[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642859":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":34,"centralContacts":39,"locations":48,"responsibleParty":73,"collaborators":43,"id":76,"slug":77,"hasResults":78,"nctId":79,"briefTitle":80,"officialTitle":81,"acronym":43,"eligibilityCriteria":82,"healthyVolunteers":78,"sex":83,"minAge":84,"maxAge":43,"enrollmentInfo":85,"targetDuration":43,"studyType":88,"phases":89,"briefSummary":91,"conditions":92,"keywords":94,"overallStatus":103,"whyStopped":43,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":108,"completionDateStruct":110,"leadSponsor":112,"locationsCount":113},{"fullName":5,"class":6},"Marmara University Pendik Training and Research Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Placebo","PLACEBO_COMPARATOR","Adult emergency department patients undergoing rapid sequence intubation who receive standard care and a 1 mL intravenous placebo bolus of 0.9% sodium chloride immediately before induction.",[13],"Drug: 0.9 % sodium chloride",{"label":15,"type":16,"description":17,"interventionNames":18},"Push dose adrenaline","ACTIVE_COMPARATOR","Adult emergency department patients undergoing rapid sequence intubation who receive standard care and a preemptive 10 mcg intravenous bolus dose of adrenaline immediately before induction.",[19],"Drug: Adrenaline",[21,28],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"DRUG","Adrenaline","Participants receive 10 mcg of intravenous adrenaline, administered as 1 mL of a 10 mcg\u002FmL dilution, immediately before the administration of induction agents for rapid sequence intubation.",[15],[27],"Epinephrine",{"type":22,"name":29,"description":30,"armGroupLabels":31,"otherNames":32},"0.9 % sodium chloride","Participants receive 1 mL of 0.9% sodium chloride intravenously as placebo immediately before the administration of induction agents for rapid sequence intubation. The placebo syringe is identical in volume and appearance to the adrenaline syringe.",[9],[33,9],"Normal saline",[35],{"name":36,"affiliation":37,"role":38},"Emre Kudu, MD","Marmara University","STUDY_CHAIR",[40,45],{"name":36,"role":41,"phone":42,"phoneExt":43,"email":44},"CONTACT","+90 5067613610",null,"dr.emre.kudu@gmail.com",{"name":46,"role":41,"phone":43,"phoneExt":43,"email":47},"Emir Ünal, MD","emirunal@gmail.com",[49],{"facility":5,"status":43,"city":50,"state":51,"zip":52,"country":53,"countryCode":43,"cosmosGeoPoint":54,"geoPoint":59,"contacts":60},"Istanbul","Pendik","34899","Turkey (Türkiye)",{"type":55,"coordinates":56},"Point",[57,58],28.94966,41.01384,{"lat":58,"lon":57},[61,62,63,65,67,69,71],{"name":36,"role":41,"phone":42,"phoneExt":43,"email":44},{"name":46,"role":41,"phone":43,"phoneExt":43,"email":47},{"name":36,"role":64,"phone":43,"phoneExt":43,"email":43},"PRINCIPAL_INVESTIGATOR",{"name":46,"role":66,"phone":43,"phoneExt":43,"email":43},"SUB_INVESTIGATOR",{"name":68,"role":66,"phone":43,"phoneExt":43,"email":43},"Hasan Temel, MD",{"name":70,"role":66,"phone":43,"phoneExt":43,"email":43},"Erhan Altunbaş, MD",{"name":72,"role":66,"phone":43,"phoneExt":43,"email":43},"Sinan Karacabey, MD",{"type":64,"investigatorFullName":74,"investigatorTitle":75,"investigatorAffiliation":37,"oldNameTitle":43,"oldOrganization":43},"Emre Kudu","Associate Professor of Emergency Medicine","100642859","phase-4-effect-of-push-dose-adrenaline-on-peri-intubation-hypotension-during-rapid-sequence-intubation-in-the-emergency-department-100642859",false,"NCT07620327","Effect of Push-Dose Adrenaline on Peri-intubation Hypotension During Rapid Sequence Intubation in the Emergency Department","Effect of Push-Dose Adrenaline on Peri-intubation Cardiovascular and Clinical Outcomes During Rapid Sequence Intubation in the Emergency Department: A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial","Inclusion Criteria:\n\n* Adult patients aged 18 years or older\n* Patients in the emergency department for whom the treating physician has made a clinical decision to perform rapid sequence intubation\n* Patients who are hypotensive, defined as systolic blood pressure less than 90 mmHg or mean arterial pressure less than 65 mmHg, or who are considered to be at significant risk of hypotension during rapid sequence intubation\n* Written informed consent obtained from the patient or from a legally authorized representative when the patient lacks decision-making capacity\n\nExclusion Criteria:\n\n* Pregnancy\n* Known allergy to adrenaline\n* Known contraindication to adrenaline administration\n* Withdrawal of consent by the patient or legally authorized representative after enrollment","ALL","18 Years",{"count":86,"type":87},128,"ESTIMATED","INTERVENTIONAL",[90],"PHASE4","Rapid sequence intubation is commonly performed in the emergency department to secure the airway of critically ill patients. However, blood pressure may decrease during or shortly after intubation because of the patient's underlying illness, the effects of induction medications, and the transition to positive-pressure ventilation. This complication is known as peri-intubation hypotension and is associated with worse clinical outcomes.\n\nThis study will evaluate whether a preemptive low dose of intravenous adrenaline, also known as epinephrine, can reduce peri-intubation hypotension in adult emergency department patients undergoing rapid sequence intubation. Participants will be randomly assigned to receive either 10 mcg of intravenous adrenaline or 1 mL of 0.9% sodium chloride placebo immediately before induction. The study will compare hemodynamic changes, vasopressor requirements, safety outcomes, and mortality between the two groups.",[93],"Peri-intubation Hypotension",[95,96,97,98,99,100,101,27,102],"Push-dose adrenaline","Push-dose epinephrine","Peri-intubation hypotension","Rapid sequence intubation","Emergency department","Endotracheal intubation","Vasopressor","Critical care","NOT_YET_RECRUITING","2026-06-07",{"date":106,"type":107},"2026-06-10","ACTUAL",{"date":109,"type":87},"2026-06-01",{"date":111,"type":87},"2026-12-01",{"name":5,"class":6},1]