Trial Outcomes & Findings for Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) and Short Laryngologic Surgery (NCT NCT03091179)

NCT ID: NCT03091179

Last Updated: 2020-03-04

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

intraoperative (up to one hour)

Results posted on

2020-03-04

Participant Flow

Participant milestones

Participant milestones
Measure
THRIVE
THRIVE: active nasal oxygen delivery system
Control Group
Endotracheal tube or Supraglottic jet ventilation
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
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
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Total
n=20 Participants
Total of all reporting groups
Age, Continuous
50.9 years
STANDARD_DEVIATION 12.42 • n=10 Participants
55.2 years
STANDARD_DEVIATION 17.29 • n=10 Participants
53.1 years
STANDARD_DEVIATION 14.82 • n=20 Participants
Sex: Female, Male
Female
8 Participants
n=10 Participants
6 Participants
n=10 Participants
14 Participants
n=20 Participants
Sex: Female, Male
Male
2 Participants
n=10 Participants
4 Participants
n=10 Participants
6 Participants
n=20 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: intraoperative (up to one hour)

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Average Oxygen Saturation by Pulse Oximetry (SpO2) (Primary Anesthesia Outcome)
93 percentage of saturation (SpO2)
Standard Deviation 5.66
98.7 percentage of saturation (SpO2)
Standard Deviation 1.57

PRIMARY outcome

Timeframe: intraoperative (up to 20 min)

time from end of surgery to responding to commands/extubation

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Time to Awakening From Anesthesia (Primary Anesthesia Outcome)
10.3 minutes
Standard Deviation 4.0
9.4 minutes
Standard Deviation 3.4

PRIMARY outcome

Timeframe: intraoperative (up to 5 min)

Time required for the surgeon to position the patient's head and expose the surgical field for surgery using operating laryngoscope

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Suspension Time (Primary Surgical Outcome)
1.8 minutes
Standard Deviation 1.1
4.3 minutes
Standard Deviation 2.1

PRIMARY outcome

Timeframe: intraoperative (up to 5 min)

Number of attempts required for the surgeon to reposition the patient's head for optimal surgical exposure using operating laryngoscope

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Number of Suspension Repositioning Maneuvers (Primary Surgical Outcome)
0.4 maneuvers
Standard Deviation 0.52
1.7 maneuvers
Standard Deviation 0.95

PRIMARY outcome

Timeframe: intraoperative (up to one hour)

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Duration of Surgery (Primary Surgical Outcome)
19.1 minutes
Standard Deviation 10.82
20.9 minutes
Standard Deviation 8.85

SECONDARY outcome

Timeframe: Recovery room admission (up to 30 min following admission to recovery room)

Time required for the patient to become fully alert and oriented per standard recovery room evaluation

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Alertness
4.3 minutes
Standard Deviation 6.3
4.8 minutes
Standard Deviation 7.4

SECONDARY outcome

Timeframe: Up to 2 hours after procedure

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Recovery Room Time
65.7 minutes
Standard Deviation 43.41
77.7 minutes
Standard Deviation 42.84

SECONDARY outcome

Timeframe: Recovery room admission and discharge (up to 2 hours)

A score from 0 to 10, higher scores corresponding to higher pain

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Numerical Pain Rating Scores
recovery room admission
1.3 score on a scale
Standard Deviation 1.95
3.7 score on a scale
Standard Deviation 2.91
Numerical Pain Rating Scores
recovery room discharge
0.9 score on a scale
Standard Deviation 1.29
2.7 score on a scale
Standard Deviation 1.77

SECONDARY outcome

Timeframe: Recovery room admission and discharge (up to 2 hours)

Total oral opioid consumption in morphine milligram equivalents

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Opioid Consumption
8.8 MME: morphine milligram equivalents
Standard Deviation 11.0
22.5 MME: morphine milligram equivalents
Standard Deviation 22.1

SECONDARY outcome

Timeframe: Preoperative assessment and one month after surgery

numerical scale, range from 0 to 40, with higher scores corresponding to worse outcome

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Change in Voice Handicap Index (VHI)
preoperative
12.8 score on a scale
Standard Deviation 12.63
22.7 score on a scale
Standard Deviation 12.06
Change in Voice Handicap Index (VHI)
one month after surgery
7.6 score on a scale
Standard Deviation 12.19
13.6 score on a scale
Standard Deviation 13.22

SECONDARY outcome

Timeframe: One week after surgery

15-question survey, with each question scored from 0 to 10. Overall range 0-150, higher scores correspond to better outcome.

Outcome measures

Outcome measures
Measure
THRIVE
n=10 Participants
THRIVE: active nasal oxygen delivery system
Control Group
n=10 Participants
Endotracheal tube or Supraglottic jet ventilation
Quality of Recovery
142.5 score on a scale
Standard Deviation 15.7
131.2 score on a scale
Standard Deviation 17.9

Adverse Events

THRIVE

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

Control Group

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

Vladimir Nekhendzy

Stanford University

Phone: 650-498-4055

Results disclosure agreements

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