Trial Outcomes & Findings for Use of High Flow Nasal Cannula During Sedation of Morbidly Obese Patients in the Endoscopy Suite (NCT NCT02859597)

NCT ID: NCT02859597

Last Updated: 2020-04-16

Results Overview

The ease at which the Anesthesiologist is able to maintain adequate oxygenation during the period of sedation required for the procedure. the ability of each oxygen device to maintain oxygenation was based on the number of manipulations; more manipulations, the device is less effective at maintaining saturation for this population.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

During the period of sedation, on average up to 1 hour

Results posted on

2020-04-16

Participant Flow

Participant milestones

Participant milestones
Measure
High Flow Nasal Cannula
High flow nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Nasal Cannula
Typical nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Overall Study
STARTED
22
19
Overall Study
COMPLETED
22
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Flow Nasal Cannula
n=22 Participants
High flow nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Nasal Cannula
n=19 Participants
Typical nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Total
n=41 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=41 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=22 Participants
19 Participants
n=19 Participants
41 Participants
n=41 Participants
Age, Categorical
>=65 years
0 Participants
n=22 Participants
0 Participants
n=19 Participants
0 Participants
n=41 Participants
Age, Continuous
47.7 years
STANDARD_DEVIATION 12.5 • n=22 Participants
43.4 years
STANDARD_DEVIATION 12.2 • n=19 Participants
46 years
STANDARD_DEVIATION 12.3 • n=41 Participants
Sex: Female, Male
Female
19 Participants
n=22 Participants
15 Participants
n=19 Participants
34 Participants
n=41 Participants
Sex: Female, Male
Male
3 Participants
n=22 Participants
4 Participants
n=19 Participants
7 Participants
n=41 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: During the period of sedation, on average up to 1 hour

The ease at which the Anesthesiologist is able to maintain adequate oxygenation during the period of sedation required for the procedure. the ability of each oxygen device to maintain oxygenation was based on the number of manipulations; more manipulations, the device is less effective at maintaining saturation for this population.

Outcome measures

Outcome measures
Measure
High Flow Nasal Canula
n=22 Participants
High flow nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Nasal Canula
n=19 Participants
Typical nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Ability to Maintain Oxygenation
0.55 manipulations
Standard Deviation 0.55
0.61 manipulations
Standard Deviation 1.03

SECONDARY outcome

Timeframe: During the period of sedation, on average up to 1 hour

The use of airway adjuncts such as oral and nasal airways to insure adequate oxygenation during procedure.

Outcome measures

Outcome measures
Measure
High Flow Nasal Canula
n=22 Participants
High flow nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Nasal Canula
n=19 Participants
Typical nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Number of Participants Requiring Airway Adjuncts During Procedure
0 Participants
0 Participants

SECONDARY outcome

Timeframe: During period of sedation, on average up to 1 hour

Need to increase the FiO2 to maintain adequate oxygenation

Outcome measures

Outcome measures
Measure
High Flow Nasal Canula
n=22 Participants
High flow nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Nasal Canula
n=19 Participants
Typical nasal cannula will be utilized to deliver oxygen to morbidly obese patients undergoing deep sedation for gastrointestinal procedures. High flow nasal cannula: High flow nasal cannula at 50 liters per minute and 50% oxygen will initially be used for oxygenation.
Number of Participants Who Need an Increase in Fraction of Inspired Oxygen
6 Participants
3 Participants

Adverse Events

High Flow Nasal Cannula

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Nasal Cannula

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr.Jay Berger

Montefiore Medical Center

Phone: 7189204316

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place