Bronchoscopy
Conditions
Brief summary
The purpose of study aims to determine which of the three different oxygenation strategies, including nasal cannula, modified nasopharyngeal cannula, and HFNO groups, is safer in patients undergoing bronchoscopy under sedation.
Detailed description
The patients will be evaluated in the anesthesia polyclinic before the procedure, routine preparation will be made, and written informed consent will be obtained. After being informed about the study and potential risks, all patients who gave written informed consent will be enrolled in the study by recording their demographic information after determining whether they are eligible to participate in the study. In addition, STOP-BANG and FRAIL fragility questionnaires will be administered to the patients. Which oxygenation method should be used which patient will be left to the decision of the Anesthesiologist; The oxygenation tools used in the bronchoscopy unit are nasal cannula, modified nasopharyngeal cannula, and HFNO. When the patients are taken to the procedure room, anesthesia management will be applied by the standard working order of the anesthesia clinic. In addition to non-invasive arterial blood pressure monitoring, 5-channel ECG and pulse oximetry, and standard hemodynamic monitoring, Bispectral Index (BIS) monitoring will be performed. During the process, oxygen saturation will be continuously monitored and the lowest value will be recorded. Interventions made in cases of low oxygen saturation will also be recorded. At the end of the procedure, the patient will be taken to the recovery unit after waking up.
Interventions
OTHERdifferent oxygenation methods
Different oxygenation methods are used in bronchoscopy procedures under sedation.
Sponsors
Ankara City Hospital Bilkent
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients undergoing bronchoscopy
Exclusion criteria
* Do not have the ability to read, understand and sign the consent form * Pregnancy * Contraindications to anesthetic drugs * Hemodynamically unstable patients * Having a peripheral vascular disease * Intubated patients * Patients with tracheostomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| desaturation rate during processing | during the procedure, an average of 1 hour | desaturation: oxygen saturation falling below 90%. Oxygen saturation was monitored continuously with a pulse oximeter attached to one of the fingers. It was recorded when oxygen saturation dropped to \< 90%. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| rate of use of the jaw thrust maneuver during the procedure | during the procedure, an average of 1 hour | The chin thrust maneuver is one of the maneuvers used to provide airway patency. The jaw thrust maneuvers performed by the anesthesiologist were recorded in patients who were desaturated during the procedure. |
| rate of airway usage during the process | during the procedure, an average of 1 hour | The airway that was desaturated during the procedure and used by the anesthesiologist to ensure airway patency was recorded. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Desaturation rate in patients with a high risk of Osas according to the stop-bang score | before the procedure, 2 minutes | The stop-bang test can be used as a screening test for an osas. Scoring from 0 to 8 is given. 0-1-2 is low risk, 3-4 is medium risk, and 5-6-7-8 is high risk for Osas. |
| Desaturation rate in patients with higher frailty scores than frail fragility scores | before the procedure, 2 minutes | The frail fragility test is one of the tests that measure the fragility of patients. Scoring from 0 to 5 is given. 0 is not frail, it is expressed as 1-2 prefrail and 3-4-5 frail. |
Countries
Turkey (Türkiye)
Contacts
Primary Contactsüleyman taş
Outcome results
None listed