Comparison of Hypoxemia During Deep Sedation Procedures Between Oxygen Face Mask and the SuperNO2VA Et: a Randomized Controlled Trial. iOXIGENATe Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Vyaire Medical
- Enrollment
- 110
- Locations
- 1
- Primary Endpoint
- Hypoxemia
Study Overview
Brief Summary
The primary objective of the study is to prospectively and randomly compare the incidence, duration, and severity of oxygen desaturation between a nasal mask with nasal positive airway pressure (PAP) versus oxygen therapy with a facemask during procedural deep sedation in patients considered high risk for hypoxia (ie: BMI ≥30 kg/m2 or documented Obstructive Sleep Apnea.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 18 years of age or older
- •Patients undergoing procedural deep sedation
- •American Society of Anesthesiology (ASA) Physical Status I-III
- •BMI ≥30 kg/m2 or documented Obstructive Sleep Apnea
- •Has provided written informed consent
- •Difficult airway
Exclusion Criteria
- •Acute exacerbation of respiratory disorders, including COPD and asthma
- •Emergent procedures
- •Previous enrollment in this study
- •Inability to provide informed consent
- •History of allergic reaction to Propofol
- •Tracheostomy
- •Exclusion criteria: deep sedation procedures that require intra-oral instrumentation (ie: EGD, transesophageal echocardiography
Arms & Interventions
Supplemental Oxygen Face Mask
Intervention: Supplemental Oxygen Face Mask (Device)
SuperNO2VA Et
Continuous positive airway pressure with end-tidal CO2 monitoring
Intervention: SuperNO2VA Et Nasal Positive Pressure Mask (Device)
Outcomes
Primary Outcomes
Hypoxemia
Time Frame: Oxygen saturation below 90% for >15 seconds during procedure
Compare the percentage of time spent with oxygen saturation below 90%.
Secondary Outcomes
- Oxygen desaturation(Oxygen saturation below 90% for >15 seconds during procedure)
- Sedation(Total duration of procedure)
- Airway maneuvers(Total duration of procedure)
- Procedure Duration(Total duration of procedure)
- Patient Tolerance(Total duration of procedure and post procedure in PACU (scale: None, Mild, Moderate, Severe; multiple choice: Yes or No)))
- Hypoxemic Episodes(Oxygen saturation below 90% for >15 seconds during procedure)
- Anesthesiologist Satisfaction(Total duration of procedure)
- Patient Satisfaction(Total duration of procedure and post procedure in PACU (scale: 0 to 10; 0 - poor, 10 - excellent))
- Surgeon Satisfaction(Total duration of procedure)
- Cardiac Complications(Total duration of procedure and post procedure in PACU)
- Procedural Interruptions(Total duration of procedure)
- Recovery(Total duration of post procedure in PACU)
