Key result
Phenylephrine shows no difference versus norepinephrine in AKI or mortality during emergency surgery.
Why the study?
It was unclear how phenylephrine and norepinephrine affect renin-angiotensin-aldosterone system components and postoperative complications in patients undergoing acute abdomen emergency surgery.
Does phenylephrine compared to norepinephrine affect RAAS components and postoperative complications in patients undergoing emergency acute abdominal surgery?
RCT (n=156)
randomized
No
Does phenylephrine compared to norepinephrine affect RAAS components and postoperative complications in patients undergoing emergency acute abdominal surgery?
Phenylephrine and norepinephrine exert similar effects on RAAS components and postoperative complications when used to maintain intraoperative blood pressure during emergency abdominal surgery.
Supports either phenylephrine or norepinephrine for intraoperative BP management in emergency abdominal surgery; confirms comparable AKI and mortality risks.
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Wang et al. (2025) conducted an RCT in acute abdomen emergency surgery (n=156). Phenylephrine vs. Norepinephrine was evaluated on acute kidney injury (AKI) incidence (RR 1.50, 95% CI 0.65-3.47, p=0.569). Phenylephrine and norepinephrine showed no significant difference in acute kidney injury incidence (RR 1.50; 95% CI 0.65-3.47; p=0.569) or 30-day mortality in patients undergoing emergency surgery.
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