High Flow Nasal Cannula Compared to Standard Oxygen Therapy for Endoscopic Ultrasound Procedure in High Risk Patients on Recovery Time and Procedural Conditions
Overview
- Phase
- N/A
- Intervention
- Standard oxygen therapy
- Conditions
- Endoscopic Ultrasound
- Sponsor
- Mayo Clinic
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- Decrease recovery time
- Status
- Enrolling by Invitation
- Last Updated
- 3 months ago
Overview
Brief Summary
The purpose of the study is to evaluate the use of high flow nasal cannula versus standard oxygen therapy for high-risk patients undergoing endoscopy procedures.
Detailed Description
Patients with a higher BMI are at greater risk for lower oxygen levels which can delay the endoscopy procedure. This research is being conducted to find out if high risk patients will have a shorter recovery time and improved procedural conditions with a high flow nasal cannula versus standard oxygen therapy.
Investigators
Bhargavi Gali, M.D.
Principal Investigator
Mayo Clinic
Eligibility Criteria
Inclusion Criteria
- •All patients age 18 years and older who present to Gonda 2 procedural area for Endoscopic ultrasound (EUS) with or without endoscopy (EGD)/biopsy/tissue sampling. with BMI ≥ 35 kg/m2 (BMI within the past 6 months in electronic medical records or at current procedure) who are able to consent will be approached for potential enrollment.
Exclusion Criteria
- •Need for general anesthesia for the procedure instead of the standard monitored anesthesia care.
- •Patients undergoing combined procedure: Therapeutic EUS/combined procedures including EUS/ERCP, EUS/colonoscopy
- •Patients on home oxygen therapy, or the diagnosis of "severe COPD"
- •Patients with existing tracheostomy
- •Inpatients undergoing EUS
- •Inability to consent
- •Cognitive impairment
- •Blocked nasal passages
- •Trauma/previous surgery to the nasopharynx
- •Irregularities of the nose, face, or airway such that HFNC cannot be properly fitted
Arms & Interventions
Standard oxygen therapy
Standard oxygen therapy will be initiated utilizing 2-4 liters of oxygen with a nasal cannula.
High Flow Nasal Cannula
A high flow oxygen device with 100% FiO2 will be initiated prior to endoscopic ultrasound.
Intervention: High flow nasal cannula
Outcomes
Primary Outcomes
Decrease recovery time
Time Frame: 4 hours
Time measured in minutes for participants to enter post anesthesia care until the nurse marks "ready for discharge" in the medical record.
Secondary Outcomes
- Improve procedural conditions(1 hour)