Custom ventilation during surgery may cut lung risks

NCT ID NCT03884543

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study tested whether a personalized breathing machine setting during open abdominal surgery could prevent lung complications like pneumonia or respiratory failure. Over 1,400 patients at risk for lung problems were randomly assigned to either the personalized strategy or standard care. The approach aimed to keep the lungs open with the least pressure needed.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
individualized high PEEP ventilation strategy
What this could lead to
If successful, this could lead to a standard way to ventilate patients during open abdominal surgery to reduce lung complications.
What could go wrong
This trial is completed but results may not apply to all surgeries or patients. The strategy involves adjustments that may not work for everyone.

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

    Amsterdam, Netherlands

  • Albert Schweitzer Ziekenhuis

    Dordrecht, Netherlands

  • Amsterdam UMC location VUmc

    Amsterdam, Netherlands

  • Bermanntrost BG Klinikum Halle

    Halle, Germany

  • Bernhoven Hospital

    Uden, Netherlands

  • Erasmus Medisch Centrum

    Rotterdam, Netherlands

  • HAGA

    The Hague, Netherlands

  • Haaglanden Medisch Centrum

    The Hague, Netherlands

  • Heinrich-Heine University Hospital Dusseldorf

    Düsseldorf, Germany

  • Leiden UMC

    Leiden, Netherlands

  • Maastricht UMC

    Maastricht, Netherlands

  • Martini Hospital

    Groningen, Netherlands

  • Medical Center Leeuwarden

    Leeuwarden, Netherlands

  • Noordwest ziekenhuizengroep Alkmaar

    Alkmaar, Netherlands

  • Onze Lieve Vrouwen Gasthuis

    Amsterdam, Netherlands

  • Ospedale Policlinico San Martino

    Genoa, Italy

  • Radboud UMC

    Nijmegen, Netherlands

  • Rijnstate Hospital

    Arnhem, Netherlands

  • Spaarne Gasthuis Hospital

    Haarlem, Netherlands

  • UMC Groningen

    Groningen, Netherlands

  • University hospital Carl Gustav Carus

    Dresden, Germany

  • University hospital Napoli

    Naples, Italy

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