Ask to take part

Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.

Contact Information:

Dr Shaman Jhanji


Ms Claire Jacques
+44 (0)2476 522566
VITAL@warwick.ac.uk


Dr Joyce Yeung


More information about this study, what is involved and how to take part can be found on the study website.

Study Location:

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Be Part of Research - Trial Details - VITAL: a trial looking at which general anaesthesia technique is better for patient recovery following major non-cardiac surgery

VITAL: a trial looking at which general anaesthesia technique is better for patient recovery following major non-cardiac surgery

Medical Conditions

Total intravenous anaesthesia (TIVA) compared to inhalational volatile-based anaesthesia


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


More than 1.5 million major non-cardiac surgeries are performed in the NHS each year. In the NHS, general anaesthesia is most often given with an inhaled anaesthetic gas. A commonly used alternative is to give anaesthesia using anaesthetic drugs given into the veins, a technique called total intravenous anaesthesia or TIVA. The two techniques may have important differences in how quickly and how well patients recover.
Many anaesthetists believe TIVA is just as safe as inhalational anaesthesia and provides better and faster recovery after surgery. However, others are not convinced that the benefits of using TIVA outweighs the increased cost of this method of anaesthesia. There is a distinct lack of data describing which method might be better. The VITAL trial will measure the benefits of each technique in terms of patient recovery, survival and safety. The results will ensure that the best method of general anaesthesia is being used in the NHS, so that patients can go home quicker, and with reduced cost for the NHS.
VITAL is a multi-centre pragmatic randomised controlled trial, aiming to test whether TIVA (Total Intravenous Anaesthesia) is superior to inhalational anaesthesia.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

01 Jan 2022 10 Apr 2024

Publications

2024 Protocol article in https://pubmed.ncbi.nlm.nih.gov/38926770/ (added 28/06/2024)

Following consent to take part, patients will be randomised to receive either TIVA or inhalational anaesthesia. Patients will then be followed up for 6 months following surgery to see how they’re doing. VITAL are working with another research programme called the Perioperative Quality Improvement Programme (PQIP). PQIP collect data about patient surgeries and use that to inform hospitals how they can improve their surgeries. A lot of the data collected for PQIP will also be used in VITAL.


Patients undergoing elective major non-cardiac surgery who are 50 years or over will be eligible to take part in VITAL.

You can take part if:



You may not be able to take part if:


1. Known contraindication to either TIVA or inhalational anaesthesia2. Clinician refusal3. Procedures where the participant is not expected to survive for 30 days4. Previous participation in VITAL trial5. Patient unable to give informed consent or complete questionnaires


