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)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Laryngospasm
- Sponsor
- Envision Healthcare Scientific Intelligence, Inc.
- Enrollment
- 57
- Locations
- 1
- Primary Endpoint
- Identify risk factors for the development of hypoxemia during EGD
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Over the age of 18 years
- •English speaking
- •Mentally competent to sign their own consent for treatment
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Identify risk factors for the development of hypoxemia during EGD
Time Frame: 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
Time Frame: 2 hours
Determine if prophylactic suctioning after sedation but prior to introduction of endoscope changes the incidence of laryngospasm during EGDs.
Secondary Outcomes
- Incidence of copious secretions, choking, desaturation, and shortened or aborted procedures(2 hours)
- Identify the various causes of hypoxemia during EGD(2 hours)