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Patients Undergoing General AnesthesiaGA-TARGETSNCT06047119

Respiratory and Hemodynamic Targets During General Anesthesia

A study testing Blood pressure, Positive end expiratory pressure and Tidal volume in people with Patients Undergoing General Anesthesia, run by Lars Wiuff Andersen at 6 sites in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This trial is an investigator-initiated, multicenter, randomized, factorial, single-blind trial of multiple hemodynamic and respiratory targets during general anesthesia. These targets include blood pressure, positive end expiratory pressure, tidal volume, and fraction of inspired oxygen. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Patients Undergoing General Anesthesia
What is being tested?
Blood pressure, Positive end expiratory pressure and Tidal volume
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
485 participants
Where
6 sitesDenmark
Study dates
9 Oct 2023to 24 Apr 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years
  • American Society of Anesthesiologists (ASA) classification 3 to 5
  • Planned endotracheal intubation with positive pressure ventilation
  • Expected operating time ≥ 90 minutes
  • Certain types of surgery

Who cannot join

  • Inability to obtain consent (e.g., patient is unconscious, hyperacute surgery)
  • Known or suspected pregnancy
  • Out-patient/same-day surgery
  • Intubated prior to surgery
  • Clinical judgement by the anesthesiologist that any of the interventions could be potentially harmful to the patient

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Denmark6 sites
  • Aalborg University Hospital

    Aalborg

  • Aarhus University Hospital

    Aarhus

  • Gødstrup Regional Hospital

    Gødstrup

  • Horsens Regional Hospital

    Horsens

  • Randers Regional Hospital

    Randers

  • Viborg Regional Hospital

    Viborg

Other trials in Denmark

About this study

Official title: Respiratory and Hemodynamic Targets During General Anesthesia - A Randomized Clinical Trial

This trial is an investigator-initiated, multicenter, randomized, factorial, single-blind trial of multiple hemodynamic and respiratory targets during general anesthesia. These targets include blood pressure, positive end expiratory pressure, tidal volume, and fraction of inspired oxygen. Patients will be randomized to different targets using a factorial design, i.e., each patient is simultaneously randomized to four interventions. There will be five enrolling sites in the Central Denmark Region. 480 high-risk patients will be enrolled.

Being tested
Blood pressure, Positive end expiratory pressure, Tidal volume, Fraction of inspired oxygen

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Blood pressureProcedure or surgery

    Blood pressure targets during general anesthesia and 2 hours after

  • Positive end expiratory pressureProcedure or surgery

    Positive end expiratory pressure during general anesthesia

  • Tidal volumeProcedure or surgery

    Tidal volume during general anesthesia

  • Fraction of inspired oxygenProcedure or surgery

    Fraction of inspired oxygen during general anesthesia and 2 hours after

Study groups in NCT06047119
Study groupRoleWhat they receive
Mean arterial blood pressure above 60 mmHg during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Blood pressure
Mean arterial blood pressure above 70 mmHg during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Blood pressure
Mean arterial blood pressure above 80 mmHg during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Blood pressure
Systolic blood pressure above 90% of baseline during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Blood pressure
Positive end expiratory pressure 5 cm H20 during general anesthesiaExperimentalNot described
Receives: Procedure: Positive end expiratory pressure
Positive end expiratory pressure 8 cm H20 during general anesthesiaExperimentalNot described
Receives: Procedure: Positive end expiratory pressure
Positive end expiratory pressure 10 cm H20 during general anesthesiaExperimentalNot described
Receives: Procedure: Positive end expiratory pressure
Tidal volume 5 ml/kg during general anesthesiaExperimentalNot described
Receives: Procedure: Tidal volume
Tidal volume 8 ml/kg during general anesthesiaExperimentalNot described
Receives: Procedure: Tidal volume
Tidal volume 10 ml/kg during general anesthesiaExperimentalNot described
Receives: Procedure: Tidal volume
Fraction of inspired oxygen 30% during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Fraction of inspired oxygen
Fraction of inspired oxygen 80% during general anesthesia and 2 hours afterExperimentalNot described
Receives: Procedure: Fraction of inspired oxygen

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility: Proportion of eligible patients randomized

    Eligible patients will be defined as those meeting all inclusion criteria and none of the exclusion criteria 1 to 4.

