[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"vasoconstriction\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:vasoconstriction":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,4,0,[8,55,90,121],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":36,"overallStatus":43,"whyStopped":4,"lastUpdateSubmitDate":44,"lastUpdatePostDateStruct":45,"startDateStruct":48,"completionDateStruct":50,"leadSponsor":52,"locationsCount":5},"100646084","immersive-vr-to-reduce-stress-anxiety-and-pain-during-piccmidline-placement-100646084",false,"NCT07696156","Immersive VR to Reduce Stress, Anxiety, and Pain During PICC\u002FMidline Placement","ESTAR-VR Project: Randomized Controlled Trial on the Impact of Virtual Reality on Reducing Stress, Anxiety, and Pain During Invasive Procedures","PICC","Inclusion Criteria:\n\n* Patients ≥ 18 years old\n* Patients undergoing first-time CVC or Midline catheter insertion\n\nExclusion Criteria:\n\n* Patients with cognitive impairment\n* Communication barriers\n* Acute pain (VAS \\> 3)\n* Epilepsy\n* Brain neoplasm or brain metastases\n* Previous or simultaneous invasive procedures","ALL","18 Years",{"count":20,"type":21},202,"ESTIMATED","INTERVENTIONAL",[24],"NA","Medical and technological advancements allow increasingly complex invasive procedures to be performed on hospitalized patients, improving their survival rates and prognosis. However, these interventions impact physical, emotional, and psychological health. In this scenario, post-hospitalization syndrome (PHS) emerges as a concerning phenomenon characterized by functional, emotional, and social decline after discharge. Invasive procedures such as surgeries or prolonged use of catheters not only compromise physical integrity but also contribute to disorders like anxiety, depression, and post-traumatic stress. In fact, between 20% and 30% of patients admitted to the Intensive Care Unit (ICU) develop symptoms compatible with post-traumatic stress disorder. This underscores the need for a comprehensive approach focused on psychological and social well-being during and after the hospital stay. Despite humanization initiatives, few hospitals successfully implement them due to a lack of objective evaluations and clinical recommendations that justify their necessity.\n\nIn this regard, venous catheterization (VC) is the most prevalent invasive procedure. The pain, anxiety, or fear caused by this technique triggers physiological and psychological alterations that can interfere with the successful insertion of the device. This stress response induces vasoconstriction, reducing the caliber of the vein, which increases technical difficulty, elevates the risk of complications, raises healthcare costs, and negatively impacts patient satisfaction.\n\nNatural outdoor environments have been shown to reduce stress, enhancing well-being and health in the general population. In this sense, the use of immersive virtual reality (IVR) to achieve immersion in virtual nature could help not only by diverting attention away from the painful or anxiety-inducing stimulus during invasive procedures but also by providing pleasant stimuli that could have a physiological impact.\n\nThe objective of this study is to evaluate the impact of IVR on stress and anxiety during VC using validated clinical scales, measuring the caliber of the vessel to be punctured, and determining salivary biomarkers of stress, well-being, and pain. Confirming this hypothesis will provide the evidence to integrate virtual reality into the National Health System as a standard tool for more humanized and innovative care.",[27,28,29,30,31,32,33,34,35],"Vasoconstriction","Biomarkers","Central Venous Catheters","Midline Catheter","Pain","Anxiety","Catheterization","Peripheral Venous Catheterization","Stress (Psychology)",[37,38,39,15,40,41,42],"anxiety","pain","Virtual Reality","Invasive Procedures","Metabolomics","HPA Axis","NOT_YET_RECRUITING","2026-07-08",{"date":46,"type":47},"2026-07-10","ACTUAL",{"date":49,"type":21},"2027-01-15",{"date":51,"type":21},"2029-01-12",{"name":53,"class":54},"diana garcia","OTHER",{"id":56,"slug":57,"hasResults":11,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":61,"eligibilityCriteria":62,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":63,"targetDuration":4,"studyType":22,"phases":65,"briefSummary":66,"conditions":67,"keywords":4,"overallStatus":43,"whyStopped":4,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":89},"100643703","bedside-assessment-of-right-ventricular-output-lying-in-prone-or-supine-position-100643703","NCT07632027","Bedside