Could adjusting lung pressure during spine surgery prevent dangerous blood pressure drops?
NCT ID NCT06378710
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study investigates whether using lower pressure on the lungs (PEEP) along with extra fluids can prevent blood pressure drops in patients undergoing spine surgery in the knee-chest position. The knee-chest position naturally lowers blood pressure, and standard protective lung ventilation may worsen this effect. Researchers will compare a low-PEEP approach with standard care in 84 adults to see which better maintains stable blood pressure during surgery.
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 successful, this could lead to safer anesthesia practices for spine surgery, reducing dangerous drops in blood pressure.
- What could go wrong
- This is a small, early-stage study focused on monitoring, not treatment. Results may not apply to all patients or surgeries.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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84 people
The number who actually took part.
- Started
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Jan 2023
- Finished
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Jan 2025
- 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 years and older
- 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: * Patient \> 18 years old * Beneficiary of Social Security or CMU * Surgical operation under general anesthesia requiring a knee-pectoral position * Dated and signed informed consent Exclusion Criteria: * BMI \> 35 kg/m² * Hemodynamic instability before placing the knee in the pectoral position. * ASA class IV or V * Prolonged intervention \> 2 hours * Lack of consent * Contraindications to the use of esophageal Doppler * Concomitant third-party clinical trial that may induce a hemodynamic or respiratory change in the patient
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Genom att skicka in godkänner du våra Användarvillkor
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CAEN University Hospital
Caen, France
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