Hypoxemia, Acute Respiratory Failure
Conditions
Brief summary
The purpose of the study is to randomly and prospectively evaluate the differences in outcomes between the control group (closed full facemask immediate post-extubation with standard oxygenating device used post-operatively in PACU) and the SuperNO2VA™ group (SuperNO2VA™ immediate post-extubation and post-operatively in PACU)
Interventions
SuperNO2VA nasal positive airway pressure device utilizes supplemental oxygen and an adjustable pressure limiting valve to maintain upper airway latency
5lpm of supplemental oxygen
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 18 years of age or older 2. Patients scheduled for general anesthesia with a supraglottic device or ETT 3. American Society of Anesthesiology (ASA) Physical Status I-IV (E) 4. Has provided written informed consent 5. BMI \> 35 kg/m2 or documented Obstructive Sleep Apnea
Exclusion criteria
1. Inability to give informed consent 2. ASA V (E) 3. Allergy to Propofol 4. Any condition, in the Investigator's opinion, that would conflict or otherwise prevent the subject from complying with study required procedures, schedule or other study conduct 5. BMI \< 35 kg/m2 with no documented diagnosis (known) of Obstructive Sleep Apnea 6. Known diagnosis of moderate to severe COPD/lung disease 7. Patients that remained intubated post-operatively 8. Patient refusal to wear the treatment device (SuperNO2VA™, nasal cannula, or oxygen facemask) for the duration of the study period postoperatively
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypoxemia | Within 90 minutes of extubation between the two study groups. | Compare the incidence, severity, and duration of postoperative oxygen desaturation (oxygen saturation below 90% for greater than 1 consecutive minute) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Airway maneuvers | Within 90 minutes of extubation | Compare the number of airway interventions including chin up and/or jaw thrust, oral and/or nasal airway insertion, mask ventilation, intubation with ETT or SGA insertion performed by anesthesia providers |
| Post op respiratory complications | Within 90 minutes of extubation | Compare the incidence of respiratory complications between the two groups (shortness of breath, respiratory rate \> 20 breaths per minute, accessory muscle use, difficulty breathing/swallowing/speaking) |
| Length of PACU stay | Within 24 hours of surgery | Compare the length of stay (time ready for discharge) in the recovery period between the control group and the SuperNO2VA™ group. |
Countries
United States