Assessment of Right Ventricular Output Lying in Prone Or Supine Position","The BAROLO Study Bedside Assessment of Right Ventricular Output Lying in Prone Or Supine Position. Hemodynamic Changes Due to Prone Position in Patients After Cardiac Surgery - a Prospective Randomized Controlled Trial Evaluating the Effect of Prone Position on Right Heart Function","BAROLO","Inclusion Criteria:\n\n* Scheduled for cardiac surgery using cardiopulmonary bypass\n\nExclusion Criteria:\n\n* BMI \\>40\n* Emergency surgery\n* In need of secondary surgery\n* Advanced grown up congenital heart disease\n* Pulmonary disease\n* Hemodynamic instability with Norepinephrine \\>0.4mcg\u002Fkg\u002Fmin\n* Any condition which, in the judgement of the investigator, might increase the risk to the patient",{"count":64,"type":21},80,[24],"Right ventricular failure (RVF) is a common complication to cardiac surgery, which is associated to mortality, kidney failure, stroke, prolonged mechanical ventilation and ICU stay. The right ventricle is particularly vulnerable to an increased afterload. By increasing pulmonary vascular resistance (PVR), atelectasis might mitigate a negative effect on the right ventricle.\n\nRecruitment maneuvers have been shown to resolve atelectasis and improve hemodynamics by increasing cardiac output and lowering PVR. However these maneuvers transiently raise airway pressures, which in turn increases right ventricular afterload, a situation often poorly tolerated by patients with RVF.\n\nProne position is used in patients with respiratory failure and has been shown to decrease mortality in patients with ARDS. Prone position decreases atelectasis and moves ventilation dorsally. In ARDS it also seems to mediate beneficial hemodynamic effects such as an increase in cardiac output and a decrease in PVR.\n\nThe investigators hypothesis is that prone position early after cardiac surgery will increase cardiac output by recruitment of atelectasis and thereby decrease PVR.",[68,69,70,71,72,27,73,74,75,76,77,78,79],"Right Ventricular Function","Prone Position","Atelectasis","Atelectases, Postoperative Pulmonary","Cardiac Output","Heart Failure","Recruitment Maneuver","Respiratory Mechanics","Pulmonary Arterial Pressure","Cardiac Surgery","Cardiac Surgery Recovery","Cardiopulmonary Bypass","2026-06-03",{"date":82,"type":47},"2026-06-08",{"date":84,"type":21},"2026-09",{"date":86,"type":21},"2028-10",{"name":88,"class":54},"Sahlgrenska University Hospital",1,{"id":91,"slug":92,"hasResults":11,"nctId":93,"briefTitle":94,"officialTitle":94,"acronym":95,"eligibilityCriteria":96,"healthyVolunteers":97,"sex":17,"minAge":18,"maxAge":98,"enrollmentInfo":99,"targetDuration":4,"studyType":22,"phases":101,"briefSummary":103,"conditions":104,"keywords":106,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":112,"lastUpdatePostDateStruct":113,"startDateStruct":115,"completionDateStruct":117,"leadSponsor":119,"locationsCount":89},"100515916","phase-4-sympathetic-neurovascular-transduction-role-of-adrenergic-receptors-and-sex-differences-100515916","NCT05997732","Sympathetic Neurovascular Transduction: Role of Adrenergic Receptors and Sex Differences","STARS","Inclusion Criteria:\n\n* Between ages 18-40 years\n* No diagnosed medical history of cardiovascular, respiratory, nervous system, or metabolic disease.\n* Females must be pre-menopausal.\n* Prior to study visit: abstained from caffeine, alcohol, strenuous exercise, and medication not taken regularly for at least 12 hours.\n\nExclusion Criteria:\n\n* Current diagnosis of cardiovascular, respiratory, nervous system, or metabolic disease that may impact blood pressure regulation. This will be assessed on a case-by-case basis by the study physician.\n* Participants with bleeding or clotting disorders, or those currently taking blood thinners.\n* Participants currently taking beta-agonist inhalers i.e. Ventolin (at least not in the last 24 hours).\n* Females who are pregnant, confirmed by a pregnancy test.\n* Females who have are less than 1 year postpartum or are breastfeeding.\n* Females who are post-menopausal.\n* Participants that are classified as obese (body mass index \\> 30 kg ⋅ m2).\n* Have a history of smoking regularly in the last 6 months (but nicotine substitutes (i.e. patch, gum) are not an exclusion criteria).\n* Those with a known allergy to sulfites, or other components of the supplied solution of study drugs.\n* Participants taking medications that are contraindicated with any of the study drugs, such as monoamine oxidase (MAO) inhibitors or tricyclic antidepressants.