Impact of Intraoperative Oxygenation Practices on Patient Outcomes
NCT07224243 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 54000
Last updated 2026-04-07
Summary
This multicenter, cluster-randomized, cluster-crossover clinical trial evaluates the impact of three intraoperative FiO2 (Fraction of Inspired Oxygen) oxygenation strategies-lower (FiO₂ 0.21-0.40), intermediate (FiO₂ 0.40-0.80), and higher (FiO₂ 0.80-1.00)-on postoperative organ injury and mortality in adult surgical patients. The trial aims to determine the optimal oxygenation strategy to improve perioperative outcomes.
Conditions
- Surgeries Undergoing General Anesthesia
Interventions
- OTHER
-
Lower FiO2
FiO₂ 0.21-0.40 or lowest FiO₂ to maintain SpO₂ ≥ 94% during maintenance anesthesia
- OTHER
-
Intermediate FiO2
FiO₂ 0.40-0.80 or lowest FiO₂ to maintain SpO₂ ≥ 94% during maintenance anesthesia
- OTHER
-
Higher FiO2
FiO₂ \> 0.80 to maintain SpO₂ ≥ 94% during maintenance anesthesia
Sponsors & Collaborators
-
Multicenter Perioperative Outcomes Group
collaborator OTHER - collaborator OTHER
-
The Association of University Anesthesiologists
collaborator UNKNOWN -
Frederic T Billings IV
lead OTHER
Principal Investigators
-
Frederic T Billings, MD · Vanderbilt University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2028-02-29
- Completion
- 2028-04-30
Countries
- United States
Study Locations
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