    Measured: Up to 90 days

  2. Feasibility: Proportion of patient with adherence to the assigned interventions

    Adherence will be defined as follows:

    The allocated positive end expiratory pressure (± 1 cm H2O), tidal volume (± 1 ml/kg), and FiO2 (± 5%) is used in a minimum of 90% of the randomized patients for the duration of the surgery.

    Vasopressors/inotropes are only initiated and continued if the blood pressure declines below the allocated target in at least 60% of the patients and at least 60% of time during general anesthesia, i.e., 60% of the registered blood pressures should be within +/- 10 mmHg of the target when vasopressor/inotropes are administered.

    Measured: During surgery

  3. Feasibility: Proportion of patients with separation of mean arterial pressure

    We aim to achieve at least 5 mmHg separation in mean/median mean arterial pressure for the three blood pressure groups targeting mean arterial pressure.

    Measured: During surgery

  4. Feasibility: Proportion of patients lost to follow-up

    We aim to obtain data from more than 90% of patients still alive at 30- and 90-days follow-up.

    Measured: Up to 90 days

Secondary outcomes (30)
  1. Proportion of patients with pulmonary post-operative complications (composite)

    A composite of the following based on European Perioperative Clinical Outcome definitions: Respirator infection, respirator failure, pleural effusion, atelectasis, pneumothorax, bronchospasms, and aspiration pneumonitis.

    Measured: 30 days

  2. Proportion of patient with pneumonia

    Based on the United States of America Centers for Disease Control and Prevention (CDC) definition of pneumonia

    Measured: 30 days

  3. Proportion of patient with pulmonary embolism

    Presence of pulmonary embolus on computerized tomography (CT) or magnetic resonance (MR) imaging, or a high probability of pulmonary embolus based on ventilation perfusion scan.

    Measured: 30 days

  4. Proportion of patient with acute kidney injury

    Composite of post-operative renal complications using Kidney Disease Improving Global Outcomes (KDIGO) criteria

    Measured: 30 days

  5. Creatinine

    Measured in umol/L

    Measured: 2 hours after the surgery

  6. Creatinine

    Measured in umol/L

    Measured: The day after the surgery

  7. Proportion of patient with major adverse cardiac events

    A composite of the following based on European Perioperative Clinical Outcome definitions: Non-fatal cardiac arrest, acute myocardial infarction, congestive heart failure, new cardiac arrhythmia, and angina.

    Measured: 30 days

  8. Troponin-I

    Measured in ng/L

    Measured: 2 hours after the surgery

  9. Troponin-I

    Measured in ng/L

    Measured: The day after the surgery

  10. Proportion of patients with myocardial injury after non-cardiac surgery

    Post-operative troponin-I above the 99% percentile for the respective assay.

    Measured: 3 days

  11. Alanine transaminase

    Measured in U/L

    Measured: 2 hours after the surgery

  12. Alanine transaminase

    Measured in U/L

    Measured: The day after the surgery

  13. Proportion of patients with emergence delirium

    Based on the nursing delirium screening scale to evaluate emergence delirium 90-120 minutes after admission to the post-aesthesia care unit.

    Measured: 2 hours after the surgery

  14. Proportion of patients with post-operative delirium

    We will categorize delirium as delirium if this is either stated in the medical journal or retrospectively categorized as delirium if it meets pre-defined criteria based on the diagnostic and statistical manual of mental disorders, fifth edition from the American psychiatric association

    Measured: 7 days

  15. Post-operative pain

    Highest numeric rating scale (NRS) score (from 0 to 10 with higher scores indicating worse pain) documented

    Measured: 2 hours after the surgery

  16. Opioid administered

    Total opioid administered using morphine equivalent units.

