High Flow Nasal Cannula in Comparison to Apneic Oxygenation During Foreign Body Removal by Rigid Bronchoscope
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Ain Shams University
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- Maintain high level of oxygen saturation during the procedure
- Last Updated
- 4 years ago
Overview
Brief Summary
To compare the effect of HFNC with standard apneic oxygenation on patient oxygenation and airway protection during foreign body removal by rigid bronchoscope.
Detailed Description
This study is a prospective, randomized controlled trial, at Ain Shams University hospitals, Cardiovascular surgery hospital (Thoracic surgery unit), Cairo, Egypt. We will include 64 patients planned for foreign body removal by rigid bronchoscope. All patients will be ASA І with recent FB aspiration in the last 72hrs either by history or documented by radiopaque shadow in chest X ray or CT scan. After achievement of anesthesia and full muscle relaxation ventilation started by open mask technique. Then the patients will be divided into two groups according to the oxygenation technique: Group (A) (32 patients) HFNC (Vapotherm) will be used during the bronchoscopy time flow rate 50 L/min with 100% humidified oxygen and the temperature adjusted to be 38℃ . Group (B) (32 patients) (control group) using the standard apneic oxygenation through the side port of rigid bronchoscope during the procedure
Investigators
samar mohammed
Lecturer of Anesthesia
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •We will include 64 patients planned for foreign body removal by rigid bronchoscope.
- •All patients will be ASA І
- •Recent FB aspiration in the last 72hrs either by history or documented by radiopaque shadow in chest X ray or CT scan.
Exclusion Criteria
- •Patients age not more than 40 years old.
- •Body weight less than 40 kg.
- •Critically ill patients.
- •Intubated patients.
- •Inhalation of FB more than 72 hrs.
Outcomes
Primary Outcomes
Maintain high level of oxygen saturation during the procedure
Time Frame: During the procedure time
Monitoring oxygen saturation by pulse oximeter and recording the readings