The Efficacy of Transnasal Humidified Rapid-insufflation Ventilatory Exchange During Laryngeal Microsurgery
- Conditions
- Apneic Oxygenation
- Registration Number
- NCT03629353
- Lead Sponsor
- Seoul National University Hospital
- Brief Summary
Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) was revealed to prolong apneic time with a slow increase in carbon dioxide; thus, has been used for preoxygenation in patients with difficult airways or requiring rapid sequence induction in general anesthesia.
However, in patients undergoing hypopharyngeal and laryngo-tracheal surgery, THRIVE during operation can be advantageous by allowing tubeless surgical field with sufficient oxygenation.
Therefore, the investigators conducted this study to evaluate the efficacy of THRIVE on prolonged apneic time with enhanced surgical conditions in patients with laryngeal microsurgery.
- Detailed Description
Patients undergoing laryngeal microsurgery will be randomized into either intubation group or THRIVE group.
On arriving operating room, the patients will be preoxygenated by facemask or high flow nasal cannula with 100% oxygen for 3 minutes according to the allocated group. After inducing general anesthesia, patients in intubation group will be oxygenated by endotracheal tube, while patients in THRIVE group will be oxygenated by high flow nasal cannula with flow rate of 70L/min. During the surgery, the endotracheal tube can be removed and reintubated in intubation group patients to provide surgical field by a surgeon, respectively.
The monitored pulse oximetry, oxygen reserve index, and transcutaneous partial pressure of carbon dioxide will be recorded during surgery.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 126
- patients undergoing laryngeal microsurgery
- ASA class I-III
- patients scheduled for laryngeal microsurgery using CO2 laser
- patients with increased intracranial pressure
- patients with skull base defect
- patients with chronic obstructive pulmonary disease
- patients with pulmonary hypertension
- patients requiring rapid sequence induction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method lowest oxygen saturation from the time of starting laryngeal microsurgery till the end of the surgery lowest oxygen saturation monitored by pulse oximetry during laryngeal microsurgery
- Secondary Outcome Measures
Name Time Method highest transcutaneous partial pressure of carbon dioxide from the time of starting laryngeal microsurgery till the end of the surgery highest transcutaneous partial pressure of carbon dioxide monitored during laryngeal microsurgery
lowest oxygen reserve index from the time of starting laryngeal microsurgery till the end of the surgery lowest oxygen reserve index monitored during laryngeal microsurgery
Trial Locations
- Locations (1)
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of
Seoul National University Hospital🇰🇷Seoul, Korea, Republic of