Airway Complication of Anesthesia, Airway Obstruction, Anesthesia Complication, Bronchospasm, Nasal Bleeding, Oxygen Deficiency, Supraglottic Airway Obstruction
Conditions
Keywords
Wei Nasal Jet Tube, Airway Complication, Nasal Cannula Oxygen Support, Gastrointestinal Endoscopy, sedation
Brief summary
Sedoanalgesia is applied to patients during gastrointestinal endoscopy. Sedoanalgesia may cause respiratory depression and hypoxia in patients. During these procedures, patients should be given oxygen support to reduce the incidence of hypoxia.This study aimed to compare the efficacy and procedural performance of two different airway devices (Wei Nasal Jet Tube vs Nasal Cannula Oxygen Support) in Gastrointestinal Endoscopy
Detailed description
Gastrointestinal endoscopy is performed as standard for the diagnosis of many gastrointestinal diseases. During gastrointestinal endoscopy, sedoanalgesia is applied to relieve patients' pain and increase patient comfort. Anesthetic drugs used for sedoanalgesia may cause respiratory depression and hypoxia in patients. Hypoxia resulting from hypoventilation in patients is responsible for many events, including coronary ischemia. During these procedures, patients should be given oxygen support to reduce the incidence of hypoxia. The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices. Our study will show us which method is more beneficial in preventing hypoxia and other side effects, providing comfort for the doctor performing the procedure and for the patient undergoing the procedure. This study aimed to compare the efficacy and procedural performance of two different airway devices (Wei Nasal Jet Tube vs Nasal Cannula Oxygen Support) in Gastrointestinal Endoscopy
Interventions
DEVICEWei Nasal Jet Tube
The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices.
DEVICENasal Cannula Oxygen Support
The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices.
Sponsors
Bezmialem Vakif University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
computer-assisted randomization method
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients undergoing gastrointestinal endoscopy * ASA Physical Status 1-2 * Body mass index 18.5 - 35 kg/m2
Exclusion criteria
* High risk of pulmonary aspiration * Pregnancy * Anesthesic drug allergies * Difficult airway or facial deformities * Height \<155 cm * Alcohol or narcotic drug usage * Restrictive or obstructive pulmonary diseases * Hepatic cardiac or renal failure * Neurologic or cognitive deficiencies. * Previous cervical surgery or cervical radiotherapy * Previous esophagus surgery * Psychotic problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypoxia incidence | Intra-operative; after device insertion | Hypoxia is defined as SpO2 \<92% at any time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Airway assist maneuver required | Intra-operative; after device insertion | When the SpO2 value is below 90-92%, airway support maneuvers will be performed |
| Procedure failure incidence | Intra-operative; after device insertion | The development of severe hypotension (MAP \<55 mmHG), bradycardia ( HR\< 45 bpm) and prolonged deep hypoxia(\>60 sec SpO2\<92%) during procedure |
Countries
Turkey (Türkiye)
Outcome results
None listed