New anesthesia bundle cuts deadly lung complications in half?
NCT ID NCT04108130
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a set of anesthesia techniques could lower the risk of serious lung complications after open abdominal surgery. About 794 adults at high risk for lung problems took part across 14 US hospitals. The approach included personalized ventilation and fluid management to protect the lungs during and after surgery.
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
-
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
-
794 people
The number who actually took part.
- Started
-
Jan 2020
- Finished
-
Jul 2023
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Adults (\>=18 years) scheduled for elective surgery with expected duration \>=2 hours * Open abdominal surgery including: gastric, biliary, pancreatic, hepatic, major bowel, ovarian, renal tract, bladder, prostatic, radical hysterectomy, and pelvic exenteration * Intermediate or high risk of PPCs defined by an ARISCAT (Assess Respiratory Risk in Surgical Patients in Catalonia Score) risk score\>=26 Exclusion Criteria: * Inability or refusal to provide consent * Inability or significant difficulty to perform any study interventions, including incentive spirometry, ambulation and/or maintaining follow-up contact with study personnel for up to 90 days after the date of surgery. * Participation in any interventional research study within 30 days of the time of the study. * Previous surgery within 30 days prior to this study. * Pregnancy * Emergency surgery * Severe obesity (above Class I, BMI\>=35 kg/m2) * Significant lung disease: any diagnosed or treated respiratory condition that (a) requires home oxygen therapy or non-invasive ventilation (except nocturnal treatment of sleep apnea without supplemental oxygen), (b) severely limits exercise tolerance to \<4 metabolic equivalents (METs) (e.g., patients unable to do light housework, walk flat at 4 miles/h or climb one flight of stairs), (c) required previous lung surgery, or (d) includes presence of severe pulmonary emphysema or bullae * Significant heart disease: cardiac conditions that limit exercise tolerance to \<4 METs * Renal failure: peritoneal or hemodialysis requirement or preoperative creatinine \>=2 mg/dL * Neuromuscular disease that impairs ability to ventilate without assistance * Severe chronic liver disease (Child-Turcotte-Pugh Score \>9, Appendix I) * Sepsis * Malignancy or other irreversible condition for which 6-month mortality is estimated \>=20% * Bone marrow transplant
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Postoperative pulmonary complications are added.
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
-
Beth Israel Deaconess Hospital
Boston, Massachusetts, 02215, United States
-
Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
-
Columbia University Medical Center
New York, New York, 10032, United States
-
Duke University
Durham, North Carolina, 27710, United States
-
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
-
Mayo Clinic
Rochester, Minnesota, 55905, United States
-
Memorial Sloan Kettering
New York, New York, 10065, United States
-
Montefiore Hospital
The Bronx, New York, 10467, United States
-
Northwestern University
Evanston, Illinois, 60208, United States
-
South Florida Veterans Affairs Foundation for Research and Education, Inc.
Miami, Florida, 33125, United States
-
Stanford University
Stanford, California, 94305, United States
-
Univerisity of Massachusetts Amherst Center
Worcester, Massachusetts, 01655, United States
-
University of California - San Francisco
San Francisco, California, 94115, United States
-
University of Colorado, Anschutz Medical Campus
Aurora, Colorado, 80045, United States
-
University of Nebraska Medical Center
Omaha, Nebraska, 68198, United States
-
University of Rochester
Rochester, New York, 14642, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The breathing tube choice that could keep lungs safer after surgery
- Could gut bacteria predict lung trouble after surgery?
- Can a new ventilation mode keep lungs healthier after heart surgery?
- Tailored breathing support may protect lungs during robot prostate surgery
- Less oxygen during lung surgery may prevent collapse — a trial investigates
- Which ventilator setting protects lungs best during prone surgery?