    Measured: 24 hours

  17. Proportion of patients with post-operative nausea and vomiting

    Highest numeric rating scale (NRS) score (from 0 to 10 with higher scores indicating worse nausea and vomiting) documented

    Measured: 2 hours after the surgery

  18. Antiemetic treatment

    Administered antiemetic treatment (ondansetron, dexamethasone, cyclizine, droperidol, metoclopramide) within the first 24 hours after the operation.

    Measured: 24 hours

  19. Proportion of patients with surgical site infections

    Based on the United States of America Centers for Disease Control and Prevention (CDC) definition.

    Measured: 30 days

  20. Clavien-Dindo grading of complications

    In addition to reporting the individual post-operative complications, we will use the validated Clavien-Dindo classification to grade post-operative complications by the interventions needed.

    Measured: 30 days

  21. Proportion of patients with intensive care unit admission

    Both planned and unplanned stays at the intensive care unit.

    Measured: 30 days

  22. Length of hospital stay

    Reported in days.

    Measured: Up to 90 days

  23. Days alive and out of the hospital

    Reported in days. Patients that die during the 30 days, will receive a value of 0. All admissions at acute care hospitals in Denmark will be included in this outcome.

    Measured: Within 30 days

  24. Proportion of patients with who die

    Measured: 30 days

  25. Proportion of patients with who die

    Measured: 90 days

  26. Health related quality of life

    Based on the EQ-5D-5L questionnaire

    Measured: 30 days

  27. Health related quality of life

    Based on the EQ-5D-5L questionnaire

    Measured: 90 days

  28. Proportion of patients with intraoperative complications

    Specific complications occurring during the surgery: Bleeding, need of blood product transfusions, arrhythmia, pneumothorax, cardiac arrest, mortality.

    Measured: During surgery

  29. Quality of recovery

    Based on the quality of recovery-15 (QoR-15) score. The score ranges from 0-150 with higher scores indicating better recovery.

    Measured: 30 days

  30. Quality of recovery

    Based on the quality of recovery-15 (QoR-15) score. The score ranges from 0-150 with higher scores indicating better recovery.

    Measured: 90 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2023
  2. Study start9 Oct 2023
  3. Primary completion24 Apr 2025
  4. Study completion24 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
485 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06047119
Sponsor's protocol ID
00005
Acronym
GA-TARGETS
Status last verified
Jul 2025
First submitted
10 Aug 2023
Last updated
5 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Six months after the publication of the last results, all de-identified individual patient data will be made available for data sharing. Procedures, including re-coding of key variables, will be put in place to allow for complete de-identification of the data. Data will be completely anonymized according to Danish law. All relevant trial-related documents, including the protocol, data dictionary, and the main statistical code, will be shared along with the data. There will be no predetermined end date for the data sharing.

Publications

  • Hoybye M, Lind PC, Holmberg MJ, Bolther M, Jessen MK, Vallentin MF, Hansen FB, Holst JM, Magnussen A, Hansen NS, Johannsen CM, Enevoldsen J, Jensen TH, Roessler LL, Klitholm MP, Eggertsen MA, Caap P, Boye C, Dabrowski KM, Vormfenne L, Henriksen J, Karlsson M, Balleby IR, Rasmussen MS, Paelestik K, Granfeldt A, Andersen LW. Fraction of inspired oxygen during general anesthesia for non-cardiac surgery: Systematic review and meta-analysis. Acta Anaesthesiol Scand. 2022 Sep;66(8):923-933. doi: 10.1111/aas.14102. Epub 2022 Jun 23.

