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One-lung Ventilation (OLV)OLV-VENTNCT07866170

Comparison of Different Ventilation Modes in Video-Assisted Thoracoscopic Lung Resection

An observational study of One-lung Ventilation (OLV) and Video-assisted Thoracis Surgery (VATS), run by Ankara Ataturk Sanatorium Training and Research Hospital at 1 site in Turkey (Türkiye).

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

One-lung ventilation (OLV) is required for video-assisted thoracoscopic surgery (VATS) lung resection, but it exposes the dependent lung to atelectasis, high driving pressures, and oxidative stress, and is associated with postoperative pulmonary complications. Read more about this study

Who is it for?
Ages 18 years and older
How many people
120 participants
Where
1 siteTurkey (Türkiye)
Study dates
12 Oct 2026to 3 Sep 2027
How long will I take part?
1 Year
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: Patients aged 18 years and older, ASA physical status I-III, scheduled for elective lung resection by video-assisted thoracoscopic surgery (VATS) with planned one-lung ventilation under total intravenous anesthesia at a single tertiary center. Patients are assigned to one of three groups according to the ventilation mode selected by the attending anesthesiologist (FCV, VCV, or PCV); no randomization is performed.

Who may be able to join

  • -Age 18 years and older
  • American Society of Anesthesiologists (ASA) physical status I, II, or III
  • Scheduled for elective lung resection by video-assisted thoracoscopic surgery (VATS)
  • Planned one-lung ventilation
  • GOLD 2026 group 1 or group 2
  • Planned total intravenous anesthesia (TIVA)
  • Willing to participate and provides written informed consent

Who cannot join

  • ASA physical status IV or older
  • Emergency surgery
  • Previous neoadjuvant chemotheraphy or radiotherapy
  • GOLD 2026 group 3 or group 4
  • Pneumothorax, pleural effusion or interstitial lung disease
  • One-lung ventilation cannot be clinically maintained
Show all 9Show fewer
  • Planned thoracotomy
  • Incomplete data
  • Refusal to participate

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Turkey (Türkiye)1 site
  • Ankara Ataturk Sanatoryum Education and Research Hospital

    Ankara, 06290

    Yenal ZORLU, +90-506-809-14-71, yenalzorlu@icloud.com

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Flow-Controlled, Volume-Controlled, and Pressure-Controlled Ventilation During One-Lung Ventilation in Video-Assisted Thoracoscopic Lung Resection: A Prospective Observational Study

One-lung ventilation (OLV) is required for video-assisted thoracoscopic surgery (VATS) lung resection, but it exposes the dependent lung to atelectasis, high driving pressures, and oxidative stress, and is associated with postoperative pulmonary complications. Volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) are the conventional modes used during OLV. Flow-controlled ventilation (FCV) is a newer mode that delivers a constant gas flow during both inspiration and expiration through a narrow-bore endotracheal tube, and has been proposed to improve gas distribution and reduce mechanical stress on the lung.

This prospective observational study evaluates oxygenation and respiratory mechanics in adult patients undergoing elective VATS lung resection under OLV. The ventilation mode used for each patient is determined by the attending anaesthesiologist as part of routine clinical care, independently of the study; investigators do not participate in any aspect of patient management and collect data through observation only. Patients are grouped according to the mode used in clinical practice (FCV, VCV, or PCV).

The primary outcome is arterial oxygenation (PaO₂) at 30 minutes of OLV. Secondary outcomes include dynamic lung compliance, driving pressure, mechanical power, and haemodynamic parameters recorded at predefined intervals. A total of 120 patients (ASA I-III, GOLD stage 1-2) are planned for enrolment.

Keywords
Volume-Controlled Ventilation, Pressure-Controled Ventilation, Flow-Controlled Ventilation, Driving Pressure, Postoperative Complications, Mechanical Power
Medical subject headings
Postoperative Complications

What participants receive

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

Study groups in NCT07866170
Study groupRoleWhat they receive
Flow-Controlled VentilationPatients ventilated with flow-controlled ventilation during one-lung ventilation, as selected by the attending anaesthesiologist
Volume-Controlled VentilationPatients ventilated with volume-controlled ventilation during one-lung ventilation, as selected by the attending anaesthesiologist
Pressure-Controlled VentilationPatients ventilated with pressure-controlled ventilation during one-lung ventilation, as selected by the attending anaesthesiologist

What is being measured

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

  1. Partial pressure of oxygen (PaO₂) during one-lung ventilation

    PaO₂ in mmHg obtained from arterial blood gas analysis of a radial artery sample, measured at 30 minutes after the initiation of one-lung ventilation, with FiO₂ recorded simultaneously

    Measured: 30-minutes after initiation of one-lung ventilation

Secondary outcomes (19)
  1. PaO₂/FiO₂ ratio

    Ratio of the partial pressure of arterial oxygen to the inspired oxygen fraction, calculated from arterial blood gas analysis.

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  2. Partial pressure of arterial carbon dioxide (PaCO₂)

    PaCO₂ in mmHg obtained from arterial blood gas analysis.

