Compare Preoxygenation Methods in Bariatric Patients
Conditions
Brief summary
To compare preoxygenation for induction of general anaesthesia with High Flow Nasal Cannula vs preoxygenation with face mask in patients undergoing bariatric surgery. The hypothesis is that preoxygenation with High Flow Nasal Cannula prolongs normoxia time during induction of anaeshesia and is superior to conventional preoxygenation with face mask. Primary endpoint will be the time during which spO2 \> 92 %. Secondary endpoint will be paCO2.
Interventions
Preoxygenation for 5 minutes via High Flow Nasal Cannula. After induction of anaesthesia apnoeic oxygenation with HFNC
Preoxygenation for 5 minutes via face mask. After induction of anaesthesia apnoeic oxygenation with tight fitting face mask
Sponsors
Study design
Masking description
Patients will be divided into two groups by lot.
Intervention model description
Two groups of patients. One receiving preoxygenation via High Flow Nasal Cannula and one group receiving preoxygenation via face mask
Eligibility
Inclusion criteria
* age over 18 * elective bariatric surgery * written consent
Exclusion criteria
* preexisting lung diseases, congenital heart diseases * known difficult airway * SpO2 \< 92% under ambient air conditions * known diaphragmal hernia * clinically relevant reflux
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Normoxia time SpO2 > 92% | 10 Minutes after induction | Time in which the SpO2 remains \> 92% while patient is apnoeic |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| paCO2 | 10 Minutes after induction | Increase in arterial CO2 during Apnoea |