ENT Cancer Screening
Conditions
Keywords
panendoscopy, preoxygenation, non invasive ventilation
Brief summary
the aim of the study is to determine if Spontaneous Ventilation with Positive Pressure Ventilation (PPV) preoxygenation allows a longer non hypoxemic apnea time during panendoscopy compared to spontaneous breathing preoxygenation. the hypothesis is PPV extends the residual functional capacity of lung so it provides more oxygen during apnea.
Interventions
Positive Pressure Ventilation with a 4 cmH2O inhale pressure, a positive end-expiratory pressure of 4 cm H2O, a trigger 2, an inspiratory slope of 0, an inhaled oxygen fraction of 100% administered at a 10 L / min flow.
Spontaneously breathing preoxygenation with adapted face mask, to restrict leakage, at 10L/min oxygen, with inhaled fraction of 100% and a 2 L balloon volume.
Sponsors
Study design
Eligibility
Inclusion criteria
* patient going for scheduled panendoscopy under general anesthesia
Exclusion criteria
* BMI upper to 35 kg/m2 * pregnancy * requirement of jet ventilation * tracheostomy * acute respiratory failure: pneumonia, pulmonary embolism * health insurance careless
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| non hypoxemic apnea time | up to 5 minutes after stopping oxygenation | time the oxygen saturation is going down to 90% during apnea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| surgical laryngoscopy frequency | up to 15 minutes after stopping oxygenation | number of stopped surgical laryngoscopy because of a low oxygen saturation under 90% with necessity to ventilate the patients during apnea |
| preoxygenation time | up to 10 min after the start of oxygenation | time to reach expired oxygen fraction to 90% |
Countries
France