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Mechanical VentilationNCT06861959

Comparison Volume-controlled Ventilation, Pressure-controlled Volume-guaranteed Ventilation, and Pressure-controlled Ventilation During Gynecologic Laparoscopic Surgery in the Steep Trendelenburg Position

A study of Mechanical Ventilation and Laparoscopic Gynecologic Surgery, run by Dr. Lutfi Kirdar Kartal Training and Research Hospital at 1 site in Turkey (Türkiye).

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

Objective: This study aimed to compare the effects of three different mechanical ventilation modes-Volume-Controlled Ventilation (VCV), Pressure-Controlled Ventilation (PCV), and Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG)-on pulmonary and hemodynamic variables during laparoscopic gynecologic surgery in… Read more about this study

Who is it for?
Ages 20 to 65 years, women only
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Jan 2021to 1 Sep 2021
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 20 to 65 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The study included patients aged 20-65 years
  • Classified as American Society of Anesthesiologists (ASA) physical status I or III
  • who were scheduled to undergo an elective laparoscopic gynecologic surgery with pneumoperitoneum lasting at least one hour in the steep Trendelenburg position.

Who cannot join

  • morbid obesity (BMI > 40 kg/m²)
  • pulmonary or cardiac diseases (e.g., chronic obstructive pulmonary disease, heart failure)
  • a history of difficult intubation
  • Patients requiring conversion to laparotomy or experiencing hemodynamic instability during surgery

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Zeynep Kamil Maternity and Children's Training and Research Hospital

    Istanbul, Üsküdar

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison Volume-controlled Ventilation, Pressure-controlled Volume-guaranteed Ventilation, and Pressure-controlled Ventilation During Gynecologic Laparoscopic Surgery in the Steep Trendelenburg Position: A Randomized Controlled Trial

Objective:

This study aimed to compare the effects of three different mechanical ventilation modes-Volume-Controlled Ventilation (VCV), Pressure-Controlled Ventilation (PCV), and Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG)-on pulmonary and hemodynamic variables during laparoscopic gynecologic surgery in the steep Trendelenburg position. The hypothesis was that PCV and PCV-VG would be superior to VCV in optimizing respiratory mechanics and improving oxygenation, particularly by reducing peak inspiratory pressure (Ppeak).

Read more

Methods:

Prospective, randomized, controlled clinical trial. Sixty ASA I-III patients aged 20-65 years undergoing elective laparoscopic gynecologic surgery in the steep Trendelenburg position were included (20 patients per ventilation group).

Patients were randomized into VCV, PCV, and PCV-VG groups. Intraoperative ventilation was performed with a tidal volume of 8 mL/kg, PEEP of 5 cmH2O, and intra-abdominal pressure maintained at 12-14 mmHg.

Data were collected at four time points: T1 (after induction, supine), T2 (30 min after CO2 insufflation, Trendelenburg), T3 (60 min after pneumoperitoneum), and T4 (after CO2 deflation, supine).

Primary outcome: Ppeak comparison between groups. Secondary outcomes: Dynamic lung compliance (Cdyn), mean inspiratory pressure (Pmean), gas exchange, and hemodynamic parameters.

Being tested
Device: Volume-Controlled Ventilation (VCV), Device: Pressure-Controlled Ventilation (PCV), Device: Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG)

What participants receive

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

  • Device: Volume-Controlled Ventilation (VCV)Device

    Tidal volume: 8 mL/kg of ideal body weight Respiratory rate adjusted to maintain an end-tidal CO₂ (EtCO₂) level of 30-35 mmHg Inspiratory-expiratory ratio: 1:2 PEEP: 5 cmH₂O Mechanical ventilation was provided using a Datex-Ohmeda Avance Anesthesia Machine (GE Healthcare, USA) Measurements were taken at four predefined time points (T1-T4)

  • Device: Pressure-Controlled Ventilation (PCV)Device

    Initial peak inspiratory pressure adjusted to deliver a tidal volume of 8 mL/kg of ideal body weight Respiratory rate adjusted to maintain an end-tidal CO₂ (EtCO₂) level of 30-35 mmHg Inspiratory-expiratory ratio: 1:2 PEEP: 5 cmH₂O Mechanical ventilation was provided using a Datex-Ohmeda Avance Anesthesia Machine (GE Healthcare, USA) Measurements were taken at four predefined time points (T1-T4)

  • Device: Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG)Device

    Pressure-controlled mode with volume guarantee to maintain a tidal volume of 8 mL/kg of ideal body weight Respiratory rate adjusted to maintain an end-tidal CO₂ (EtCO₂) level of 30-35 mmHg Inspiratory-expiratory ratio: 1:2 PEEP: 5 cmH₂O Mechanical ventilation was provided using a Datex-Ohmeda Avance Anesthesia Machine (GE Healthcare, USA) Measurements were taken at four predefined time points (T1-T4)

Study groups in NCT06861959
Study groupRoleWhat they receive
Group VCVActive comparatorPatients in this group were ventilated using Volume-Controlled Ventilation (VCV) mode throughout the procedure.
Receives: Device: Device: Volume-Controlled Ventilation (VCV)
Group PCVActive comparatorPatients in this group were ventilated using Pressure-Controlled Ventilation (PCV) mode throughout the procedure.
Receives: Device: Device: Pressure-Controlled Ventilation (PCV)
Group PCV-VGActive comparatorPatients in this group were ventilated using Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG) mode throughout the procedure.
Receives: Device: Device: Pressure-Controlled Volume-Guaranteed Ventilation (PCV-VG)

What is being measured

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

  1. peak inspiratory pressure (Ppeak) among the groups

    The primary outcome of the study was to compare peak inspiratory pressure (Ppeak) (cmH₂O) among the VCV, PCV, and PCV-VG ventilation modes in patients undergoing laparoscopic gynecologic surgery in the steep Trendelenburg position. Data were collected at four predefined time points during the study.

