Last reviewed · How we verify
NCT03987789: IMPROVE-2
Intraoperative Protective Mechanical Ventilation in Patients Requiring Emergency Abdominal Surgery
NA trial testing Driving-pressure-guided group in Emergency Abdominal Surgery in 707 participants. Completed in 27 October 2022.
29 July 2022
Quick facts
| Lead sponsor | University Hospital, Clermont-Ferrand |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | single |
| Primary purpose | treatment |
| Enrollment | 707 |
| Start date | 18 February 2021 |
| Primary completion | 29 July 2022 |
| Estimated completion | 27 October 2022 |
| Sites | 28 locations across France |
Drugs / interventions tested
- Driving-pressure-guided group
- Low PEEP
Conditions studied
- Emergency Abdominal Surgery — all drugs for Emergency Abdominal Surgery →
- Mechanical Ventilation — all drugs for Mechanical Ventilation →
- General Anesthesia — all drugs for General Anesthesia →
- Postoperative Morbidity — all drugs for Postoperative Morbidity →
Sponsor
University Hospital, Clermont-Ferrand
Who can join
18 and older, any sex, with Emergency Abdominal Surgery or Mechanical Ventilation. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
The aim of this study is to compare the effects of a strategy aimed at increasing alveolar recruitment (high PEEP levels adjusted according to driving pressure and recruitment maneuvers) with that of a strategy aimed at minimizing alveolar distension (low PEEP level without recruitment maneuver) on postoperative respiratory failure and mortality in patients receiving low VT ventilation during emergency abdominal surgery.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
-
Personalized driving pressure-guided positive end-expiratory pressure in patients at risk of postoperative respiratory failure (IMPROVE-2): a multicenter, pragmatic, randomized clinical trial.
Futier E, De Jong A, Cirenei C, Godet T, et al · · 2025 · cited 9× · PMID 40839096 · DOI 10.1007/s00134-025-08082-x -
Intraoperative protective mechanical ventilation in patients requiring emergency abdominal surgery: the multicentre prospective randomised IMPROVE-2 study protocol.
Khaled L, Godet T, Jaber S, Chanques G, et al · · 2022 · cited 5× · PMID 35523498 · DOI 10.1136/bmjopen-2021-054823 -
Correction: Intraoperative protective mechanical ventilation in patients requiring emergency abdominal surgery: the multicentre prospective randomised IMPROVE-2 study protocol.
· 2024 · PMID 39515871 · DOI 10.1136/bmjopen-2021-054823corr1
Verify or expand the search:
- PubMed search for NCT03987789
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other recruiting trials for Emergency Abdominal Surgery
Currently open trials in the same condition.
- NCT07504185 — Physiotherapy After Emergency Laparotomy in the Elderly · NA · recruiting
- NCT07047729 — COMPARATIVE OUTCOME OF EARLY AND STANDARD ORAL FEEDING AFTER EMERGENCY BOWEL SURGERY · NA · recruiting
Other University Hospital, Clermont-Ferrand trials
Trials by the same sponsor.
- NCT07179276 — Veno-arterial Carbon Dioxide Partial Pressure Difference (CO2gap) for Early Resuscitation of Septic Shock · NA · recruiting
- NCT07476768 — PAINDYS_Characterizing Pain in Fibrous Dysplasia of Bone/McCune-Albright Syndrome: an Exploratory Pilot Study · NA · not yet recruiting
- NCT07439146 — Risk of Pneumonia in Intubated Patients in Emergency Situations · not yet recruiting
- NCT07427537 — Exploration of Circulating microRNAs as Biomarkers of Chemo-induced Peripheral Neuropathy: a Study in Cancer Patients · NA · recruiting
- NCT07330856 — Evaluation of Treatments for Dry or Productive Cough · Phase 4 · not yet recruiting
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03987789 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by University Hospital, Clermont-Ferrand
- Last refreshed: 31 October 2022
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03987789.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing