Smart ventilator settings may cut Post-Surgery lung failure
NCT ID NCT07620132
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new method for setting ventilators during abdominal surgery to prevent postoperative respiratory failure. The approach adjusts settings based on 'mechanical power,' a measure that combines several ventilator parameters. The trial will enroll 490 adults having abdominal surgery lasting at least 2 hours and compare this individualized strategy to standard care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mechanical power-guided ventilatory strategy
- What this could lead to
- If it works, this could lead to a standard way to set ventilators during surgery that reduces lung injury and prevents respiratory failure.
- What could go wrong
- This is a new approach not yet tested in a large trial, so it may not prove better than current methods. The ventilator adjustments also carry risks like drops in blood pressure.
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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About 490 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
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 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: * Adult (≥ 18 years) * Laparoscopic or non-laparoscopic abdominal surgery * With an expected duration of at least 2 hours Exclusion Criteria: * Patients already receiving mechanical ventilation \> 12 hours before surgery; * Chronic respiratory disease requiring oxygen therapy or mechanical ventilation at home; * Undrained pneumothorax or subcutaneous emphysema; * Intracranial hypertension; * Patients for which death is deemed imminent and inevitable or patients with an underlying disease process with a life expectancy of less than 3 months; * Patients already enrolled in the IMPROVE III trial; * Pregnancy in progress or planned during the study period or breastfeeding women (Art. L1121-5 of the French Public Health Code); * Patients protected by law (Art. L1121-6 to L1121-8 of the French Public Health Code): Individuals deprived of their liberty by judicial or administrative decision, vulnerable persons, minors, adults under guardianship or curatorship; * Patients not covered by a French social security scheme and not benefiting from such a scheme; * Absence of free and informed oral consent from the patient before inclusion (except in emergency situation where the patient is unable to provide consent), or absence of written informed consent from his/her proxy if present in an emergency situation (except in life-threatening emergency, where inclusion without consent from the patient or his/her proxy is permitted), in which case consent will be obtained as soon as possible after inclusion.
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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 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.
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Other studies related to the condition(s) this trial covers.
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