Trial Outcomes & Findings for Comparison of Oxygenation and Ventilation With a Novel Nasal Mask Versus Standard of Care During Colonoscopy (NCT NCT03139448)

NCT ID: NCT03139448

Last Updated: 2019-02-05

Results Overview

The time period between the beginning of standard of care propofol bolus and/or start of propofol infusion to time of initiation of the first intervention for airway management.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

174 participants

Primary outcome timeframe

Usually 5 minutes

Results posted on

2019-02-05

Participant Flow

Participant milestones

Participant milestones
Measure
Oxygen Via Nasal Cannula (Standard of Care)
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Overall Study
STARTED
85
89
Overall Study
Intervention Started
79
70
Overall Study
COMPLETED
73
63
Overall Study
NOT COMPLETED
12
26

Reasons for withdrawal

Reasons for withdrawal
Measure
Oxygen Via Nasal Cannula (Standard of Care)
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Overall Study
Lack of Efficacy
6
7
Overall Study
Location of procedure changed
2
8
Overall Study
Withdrawal by Subject
3
6
Overall Study
Screen fail
1
3
Overall Study
Physician Decision
0
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Total
n=136 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=73 Participants
0 Participants
n=63 Participants
0 Participants
n=136 Participants
Age, Categorical
Between 18 and 65 years
61 Participants
n=73 Participants
50 Participants
n=63 Participants
111 Participants
n=136 Participants
Age, Categorical
>=65 years
12 Participants
n=73 Participants
13 Participants
n=63 Participants
25 Participants
n=136 Participants
Sex: Female, Male
Female
47 Participants
n=73 Participants
33 Participants
n=63 Participants
80 Participants
n=136 Participants
Sex: Female, Male
Male
26 Participants
n=73 Participants
30 Participants
n=63 Participants
56 Participants
n=136 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
73 Participants
n=73 Participants
63 Participants
n=63 Participants
136 Participants
n=136 Participants

PRIMARY outcome

Timeframe: Usually 5 minutes

The time period between the beginning of standard of care propofol bolus and/or start of propofol infusion to time of initiation of the first intervention for airway management.

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Time to First Intervention
10 minutes
Standard Deviation 12
19 minutes
Standard Deviation 10

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Number of subjects receiving interventions for airway management including chin up and/or jaw thrust, oral and/or nasal airway insertion, mask ventilation, intubation with endotracheal tube (ETT) or laryngeal mask airway (LMA) insertion

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Number of Subjects Receiving Interventions for Airway Management
46 Participants
14 Participants

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Duration of intervention

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Duration of Intervention
19 minutes
Standard Deviation 28
12 minutes
Standard Deviation 31

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Oxygen saturation reading- Median

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Oxygen Saturation Reading- Median
Baseline
100.0 percentage of oxygen saturation
Interval 99.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0
Oxygen Saturation Reading- Median
2 minutes after induction
98 percentage of oxygen saturation
Interval 94.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0
Oxygen Saturation Reading- Median
4 minutes after induction
99 percentage of oxygen saturation
Interval 97.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0
Oxygen Saturation Reading- Median
6 minutes after induction
99 percentage of oxygen saturation
Interval 97.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0
Oxygen Saturation Reading- Median
5 minutes before end of procedure
99 percentage of oxygen saturation
Interval 97.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0
Oxygen Saturation Reading- Median
end of procedure
98 percentage of oxygen saturation
Interval 97.0 to 100.0
100 percentage of oxygen saturation
Interval 99.0 to 100.0

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Oxygen saturation- Lowest reading

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Oxygen Saturation- Lowest Reading
Baseline
99.11 percentage of oxygen saturation
Standard Deviation 1.76
99.23 percentage of oxygen saturation
Standard Deviation 1.53
Oxygen Saturation- Lowest Reading
2 minutes after induction
96.22 percentage of oxygen saturation
Standard Deviation 6.12
99.31 percentage of oxygen saturation
Standard Deviation 1.47
Oxygen Saturation- Lowest Reading
4 minutes after induction
97.57 percentage of oxygen saturation
Standard Deviation 4.79
99.39 percentage of oxygen saturation
Standard Deviation 1.21
Oxygen Saturation- Lowest Reading
6 minutes after induction
98.17 percentage of oxygen saturation
Standard Deviation 3.32
99.52 percentage of oxygen saturation
Standard Deviation 0.82
Oxygen Saturation- Lowest Reading
5 minutes before end of procedure
97.76 percentage of oxygen saturation
Standard Deviation 2.66
99.33 percentage of oxygen saturation
Standard Deviation 1.03
Oxygen Saturation- Lowest Reading
end of procedure
97.94 percentage of oxygen saturation
Standard Deviation 2.11
99.19 percentage of oxygen saturation
Standard Deviation 1.11

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Number of participants with oxygen saturation- reading below 90%

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Number of Participants With Oxygen Saturation- Reading Below 90%
16 Participants
3 Participants

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Tidal volume (VT) defined as the volume of air displaced between inhalation and exhalation.

