Hypoxia
Conditions
Brief summary
The present study is a randomized, prospective, single-blinded study. Patients presenting for colonoscopy under sedation will be included according to the statistical sample size calculation. Patients will be randomized to either group 1- capnographic monitoring or group 2- oxygenic monitoring during Propofol-based sedation for colonoscopy. Episodes of Hypoxia are documented and compared in both groups.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Indication for colonoscopy * Patient wishing sedation during colonoscopy * ≥ 18 years of age * Signed informed consent form
Exclusion criteria
* Diseases which preclude study accomplishment or put the patient at any risk (e.g. psychiatric diseases) * Non-contractually capable persons * Pregnancy * Lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypoxia (SO2 <90%) | — | Study objective is to evaluate if a reduction of hypoxic events (SO2 \<90% for ≥ 15 sec) can be obtained with capnographic monitoring as compared to standard monitoring of respiration with pulse-oxymetry in patients receiving colonoscopy under Propofol-based sedation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severe Hypoxia (SO2 <85%) | — | Evaluate events of severe hypoxia (SO2 \< 85%) in group 1 (capnographic monitoring) as compared to group 2 (oxymetric monitoring) |
| Time to hypoxia | — | Evaluate the time difference between abnormal ventilation shown on capnography machine and hypoxemia. |
| Hypoxia in relation to sedation | — | Compare events of hypoxemia and severe hypoxemia during sedation with propofol only as compared to propofol/ketamin combination sedation. |
| Vegetative Symptoms | — | Evaluate vegetative events (hypotension, hypertension, bradycardia, tachycardia, tachypnea, bradypnea) in both groups during the two sedation forms |
Countries
Germany