Clinical trial Recruiting at 22 sites Interventional Ages 18 and up

Comparing recovery after different anesthesia techniques in surgery

Official title: Trajectories of Recovery After Intravenous Propofol Versus Inhaled VolatilE Anesthesia Trial

Run by Washington University School of Medicine · NCT05991453 · Data updated 2026-11-12

This study is testing whether recovery is better after surgery using either intravenous propofol or inhaled anesthesia for different types of surgeries.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment13000 (estimated)
SponsorWashington University School of Medicine
Academic / other
Locations24 sites (Little Rock, Arkansas and 23 other locations)
StatusRecruiting
StartedSeptember 13, 2023
Main results expectedJuly 31, 2027
Study endsJuly 31, 2028
Registry record updatedSeptember 4, 2026
Trial IDNCT05991453 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older scheduled for elective non-cardiac surgeries lasting at least 60 minutes requiring general anesthesia.

Probably not a fit

Patients who are pregnant, unable to provide informed consent, or have contraindications to the anesthesia techniques will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This trial will involve 12,500 patients to compare recovery experiences between two anesthesia techniques: intravenous propofol and inhaled volatile agents. It aims to assess which method provides better outcomes across three types of surgeries: major inpatient, minor inpatient, and outpatient. Additionally, the study will evaluate the risk of intraoperative awareness associated with each technique. The research will be conducted across multiple centers to ensure a diverse patient population.

Why it matters

Potential benefit: If successful, this study could lead to improved recovery experiences for patients undergoing surgery.

How similar studies have gone: Previous studies comparing anesthesia techniques have shown varying results, but this large-scale trial aims to provide more definitive conclusions.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

Each patient must meet all of the following criteria:

1. Aged 18 years or older
2. Undergoing elective non-cardiac surgery expected to last ≥ 60 min requiring general anesthesia with a tracheal tube or laryngeal mask airway (or similar supra-glottic device)

Exclusion Criteria

Patients will not be enrolled if any of the following criteria are met:

1. Inability to provide informed consent in English (at all study sites) or Spanish (at sites where Spanish consent is provided as an option)
2. Pregnancy (based on patient report or positive test on the day of surgery)
3. Surgical procedure requiring general, regional, neuraxial anesthesia administered by an anesthesia clinician (anesthesiologist, CRNA, anesthesiology assistant) occurring within 30 days prior to or planned to occur within 30 days after surgery date
4. Contraindication to propofol TIVA or INVA (for example, documented allergy to propofol, history of severe postoperative nausea or vomiting, concern for or history of malignant hyperthermia) based on self-report
5. Surgical procedures requiring a specific general anesthesia technique (for example, TIVA required for neuromonitoring).
6. Locally approved, written protocol mandating a particular anesthetic technique
7. History of possible or definite intraoperative awareness during general anesthesia based on patient self-report
8. Planned postoperative intubation
9. Current incarceration

Where it's running

  • University of Arkansas for Medical Sciences (UAMS)
    Little Rock, Arkansas, United States
    Recruiting
  • University of California San Francisco
    San Francisco, California, United States
    Recruiting
  • Yale School of Medicine
    New Haven, Connecticut, United States
    Recruiting
  • Johns Hopkins School of Medicine
    Baltimore, Maryland, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Brigham & Women's
    Boston, Massachusetts, United States
    Recruiting
Show 18 more locations
  • University of Michigan
    Ann Arbor, Michigan, United States
    Recruiting
  • Henry Ford Health
    Detroit, Michigan, United States
    Recruiting
  • Washington University School of Medicine
    St Louis, Missouri, United States
    Recruiting
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire, United States
    Recruiting
  • NYU Langone
    New York, New York, United States
    Recruiting
  • Weill Cornell Medicine
    New York, New York, United States
    Recruiting
  • University of North Carolina School of Medicine
    Chapel Hill, North Carolina, United States
    Recruiting
  • Duke University
    Durham, North Carolina, United States
    Recruiting
  • Wake Forest
    Winston-Salem, North Carolina, United States
    Recruiting
  • Oregon Health and Sciences University
    Portland, Oregon, United States
    Recruiting
  • Temple University
    Philadelphia, Pennsylvania, United States
    Recruiting
  • University of Texas Southwestern
    Dallas, Texas, United States
    Recruiting
  • University of Texas - MD Anderson
    Houston, Texas, United States
    Recruiting
  • University of Utah - Medical
    Salt Lake City, Utah, United States
    Recruiting
  • UVA Health
    Charlottesville, Virginia, United States
    Recruiting
  • University of Washington
    Seattle, Washington, United States
    Recruiting
  • Stanford University
    Stanford, California, United States
    Not yet recruiting
  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Not yet recruiting

Study contacts

  • Principal investigator: Sachin Kheterpal, MD — University of Michigan
  • Study coordinator: Laura Swisher
  • Email: goodl@wustl.edu
  • Phone: 314-286-1024

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.