Development of a Protocol for Prevention and Treatment of Laryngospasm and Other Causes of Hypoxemia Based on Identified Risk Factors in Adult Outpatients Undergoing Esophagogastroduodenoscopy (EGD) Under Monitored Anesthesia Care (MAC)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 57
- 试验地点
- 2
- 主要终点
- Identify risk factors for the development of hypoxemia during EGD
研究概览
简要总结
The purpose of this study is to identify patient and provider-chosen factors that put patients at risk for the development of hypoxemia (oxygen saturation < 90% for 5 seconds) during endoscopy and to use this knowledge to develop a treatment protocol for specific causes of hypoxemia in adult esophagogastroduodenoscopy outpatients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Over the age of 18 years
- •English speaking
- •Mentally competent to sign their own consent for treatment
排除标准
- •Poor incisor teeth stability
- •Anticipated procedure of greater than 30 minutes
- •History of facial or oral surgery and a baseline oxygen saturation of less than 95% on room air
结局指标
主要结局
Identify risk factors for the development of hypoxemia during EGD
时间窗: 2 hours
These risk factors include both patient factors (ASA class, history of cardiopulmonary disease, BMI, social history, Obstructive Sleep Apnea, STOP-BANG scores and age) and provider-chosen factors (medications given, airway interventions, percent and flow of oxygen in liters per minute, and whether or not the patient was suctioned prior to or during the procedure).
Incidence of laryngospasm during EGDs
时间窗: 2 hours
Determine if prophylactic suctioning after sedation but prior to introduction of endoscope changes the incidence of laryngospasm during EGDs.
次要结局
- Incidence of copious secretions, choking, desaturation, and shortened or aborted procedures(2 hours)
- Identify the various causes of hypoxemia during EGD(2 hours)