Can tailored lung pressure protect the brain during prostate surgery?
NCT ID NCT07784010
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This trial tests whether personalizing the air pressure used during mechanical ventilation (called PEEP) can better protect brain blood flow and thinking skills after robotic prostate surgery. About 45 adults having robot-assisted prostatectomy will be randomly assigned to either a standard fixed PEEP or a tailored PEEP chosen to minimize lung strain. Researchers will measure brain blood flow using ultrasound and check attention, memory, and confusion for up to 48 hours after surgery to see if the tailored approach makes a difference.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Individualized PEEP titration (driving pressure-guided) versus standard fixed PEEP during mechanical ventilation
- What this could lead to
- If individualized PEEP better preserves brain blood flow and oxygenation, it could reduce post-surgery confusion and cognitive decline in patients undergoing robotic prostatectomy.
- What could go wrong
- This is a small, early-stage trial (45 patients) and results may not apply to all surgeries. The intervention is a standard ventilation adjustment, so benefits may be modest and not always clinically significant.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 to 80 years American Society of Anesthesiologists (ASA) physical status I-III Scheduled for robot-assisted laparoscopic radical prostatectomy Provision of written informed consent Exclusion Criteria: * Body mass index (BMI) \>35 kg/m² History of surgery requiring at least 1 hour of mechanical ventilation within the previous 2 weeks Severe pulmonary disease New York Heart Association (NYHA) class III-IV heart failure Progressive neuromuscular disease Known cerebrovascular malformation Head or neck anatomical conditions preventing adequate transcranial Doppler ultrasonography Refusal to participate in the study Intraoperative conversion to open surgery
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine
Istanbul, 34077, Turkey (Türkiye)
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