    PubMed 35675085
  • Bolther M, Henriksen J, Holmberg MJ, Jessen MK, Vallentin MF, Hansen FB, Holst JM, Magnussen A, Hansen NS, Johannsen CM, Enevoldsen J, Jensen TH, Roessler LL, Caroe Lind P, Klitholm MP, Eggertsen MA, Caap P, Boye C, Dabrowski KM, Vormfenne L, Hoybye M, Karlsson M, Balleby IR, Rasmussen MS, Paelestik K, Granfeldt A, Andersen LW. Ventilation Strategies During General Anesthesia for Noncardiac Surgery: A Systematic Review and Meta-Analysis. Anesth Analg. 2022 Nov 1;135(5):971-985. doi: 10.1213/ANE.0000000000006106. Epub 2022 Oct 21.

    PubMed 35703253
  • Bolther M, Henriksen J, Holmberg MJ, Granfeldt A, Andersen LW. Blood pressure targets during general anaesthesia for noncardiac surgery: A systematic review of clinical trials. Eur J Anaesthesiol. 2022 Nov 1;39(11):903-905. doi: 10.1097/EJA.0000000000001703. Epub 2022 Jul 5. No abstract available.

    PubMed 35797424
  • Holst JM, Klitholm MP, Henriksen J, Vallentin MF, Jessen MK, Bolther M, Holmberg MJ, Hoybye M, Lind PC, Granfeldt A, Andersen LW. Intraoperative respiratory and hemodynamic strategies for reducing nausea, vomiting, and pain after surgery: Systematic review and meta-analysis. Acta Anaesthesiol Scand. 2022 Oct;66(9):1051-1060. doi: 10.1111/aas.14127. Epub 2022 Aug 22.

    PubMed 35924389
  • Paelestik MB, Risager BH, Mortensen SO, Schjorring OL, Bisgaard J, Berthelsen KG, Balslov R, Bach L, Paelestik KB, Rossau JGR, Poulsen C, Solling C, Sorensen JT, Enevoldsen M, Petersen LDD, Zwisler ST, Brahe NM, Rasmussen AM, Guldberg IA, Joost MA, Nielsen HB, Espelund US, Brix LD, Petersen JAK, Eriksen CF, Kjaergaard AG, Dinesen PD, Abildgren ML, Vallentin MF, Jessen MK, Vistisen ST, Norholt CH, Baltsen CD, Andersen LK, Hansen FG, Frilund LW, Winther S, Granfelt A, Andersen LW. Blood Pressure Targets During General Anaesthesia in High-Risk Patients-A Randomised Clinical Feasibility Trial. Acta Anaesthesiol Scand. 2026 Sep;70(8):e70315. doi: 10.1111/aas.70315.

    PubMed 42578528
  • Paelestik MB, Risager BH, Mortensen SO, Schjorring OL, Bisgaard J, Berthelsen KG, Balslov R, Bach L, Paelestik KB, Rossau JGR, Poulsen C, Solling C, Sorensen JT, Enevoldsen M, Petersen LDD, Zwisler ST, Brahe NM, Rasmussen AM, Guldberg IA, Joost MA, Nielsen HB, Espelund US, Brix LD, Petersen JAK, Eriksen CF, Kjaergaard AG, Dinesen PD, Abildgren ML, Vallentin MF, Jessen MK, Vistisen ST, Norholt CH, Baltsen CD, Andersen LK, Hansen FG, Frilund LW, Winther S, Granfelt A, Andersen LW. Positive End-Expiratory Pressure, Tidal Volume, and Fraction of Inspired Oxygen During General Anaesthesia in High-Risk Patients-A Randomised Clinical Feasibility Trial. Acta Anaesthesiol Scand. 2026 Sep;70(8):e70309. doi: 10.1111/aas.70309.

    PubMed 42508987

Questions about this trial

What is this clinical trial studying?

A study testing Blood pressure, Positive end expiratory pressure and Tidal volume in people with Patients Undergoing General Anesthesia, run by Lars Wiuff Andersen at 6 sites in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility: Proportion of eligible patients randomized (time frame: Up to 90 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06047119, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Aug 2025.

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