Perioperative medicine & outcomes

Continuous versus bolus norepinephrine administration and arterial blood pressure stability during induction of general anaesthesia in high-risk noncardiac surgery patients: a randomised trial

Br J AnaesthPublished Randomised controlled trial

Authors' conclusion

Giving norepinephrine continuously during induction of general anaesthesia, compared with giving it as repeated manual boluses, improved blood pressure stability in higher-risk individuals undergoing noncardiac surgery.

Study context

Population
High-risk patients undergoing noncardiac surgery under GA, arterial catheter monitoring71 completed
Participants
72 patients
Comparison
Continuous vs Manual bolus
  • Continuousn = 36
  • Manual bolusn = 35reference
Primary endpoint
BP stability: generalised average real variability of MAP
Follow-up
Within 15 min after starting induction of GA
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

P < 0.001

Original publication

Continuous versus bolus norepinephrine administration and arterial blood pressure stability during induction of general anaesthesia in high-risk noncardiac surgery patients: a randomised trial. Br J Anaesth. Published 30 July 2025. doi:10.1016/j.bja.2025.06.025

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