anesthesiology Resident
Contact
secilnaz.unlu@gmail.com
+90 553 177 36 18

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion