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The expected results with this study are that high flow devices (LAF) provide adequate respiratory support during the performance of ERCP under deep sedation, reducing episodes of desaturation, hypoventilation and airway obstruction compared to low flow devices ( nasal glasses).
Deep sedation performed during the ERCP technique associates an increased risk of decrease in Sat02%, hypercapnia and airway obstruction with consequences ranging from interruption or suspension of the technique to complications that may put the patient's life at risk .
High flow devices (HF) due to the pressurization capacity of the airway and the reduction of anatomical dead space will favor a better gas exchange compared to low flow devices (LF), which will manifest clinically with a reduction in episodes of decrease of Sat02% and a decrease in carbon dioxide levels.
The main objective of the study is to demonstrate that the use of high flow devices (HF) decreases the episodes of desaturation (defined as Sat02 ≤ 90% measured through pulse oximetry) that occur during the performance of ERCP under deep sedation compared to Low flow devices (LF) with equal Inspiratory oxygen fraction (Fi02) in both cases.
The expected results with this study are that high flow devices (LAF) provide adequate respiratory support during the performance of ERCP under deep sedation, reducing episodes of desaturation, hypoventilation and airway obstruction compared to low flow devices ( nasal glasses).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | High Flow nasal cannula (HF) |
|
| Standar Care Group | Active Comparator | Standar Care: low flow device (LF) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| High Flow nasal cannula | Device | Administration of high flow nasal cannula during ERCP procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Desaturation during ERCP | Demonstrate that the use of high flow devices (HF) decreases episodes of desaturation (defined as Sat02 ≤ 90% measured by pulse oximetry) that occur during the performance of ERCP under deep sedation compared to low flow devices ( LF). | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| CO2 during ERCP | The use of HF decreases the CO2 levels measured through transcutaneous CO2 (PtcCO2) compared to conventional oxygen therapy (LF) | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Julia Martinez Ocon, Dr | Contact | +34639987302 | jocon@clinic.cat |
| Name | Affiliation | Role |
|---|---|---|
| Julia Martinez Ocon, Dr | Hospital Clinic of Barcelona | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinic Hospital (Endoscopy Unit) | Recruiting | Barcelona | 08036 | Spain |
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Unicentre controlled clinical trial, unmasked, performed in the Digestive Endoscopy Unit of the Hospital ClĂnic. 172 patients submitted to Endoscopic Retrograde Cholangiography who agree to participate in the study will be included consecutively and randomly.
Patients will be randomized into two groups: Control group: low flow device (nasal glasses) and High Flow device group (LAF).
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| Low Flow nasal cannula | Device | Administration of low flow nasal cannula during ERCP procedure: standard care |
|