high-risk patients with hypoxia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults =18 years of age, proposed to undergo gastroenteroscopy (upper or lower gastrointestinal tract or both) under deep sedation at Xiaoshan Hospital, Zhejiang, China, with a combined risk of hypoxemia.
Exclusion criteria
Exclusion criteria: 1. Emergency surgery (upper gastrointestinal bleeding) or need for tracheal intubation (ESD or ERCP).2. Post-tracheotomy.3. Postoperative cervical spine or ankylosing spondylitis resulting in cervical lordosis limitation.4. Patients with pre-existing hypoxemia e.g. PaO2 <80mmHg or SPO2 <92%;5 Pregnancy status; 6. Hypersensitivity or contraindication to drugs such as opioids, propofol, and their components.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of SPO2 <92% between the start of sedation and the end of the procedure.; | — |
Secondary
| Measure | Time frame |
|---|---|
| PO2 reduction >5% of basal value;Number of cases in which SPO2 =90% and severe hypoxia (SPO2 =85%) occurred;Number of successful sedation cases (completed entire gastroscopy procedure, no sedation remedy given);Time to awakening (time from last dose until patient meets discharge criteria);Incidence of injection pain; | — |
Countries
China
Contacts
Zhejiang Xiaoshan Hospital