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Taking people in SwitzerlandNo phase

Tracks brain blood flow during heart surgery and later brain complications

Observes whether brain blood flow during heart surgery links to delirium or stroke.

Plain-language title generated from the registry record
Registry title: Impact of Personalised Cardiac Anaesthesia and Cerebral Autoregulation on Neurological Outcomes in Patients Undergoing Cardiac Surgery

Key facts

Where
Basel and Bern, SwitzerlandSee the 2 sites

Where in Switzerland

  • Clinic for Anaesthesia, Intermediate Care, Prehospital Emergency Medicine and Pain Therapy, University Hospital BaselBasel, SwitzerlandNo longer taking part
  • Inselspital, Bern University HospitalBern, SwitzerlandTaking people

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Trial details

Who runs it
University Hospital, Basel, Switzerland
Trial code
NCT05595954
Record updated
30 June 2026
Original description
This international, multicentre prospective cohort study will assess whether perioperative duration and magnitude of mean arterial pressure (MAP) outside of an individual's cerebral autoregulation (CA) limits using near-infrared spectroscopy (NIRS) and transcranial Doppler (TCD) are associated with adverse neurological events. It is to investigate whether patients with a higher burden of cerebral haemodynamic insults have an increased incidence or poorer neurological outcomes. Associations between neurologic outcomes, neurobiomarkers and genetic tests will be explored.Read full original descriptionShow less

Impact of Personalised Cardiac Anaesthesia and Cerebral Autoregulation on Neurological Outcomes in Patients Undergoing Cardiac Surgery (PRECISION)

This international, multicentre prospective cohort study will assess whether perioperative duration and magnitude of mean arterial pressure (MAP) outside of an individual's cerebral autoregulation (CA) limits using near-infrared spectroscopy (NIRS) and transcranial Doppler (TCD) are associated with adverse neurological events. It is to investigate whether patients with a higher burden of cerebral haemodynamic insults have an increased incidence or poorer neurological outcomes. Associations between neurologic outcomes, neurobiomarkers and genetic tests will be explored.

Inclusion: Elective primary or reoperative coronary artery bypass graft and/or valvular and/or ascending aorta surgery requiring cardiopulmonary bypass.

Exclusion: Surgery requiring moderate (28-31.9ºC) or deep (<28ºC) hypothermic circulatory arrest; Urgent (within 24 hours) and emergency surgery; Heart and/or lung transplantation; Inability to give consent; Participants who undergo cardiac surgery under minimal extracorporeal circulation will also be excluded; Inability to follow procedures or insufficient knowledge in English, German or French.

ClinicalTrials.gov NCT05595954