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  3. Dynamic Compliance

    Dynamic compliance obtained from ventilator readings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  4. Pleteau Pressure

    Pleteau pressure obtained from ventilator readings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  5. Driving Pressure

    Driving pressure obtained form ventilator settings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  6. Mechanical Power

    Mechanical power (J/min) obtained and calculated form ventilator settings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  7. Peak Inspiratory Pressure

    Peak inspiratory pressure obtained form ventilator settings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  8. Mean Airway Pressure

    Mean airway pressure obtained and calculated form ventilator readings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  9. Systolic Arterial Pressure

    Systolic arterial pressure (mmHg) measured by invasive arterial monitoring

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  10. Diastolic Arterial Pressure

    Diastolic arterial pressure (mmHg) measured by invasive arterial monitoring

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  11. Heart Rate

    Heart rate (beats per minute) measured by continuous electrocardiographic monitoring

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  12. Mean Arterial Pressure

    Mean arterial pressure (mmHg) measured by invasive arterial monitoring

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  13. Peripheral Oxygen Saturation

    Peripheral oxygen saturation (SpO₂, %), measured by pulse oximetry

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  14. pH

    pH obtained by arterial blood gas analysis

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  15. End-tidal CO₂

    End-tidal CO₂ (mmHg), measured by capnography

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  16. Tidal Volume

    Tidal volume (mL), obtained from ventilator readings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  17. PEEP

    PEEP (cmH₂O), obtained from ventilator readings

    Measured: 0 and 30 minutes after initiation of one-lung ventilation, and immediately before resumption of two-lung ventilation, up to 240 minutes

  18. Postoperative pulmonary complications

    Composite incidence of respiratory infection, respiratory failure, bronchospasm, atelectasis, pleural effusion, pneumothorax and aspiration pneumonia, assessed during the postoperative hospital stay.

    Measured: From end of surgery through postoperative day 7 or hospital discharge, whichever occurs first

  19. Lenght of stay and readmission

    Duration of intensive care stay, ward stay, total hospital stay and hospital readmission after discharge.

    Measured: From date of surgery to date of hospital discharge, up to 30 days

Timeline

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

  1. First posted8 Oct 2026
  2. Study start12 Oct 2026 (estimated)
  3. Primary completion3 Sep 2027 (estimated)
  4. Study completion3 Sep 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
120 participants (estimated)
Target duration
1 Year
IDs, dates and publications
ClinicalTrials.gov ID
NCT07866170
Sponsor's protocol ID
FCV-OLV-2026-01
Acronym
OLV-VENT
Status last verified
Oct 2026
First submitted
30 Aug 2026
Last updated
8 Oct 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Van Oosten JP, Francovich JE, Somhorst P, van der Zee P, Endeman H, Gommers DAMPJ, Jonkman AH. Flow-controlled ventilation decreases mechanical power in postoperative ICU patients. Intensive Care Med Exp. 2024 Mar 19;12(1):30. doi: 10.1186/s40635-024-00616-9.

    PubMed 38502268
  • Uhlig C, Neto AS, van der Woude M, Kiss T, Wittenstein J, Shelley B, Scholes H, Hiesmayr M, Vidal Melo MF, Sances D, Coskunfirat N, Pelosi P, Schultz M, Gama de Abreu M; LAS VEGAS# investigators, Protective Ventilation Network (PROVEnet), Clinical Trial Network of the European Society of Anaesthesiology. Intraoperative mechanical ventilation practice in thoracic surgery patients and its association with postoperative pulmonary complications: results of a multicenter prospective observational study. BMC Anesthesiol. 2020 Jul 22;20(1):179. doi: 10.1186/s12871-020-01098-4.

    PubMed 32698775
  • Li XF, Jin L, Yang JM, Luo QS, Liu HM, Yu H. Effect of ventilation mode on postoperative pulmonary complications following lung resection surgery: a randomised controlled trial. Anaesthesia. 2022 Nov;77(11):1219-1227. doi: 10.1111/anae.15848. Epub 2022 Sep 6.

    PubMed 36066107
  • Wittenstein J, Scharffenberg M, Ran X, Keller D, Michler P, Tauer S, Theilen R, Kiss T, Bluth T, Koch T, Gama de Abreu M, Huhle R. Comparative effects of flow vs. volume-controlled one-lung ventilation on gas exchange and respiratory system mechanics in pigs. Intensive Care Med Exp. 2020 Dec 18;8(Suppl 1):24. doi: 10.1186/s40635-020-00308-0.

    PubMed 33336305
  • Abram J, Spraider P, Martini J, Velik-Salchner C, Dejaco H, Augustin F, Putzer G, Hell T, Barnes T, Enk D. Flow-controlled versus pressure-controlled ventilation in thoracic surgery with one-lung ventilation - A randomized controlled trial. J Clin Anesth. 2025 Apr;103:111785. doi: 10.1016/j.jclinane.2025.111785. Epub 2025 Feb 27.

    PubMed 40020438

Questions about this trial

What is this clinical trial studying?

An observational study of One-lung Ventilation (OLV) and Video-assisted Thoracis Surgery (VATS), run by Ankara Ataturk Sanatorium 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 7 inclusion and 9 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: opening soon, as of the sponsor's last update on 8 Oct 2026. 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?

This study is still under way. Results are not available in the source record yet.

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

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Partial pressure of oxygen (PaO₂) during one-lung ventilation (time frame: 30-minutes after initiation of one-lung ventilation). 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 NCT07866170, which also lists 5 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 8 Oct 2026.

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