    The first time point (T1) was measured 15 minutes after the induction of anesthesia, with patients in the supine position. The second time point (T2) was recorded 30 minutes following CO₂ insufflation and positioning in the Trendelenburg position. The third time point (T3) represented measurements taken 60 minutes after the initiation of pneumoperitoneum. The final time point (T4) was assessed 15 minutes after CO₂ deflation and the return of patients to the supine position.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

Secondary outcomes (12)
  1. Mean Inspiratory Pressure (Pmean) (cmH₂O) among the groups

    Mean Inspiratory Pressure (Pmean) (cmH₂O)

    Ventilation variables was recorded at T1 to T4.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  2. Plateau Pressure (Pplateau) (cmH₂O) among the groups

    Plateau Pressure (Pplateau) (cmH₂O)

    Ventilation variables was recorded at T1 to T4.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  3. Dynamic Lung Compliance (Cdyn) (mL/cmH₂O) among the groups

    Dynamic Lung Compliance (Cdyn) (mL/cmH₂O)

    Ventilation variables was recorded at T1 to T4.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  4. Respiratory Rate (RR) (breaths per minute) among the groups

    Respiratory Rate (RR) (breaths per minute)

    Ventilation variables was recorded at T1 to T4.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  5. Exhaled Tidal Volume (Exhale TV) (mL) among the groups

    Exhaled Tidal Volume (Exhale TV) (mL)

    Ventilation variables was recorded at T1 to T4.

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  6. Hemodynamic parameters: Heart Rate (HR) (beats per minute) among the groups

    Heart Rate (HR) (beats per minute)

    hemodynamic parameters were recorded at T1 to T4

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  7. Hemodynamic parameters:Mean Arterial Pressure (MAP) (mmHg) among the groups

    Mean Arterial Pressure (MAP) (mmHg)

    hemodynamic parameters were recorded at T1 to T4

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  8. Hemodynamic parameters: Peripheral Oxygen Saturation (SpO₂) (%) among the groups

    Peripheral Oxygen Saturation (SpO₂) (%)

    hemodynamic parameters were recorded at T1 to T4

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  9. Hemodynamic parameters:End-Tidal CO₂ (EtCO₂) (mmHg) among the groups

    End-Tidal CO₂ (EtCO₂) (mmHg)

    hemodynamic parameters were recorded at T1 to T4

    Measured: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation

  10. arterial blood gas analysis: Arterial Partial Pressure of Oxygen (PaO₂) (mmHg) among the groups

    Arterial Partial Pressure of Oxygen (PaO₂) (mmHg)

    Arterial blood gas analysis was conducted at T1 and T3.

    Measured: 15 minutes after the induction, 60 minutes after the initiation of pneumoperitoneum

  11. arterial blood gas analysis: Arterial Partial Pressure of Oxygen (PaO₂) (mmHg) among the groups

    Arterial Partial Pressure of Carbon Dioxide (PaCO₂) (mmHg)

    Arterial blood gas analysis was conducted at T1 and T3.

    Measured: 15 minutes after the induction, 60 minutes after the initiation of pneumoperitoneum

  12. arterial blood gas analysis: Arterial Oxygen Saturation (SaO₂) (%) among the groups

    Arterial Oxygen Saturation (SaO₂) (%)

    Arterial blood gas analysis was conducted at T1 and T3.

    Measured: 15 minutes after the induction, 60 minutes after the initiation of pneumoperitoneum

Timeline

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

  1. First posted6 Mar 2025
  2. Study start1 Jan 2021
  3. Primary completion1 Aug 2021
  4. Study completion1 Sep 2021

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06861959
Sponsor's protocol ID
keahanest
Status last verified
Mar 2025
First submitted
19 Feb 2025
Last updated
10 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Toker MK, Altiparmak B, Uysal AI, Demirbilek SG. [Comparison of pressure-controlled volume-guaranteed ventilation and volume-controlled ventilation in obese patients during gynecologic laparoscopic surgery in the Trendelenburg position]. Braz J Anesthesiol. 2019 Nov-Dec;69(6):553-560. doi: 10.1016/j.bjan.2019.09.003. Epub 2019 Dec 10.

    PubMed 31836201

Questions about this trial

What is this clinical trial studying?

A study of Mechanical Ventilation and Laparoscopic Gynecologic Surgery, run by Dr. Lutfi Kirdar Kartal Training and Research Hospital at 1 site in Turkey (Türkiye).

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 3 inclusion and 4 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 10 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). 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?

peak inspiratory pressure (Ppeak) among the groups (time frame: 15 minutes after the induction, 30 minutes following CO₂ insufflation, 60 minutes after the initiation of pneumoperitoneum, 15 minutes after CO₂ deflation). 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 NCT06861959, which also lists 1 linked publication.

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 10 Mar 2025.

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Clinical Trial NCT06861959 | AzTrials