Perioperative medicine & outcomes

Glucose variability and mode of anaesthesia in major noncardiac surgery (GlucoVITAL): study protocol for a randomised controlled trial

BJA OpenPublished Study protocol for a randomised controlled trial

Study context

Population
Participants ≥50 yr undergoing elective noncardiac surgeryplanned recruitment
Participants
450 participants
Planned comparison
TIVA vs inhalation agents for maintenance of anaesthesia
Primary endpoint
Blood glucose at prespecified timepoints
Follow-up
Before, immediately after, and the morning after surgery
Methodological detailsmulticentre, parallel group, 1:1 allocation with minimisation, continuous glucose monitoring (CGM) (Dexcom G7) from induction for up to 10 days after surgery (or hospital discharge) to establish reliability and accuracy vs blood glucose, Secondary outcomes: DAOH within 30 days and postoperative complications (Clavien-Dindo grade ≥2)
  • Multicentre
  • Parallel group
  • 1:1 allocation with minimisation
  • CGM (Dexcom G7) from induction for up to 10 days after surgery (or hospital discharge) to establish reliability and accuracy vs blood glucose
  • Secondary outcomes: DAOH within 30 days and postoperative complications (Clavien-Dindo grade ≥2)

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Glucose variability and mode of anaesthesia in major noncardiac surgery (GlucoVITAL): study protocol for a randomised controlled trial. BJA Open. Published 24 May 2025. doi:10.1016/j.bjao.2025.100419

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