Face-Down surgery: does breathing mechanics affect brain oxygen?
NCT ID NCT07862257
First seen Oct 07, 2026 · Last updated Oct 09, 2026 · Updated 2 times
Summary
Researchers are observing 100 adults having elective lumbar disc surgery to see whether changes in breathing mechanics during prone positioning relate to brain oxygen levels. Patients receive routine anesthesia and are placed face-down for surgery. The team records ventilator readings and uses near-infrared sensors on the forehead to track brain oxygen before, during, and after prone positioning. No treatments or anesthesia plans are altered for the study.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If a link emerges between breathing mechanics and brain oxygen during prone surgery, anesthesiologists could refine ventilator settings to protect the brain in patients who need this position.
- What could go wrong
- This observational study cannot prove cause and effect, and it involves a single surgery type in 100 adults. Findings may not apply to other surgeries, positions, or patients with different health profiles.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Jan 2027
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.
Who is studied
Adult patients aged 18-75 years undergoing elective lumbar disc herniation surgery in the prone position under general anesthesia at Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital.
- Ages
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18 to 75 years
- Sex
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Anyone
- 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 18-75 years * Written informed consent * Scheduled for elective lumbar disc herniation surgery * ASA physical status I-III * Volume-controlled ventilation Exclusion Criteria: * History of increased intracranial pressure * Conditions preventing placement of cerebral NIRS probes * Development of severe intraoperative complications * Significant hemodynamic instability * Known cerebrovascular disease or severe carotid artery disease * Hemoglobin \<10 g/dL or anticipated major bleeding * Severe heart failure (EF \<40%) * Advanced COPD or restrictive lung disease * Orthopedic or neurological conditions preventing tolerance of the prone position
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Conditions
The condition(s) this trial relates to.
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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Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital
RECRUITINGIstanbul, Istanbul, 34000, Turkey (Türkiye)
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