\n* Participants who have not adhered to the pre-testing guidelines related to diet, alcohol or exercise will not be excluded, but will be rescheduled for a different day. This is to reduce experimental variability.",true,"40 Years",{"count":100,"type":21},30,[102],"PHASE4","The main purpose of this interventional study is to examine differences in resting blood pressure control between healthy males and females. The main questions it aims to answer are:\n\n1. Are there sex differences in the communication between the sympathetic nervous system (also known as the \"fight or flight\" response) and peripheral blood vessels (which influence systemic blood pressure)?\n2. What is the role of specific vascular receptors that respond to sympathetic signals, and is it different between males and females?\n\nParticipants will complete one study visit of approximately 3 hours where they will:\n\n* Have a blood sample taken to measure circulating sex hormone and sympathetic transmitters.\n* Receive very small doses of medications commonly used to adjust blood pressure through an artery in their arm. The effects of these medications will be short-acting and localized to the forearm.\n* Have their sympathetic nervous activity directly measured through two very small needles (similar to acupuncture needles) in the side of their leg.\n* Have their blood pressure and heart rate recorded, and forearm blood flow measured using ultrasound.",[27,105],"Vasodilation",[107,108,109,110],"sympathetic nerve activity","sex differences","adrenergic receptors","neurovascular transduction","RECRUITING","2026-01-05",{"date":114,"type":47},"2026-01-08",{"date":116,"type":47},"2023-10-31",{"date":118,"type":21},"2027-12-01",{"name":120,"class":54},"University of Alberta",{"id":122,"slug":123,"hasResults":11,"nctId":124,"briefTitle":125,"officialTitle":126,"acronym":4,"eligibilityCriteria":127,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":128,"targetDuration":4,"studyType":130,"phases":4,"briefSummary":131,"conditions":132,"keywords":135,"overallStatus":111,"whyStopped":4,"lastUpdateSubmitDate":140,"lastUpdatePostDateStruct":141,"startDateStruct":143,"completionDateStruct":145,"leadSponsor":147,"locationsCount":89},"100456577","hemodynamic-measurements-of-macrocirculatory-and-perfusion-parameters-in-icu-100456577","NCT05225402","Hemodynamic Measurements of Macrocirculatory and Perfusion Parameters in ICU","Effects of Norepinephrine on Hemodynamic Measurements of Macrocirculatory and Perfusion Parameters in ICU Patients with Septic Shock","Inclusion Criteria:\n\n* Suspected or documented infection\n* Need for vasopressors to maintain mean arterial blood pressure (MAP) ≥65 mmHg\n* Serum lactate levels \\>2 mmol\u002FL\n* Norepinephrine infusion of \\> 0.2 mcg\u002Fkg\u002Fmin\n\nExclusion Criteria:\n\n* Absolute contraindication for esophageal doppler or urinary catheter insertion as noted in the patients' charts.\n* Severe valvular pathology and cardiac arrhythmias resulting in severe hemodynamic instability.\n* Lithium treatment\n* Treatment with other vasopressor or inotropic drugs.",{"count":129,"type":21},45,"OBSERVATIONAL","In septic shock there is growing evidence of a state of hemodynamic \"disconnection\" with seemingly adequate macrocirculatory values despite actual microcirculation failing to meet cellular demand. Norepinephrine (NE) is recommended as first choice vasoactive agent for the treatment of septic shock. However, the dynamic effects of NE on macro- and microcirculation and perfusion parameters has not been described in detail in the context of septic shock, precluding rational individualized titration of NE and fluids, as recommended recently. In the present prospective observational multicenter study in adult septic shock patients, we intend to explore the effects of NE on preload dependency and tissue perfusion by evaluating the correlation and potential discrepancies between macro- and microcirculation both during titration of NE and after fluid resuscitation. The conclusions drawn from our study will contribute to the physiological knowledge necessary for establishing individualized evidence-based bedside management of hemodynamics in the setting of septic shock.",[133,134,27],"Septic Shock","Hemodynamic Instability",[133,136,137,138,139],"Norepinephrine","Hemodynamic","Microcirculation","Intensive Care","2025-03-05",{"date":142,"type":47},"2025-03-07",{"date":144,"type":47},"2022-03-08",{"date":146,"type":21},"2025-12-30",{"name":148,"class":54},"Copenhagen University Hospital, Hvidovre"]