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Sedoanalgesia is applied to patients during gastrointestinal endoscopy. Sedoanalgesia may cause respiratory depression and hypoxia in patients. During these procedures, patients should be given oxygen support to reduce the incidence of hypoxia.This study aimed to compare the efficacy and procedural performance of two different airway devices (Wei Nasal Jet Tube vs Nasal Cannula Oxygen Support) in Gastrointestinal Endoscopy
Gastrointestinal endoscopy is performed as standard for the diagnosis of many gastrointestinal diseases. During gastrointestinal endoscopy, sedoanalgesia is applied to relieve patients' pain and increase patient comfort. Anesthetic drugs used for sedoanalgesia may cause respiratory depression and hypoxia in patients. Hypoxia resulting from hypoventilation in patients is responsible for many events, including coronary ischemia. During these procedures, patients should be given oxygen support to reduce the incidence of hypoxia. The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices. Our study will show us which method is more beneficial in preventing hypoxia and other side effects, providing comfort for the doctor performing the procedure and for the patient undergoing the procedure. This study aimed to compare the efficacy and procedural performance of two different airway devices (Wei Nasal Jet Tube vs Nasal Cannula Oxygen Support) in Gastrointestinal Endoscopy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Wei Nasal Jet Tube Group (Group W) | Active Comparator | After induction of anesthesia, the Wei Nasal Jet Tube was placed in the patients. |
|
| Nasal Cannula Oxygen Support Group (Group N) | Active Comparator | After the induction of anesthesia, the Nasal Cannula Oxygen Cannula was placed in the patients. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wei Nasal Jet Tube | Device | The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices. |
| Measure | Description | Time Frame |
|---|---|---|
| Hypoxia incidence | Hypoxia is defined as SpO2 <92% at any time. | Intra-operative; after device insertion |
| Measure | Description | Time Frame |
|---|---|---|
| Airway assist maneuver required | When the SpO2 value is below 90-92%, airway support maneuvers will be performed | Intra-operative; after device insertion |
| Procedure failure incidence | The development of severe hypotension (MAP <55 mmHG), bradycardia ( HR< 45 bpm) and prolonged deep hypoxia(>60 sec SpO2<92%) during procedure |
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Inclusion Criteria:
Exclusion Criteria:
High risk of pulmonary aspiration
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| Name | Affiliation | Role |
|---|---|---|
| ISMAIL SUMER, MD | Bezmialem Vakif University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bezmialem Vakif University | Istanbul | Turkey (Türkiye) |
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computer-assisted randomization method
| Nasal Cannula Oxygen Support | Device | The purpose of this procedure is to provide safe oxygenation and ventilation. While providing oxygen support, nasal cannula, classical oxygen mask can be used, as well as new generation oxygenation devices. |
|
| Intra-operative; after device insertion |
| ID | Term |
|---|---|
| D000402 | Airway Obstruction |
| D001986 | Bronchial Spasm |
| D004844 | Epistaxis |
| D000860 | Hypoxia |
| ID | Term |
|---|---|
| D012131 | Respiratory Insufficiency |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D001982 | Bronchial Diseases |
| D009668 | Nose Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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