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Tidal Volume (VT)
Baseline
1032.80 milliliters
Standard Deviation 583.74
1011.39 milliliters
Standard Deviation 462.30
Tidal Volume (VT)
2 minutes after induction
527.01 milliliters
Standard Deviation 367.54
625.31 milliliters
Standard Deviation 380.17
Tidal Volume (VT)
4 minutes after induction
533.26 milliliters
Standard Deviation 467.47
589.22 milliliters
Standard Deviation 380.58
Tidal Volume (VT)
6 minutes after induction
540.16 milliliters
Standard Deviation 417.28
613.15 milliliters
Standard Deviation 510.71
Tidal Volume (VT)
5 minutes before end of procedure
610.38 milliliters
Standard Deviation 584.06
735.76 milliliters
Standard Deviation 614.42
Tidal Volume (VT)
end of procedure
724.72 milliliters
Standard Deviation 538.90
879.52 milliliters
Standard Deviation 650.92

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Respiratory Rate (RR)

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Respiratory Rate (RR)
Baseline
15.07 respiration per minute
Standard Deviation 4.57
15.36 respiration per minute
Standard Deviation 4.15
Respiratory Rate (RR)
2 minutes after induction
15.15 respiration per minute
Standard Deviation 5.32
15.21 respiration per minute
Standard Deviation 4.39
Respiratory Rate (RR)
4 minutes after induction
17.77 respiration per minute
Standard Deviation 5.36
16.95 respiration per minute
Standard Deviation 4.57
Respiratory Rate (RR)
6 minutes after induction
18.70 respiration per minute
Standard Deviation 4.87
17.48 respiration per minute
Standard Deviation 4.77
Respiratory Rate (RR)
5 minutes before end of procedure
18.39 respiration per minute
Standard Deviation 5.17
17.02 respiration per minute
Standard Deviation 4.40
Respiratory Rate (RR)
end of procedure
17.69 respiration per minute
Standard Deviation 4.5
17.50 respiration per minute
Standard Deviation 5.63

SECONDARY outcome

Timeframe: Duration of colonoscopy procedure (usually 30 minutes)

Minute ventilation (MV)

Outcome measures

Outcome measures
Measure
Oxygen Via Nasal Cannula (Standard of Care)
n=73 Participants
The anesthesia provider will supply oxygen via nasal cannula at oxygen flow rates as per standard of care routine at Vanderbilt University Medical Center. Oxygen via nasal cannula: Oxygen will be supplied to the patient via nasal cannula according to the routine standard of care practice at Vanderbilt University Medical Center.
Oxygen Via SuperNO2VA Nasal Mask
n=63 Participants
The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O. Oxygen via SuperNO2VA nasal mask: The anesthesia provider will attach the SuperNO2VA's (Revolutionary Medical, Inc) circuit port to the anesthesia machine, turn the oxygen flow rate to 10L/min, and set the APL valve to 10 cm H2O.
Minute Ventilation (MV)
end of procedure
12.21 Liters per minute
Standard Deviation 9.19
13.48 Liters per minute
Standard Deviation 9.01
Minute Ventilation (MV)
Baseline
14.29 Liters per minute
Standard Deviation 8.01
14.52 Liters per minute
Standard Deviation 6.31
Minute Ventilation (MV)
2 minutes after induction
8.41 Liters per minute
Standard Deviation 6.44
9.16 Liters per minute
Standard Deviation 5.96
Minute Ventilation (MV)
4 minutes after induction
8.82 Liters per minute
Standard Deviation 6.86
9.62 Liters per minute
Standard Deviation 6.76
Minute Ventilation (MV)
6 minutes after induction
9.36 Liters per minute
Standard Deviation 5.99
9.94 Liters per minute
Standard Deviation 8.06
Minute Ventilation (MV)
5 minutes before end of procedure
10.29 Liters per minute
Standard Deviation 8.27
12.18 Liters per minute
Standard Deviation 10.82

Adverse Events

Oxygen Via Nasal Cannula (Standard of Care)

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

Oxygen Via SuperNO2VA Nasal Mask

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

Koffi Kla, MD

Vanderbilt University Medical Center

Phone: 615-343-9419

Results disclosure agreements

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