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Oxford University Hospitals NHS Foundation Trust
    John Radcliffe Hospital Headley Way Headington
    Oxford
    OX3 9DU
  • St George's University Hospitals NHS Foundation Trust
    St George's Hospital Blackshaw Road Tooting
    London
    SW17 0QT
  • Musgrove Park Hospital (taunton)
    Musgrove Park Hospital
    Taunton
    TA1 5DA
  • St. Bartholomews Hospital
    West Smithfield
    London
    EC1A 7BE
  • Royal Surrey County Hospital
    Egerton Road
    Guildford
    GU2 7XX
  • Nottingham University Hospitals NHS Trust - Queen's Medical Centre Campus
    Nottingham University Hospital Derby Road
    Nottingham
    NG7 2UH
  • Leeds Teaching Hospitals NHS Trust
    St. James's University Hospital Beckett Street
    Leeds
    LS9 7TF
  • Manchester University NHS Foundation Trust
    Cobbett House Oxford Road
    Manchester
    M13 9WL
  • Croydon University Hospital
    London Road
    Croydon
    CR7 7YE
  • University Hospital of Wales
    Heath Park
    Cardiff
    CF14 4XW
  • The Royal London Hospital
    80 Newark street
    London
    E1 2ES
  • Royal United Hospitals Bath NHS Foundation Trust
    Combe Park
    Bath
    BA1 3NG
  • Royal Gwent Hospital
    Cardiff Road
    Newport
    NP20 2UB
  • Derriford Hospital
    Derriford Road Crownhill
    Plymouth
    PL6 8DH
  • The Royal Marsden Hospital
    Fulham Road Chelsea
    London
    SW3 6JJ
  • King's College Hospital
    Denmark Hill
    London
    SE5 9RS
  • The James Cook University Hospital
    Marton Road
    Middlesbrough
    TS4 3BW
  • Golden Jubilee National Hospital
    Agamemnon Street
    Clydebank
    G81 4DY
  • Royal Liverpool University Hospital
    Prescot Street
    Liverpool
    L7 8XP
  • Sunderland Royal Hospital
    Kayll Road
    Sunderland
    SR4 7TP
  • Whipps Cross Hospital
    Whipps Cross Road
    London
    E11 1NR
  • Great Western Hospitals NHS Foundation Trust
    Great Western Hospital Marlborough Road
    Swindon
    SN3 6BB
  • Bristol Royal Infirmary
    Marlborough Street
    Bristol
    BS2 8HW
  • Salford Royal Hospital
    Stott Lane Eccles
    Salford
    M6 8HD
  • Milton Keynes University Hospital
    Standing Way Eaglestone
    Milton Keynes
    MK6 5LD
  • Addenbrookes Hospital
    Hills Road
    Cambridge
    CB2 0QQ
  • Guys and St Thomas Hospital
    Great Maze Pond
    London
    SE1 9RT
  • Royal National Orthopaedic Hospital
    Brockley Hill
    Stanmore
    HA7 4LP
  • Chelsea and Westminster Hospital NHS Foundation Trust
    Chelsea & Westminster Hospital 369 Fulham Road
    London
    SW10 9NH
  • Morriston Hospital
    Heol Maes Eglwys Cwmrhydyceirw
    Swansea
    SA6 6NL
  • Yeovil District Hospital NHS Foundation Trust
    Higher Kingston
    Yeovil
    BA21 4AT
  • Queen Elizabeth Hospital
    Mindelsohn Way Edgbaston
    Birmingham
    B15 2TH
  • University Hospital of North Tees
    Hardwick Road
    Stockton-on-tees
    TS19 8PE
  • Torbay Hospital
    Newton Road
    Torquay
    TQ2 7AA
  • Pinderfields General Hospital
    Aberford Road
    Wakefield
    WF1 4DG
  • University Hospital Crosshouse
    Kilmarnock Road
    Kilmarnock
    KA2 0BE
  • Freeman Hospital
    Newcastle Upon Tyne Hospital Trust Freeman Road High Heaton
    Newcastle
    NE7 7DN
  • Barking, Havering and Redbridge University Hospitals NHS Trust
    Queens Hospital Rom Valley Way
    Romford
    RM7 0AG
  • Weston General Hospital
    Grange Road Uphill
    Weston-super-mare
    BS23 4TQ
  • The Royal Glamorgan Hospital
    Ynysmaerdy
    Pontyclun
    CF72 8XR
  • Dartford and Gravesham NHS Trust
    Darent Valley Hospital Darenth Wood Road
    Dartford
    DA2 8DA
  • Rotherham District Hospital
    Moorgate Road
    Rotherham
    S60 2UD

You may not benefit directly from taking part in this trial. By allowing us to collect information about the type of anaesthetic used during your surgery and how you recover, we hope to work out which type of anaesthetic is most effective in helping patients recover from surgery and help improve anaesthetic care of patients in the future. As we are comparing two standard practices, we do not anticipate any additional risks by taking part in this study. Anaesthesia is always necessary for anyone undergoing surgery and all anaesthesia carries some risk. Whether you are allocated to inhalational or TIVA general anaesthesia, your safety and care will be our utmost priority. Any additional medication that you may require will always be given such as painkillers, anti-sickness medication. There is the modest time commitment to completing questionnaires. Any answers you give, and data collected will only be used for the purpose of the trial, will be kept strictly confidential and not identify you by name.

Dr Shaman Jhanji


Dr Joyce Yeung


Ms Claire Jacques
+44 (0)2476 522566
VITAL@warwick.ac.uk



More information about this study, what is involved and how to take part can be found on the study website.


The study is sponsored by University of Warwick and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC); National Institute for Health Research (NIHR) (UK).




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Read full details for Trial ID: ISRCTN62903453

Or CPMS 50027

Last updated 28 June 2024

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