Trial Outcomes & Findings for Effect of Nasal Positive Airway Pressure Versus Standard Care on Oxygenation and Ventilation During Propofol-based Sedation for Colonoscopy in Patients With High Risk of Airway Obstruction (NCT NCT05524220)

NCT ID: NCT05524220

Last Updated: 2025-04-22

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

139 participants

Primary outcome timeframe

From Initiation of Induction to the First Airway Intervention (about 16 minutes)

Results posted on

2025-04-22

Participant Flow

Participant milestones

Participant milestones
Measure
Group B: SuperNO2VA™EtCO2
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Overall Study
STARTED
71
68
Overall Study
COMPLETED
71
68
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Total
n=139 Participants
Total of all reporting groups
Age, Continuous
58 years
n=71 Participants
54.5 years
n=68 Participants
56 years
n=139 Participants
Sex: Female, Male
Female
46 Participants
n=71 Participants
44 Participants
n=68 Participants
90 Participants
n=139 Participants
Sex: Female, Male
Male
25 Participants
n=71 Participants
24 Participants
n=68 Participants
49 Participants
n=139 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
48 Participants
n=71 Participants
45 Participants
n=68 Participants
93 Participants
n=139 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=71 Participants
23 Participants
n=68 Participants
46 Participants
n=139 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=71 Participants
0 Participants
n=68 Participants
0 Participants
n=139 Participants
Race/Ethnicity, Customized
White
55 Participants
n=71 Participants
52 Participants
n=68 Participants
107 Participants
n=139 Participants
Race/Ethnicity, Customized
Black or African-American
15 Participants
n=71 Participants
15 Participants
n=68 Participants
30 Participants
n=139 Participants
Race/Ethnicity, Customized
Other
1 Participants
n=71 Participants
1 Participants
n=68 Participants
2 Participants
n=139 Participants
Region of Enrollment
United States
71 participants
n=71 Participants
68 participants
n=68 Participants
139 participants
n=139 Participants
American Society of Anesthesiology (ASA) Classification
ASA I: A normal healthy patient
0 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
American Society of Anesthesiology (ASA) Classification
ASA II: A patient with mild systemic disease
19 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
21 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
40 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
American Society of Anesthesiology (ASA) Classification
ASA III: A patient with severe systemic disease
51 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
47 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
98 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
American Society of Anesthesiology (ASA) Classification
ASA IV: A patient with severe systemic disease that is a constant threat to life
0 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
American Society of Anesthesiology (ASA) Classification
ASA V: A moribund patient who is not expected to survive without the operation
0 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
American Society of Anesthesiology (ASA) Classification
ASA VI: A declared brain-dead patient whose organs are being removed for donor purposes
0 Participants
n=70 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=68 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
0 Participants
n=138 Participants • Data were not collected from 1 participant in the Group B: SuperNO2VA™EtCO2 arm.
Body Mass Index
36.6 kilograms per square meter
n=71 Participants
35.2 kilograms per square meter
n=68 Participants
35.9 kilograms per square meter
n=139 Participants
Body Mass Index
< 30
1 Participants
n=71 Participants
2 Participants
n=68 Participants
3 Participants
n=139 Participants
Body Mass Index
30 ≤ BMI < 40 (obesity)
50 Participants
n=71 Participants
49 Participants
n=68 Participants
99 Participants
n=139 Participants
Body Mass Index
≥ 40 (Class 3 obesity)
20 Participants
n=71 Participants
17 Participants
n=68 Participants
37 Participants
n=139 Participants

PRIMARY outcome

Timeframe: From Initiation of Induction to the First Airway Intervention (about 16 minutes)

Population: 16 participants in the Group B: SuperNO2VA™EtCO2 needed airway intervention. 29 participants in the Group A: Standard care with a facemask needed airway intervention. Only the participants who needed airway intervention were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=16 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=29 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Time Taken From Initiation of Induction to the First Airway Intervention
5 minutes
Interval 3.0 to 11.0
10 minutes
Interval 4.5 to 15.5

SECONDARY outcome

Timeframe: Within 5 minutes of the start of anesthesia

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Amount of Propofol Administered During Induction
70 milligrams
Interval 50.0 to 100.0
75 milligrams
Interval 50.0 to 100.0

SECONDARY outcome

Timeframe: during the procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Total Amount of Propofol Administered During the Procedure
360 milligrams
Interval 220.0 to 450.0
253 milligrams
Interval 200.0 to 455.0

SECONDARY outcome

Timeframe: prior to endoscopic intubation,during the procedure

Population: Data were not collected for this outcome measure because the assessment was not done by the observers. As a result, 0 observers completed the assessment, and therefore, no participants were analyzed in either study arm.

This is scored from 0(no response)-5(response to your name spoken in a normal tone), a higher number indicating more alertness

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: within 10 minutes of start of sedation

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Time Taken From Induction to Endoscopic Insertion
2 minutes
Interval 2.0 to 4.0
3 minutes
Interval 2.0 to 9.0

SECONDARY outcome

Timeframe: From Initiation of Induction to removal of endoscope at the end of the procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Incidence of Procedural Interruptions as Assessed by the Number of Times the Endoscope is Removed From the Patient
0 number of times endoscope is removed
0 number of times endoscope is removed

SECONDARY outcome

Timeframe: From Initiation of Induction to removal of endoscope at the end of the procedure (about 45 minutes)

Population: Zero participants had a procedural interruption.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: From Initiation of Induction to removal of endoscope at the end of the procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Number of Participants Who Received Airway Maneuvers
16 Participants
29 Participants

SECONDARY outcome

Timeframe: From Initiation of Induction to removal of endoscope at the end of the procedure (about 45 minutes)

Population: 16 participants who received airway maneuvers in the Group B: SuperNO2VA™EtCO2 arm were analyzed for the outcome measure. 29 participants who received airway maneuvers in the Group A: Standard care with a facemask arm were analyzed for the outcome measure.

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=16 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=29 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Time Taken for Airway Maneuvers
172.5 seconds
Interval 39.5 to 1247.0
131 seconds
Interval 33.0 to 621.0

SECONDARY outcome

Timeframe: From Initiation of Induction to removal of endoscope at the end of the procedure (about 45 minutes)

Population: 16 participants in the Group B: SuperNO2VA™EtCO2 needed airway intervention. 29 participants in the Group A: Standard care with a facemask needed airway intervention. Only the participants who needed airway intervention were analyzed for this outcome measure.

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=16 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=29 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Reason for Airway Maneuvers
Apnea
2 Participants
9 Participants
Reason for Airway Maneuvers
Desaturations <90% SpO2
12 Participants
10 Participants
Reason for Airway Maneuvers
Apnea and Desaturations <90% SpO2
2 Participants
9 Participants
Reason for Airway Maneuvers
Other
0 Participants
1 Participants

SECONDARY outcome

Timeframe: from start of procedure to end of procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Time Taken for the Entire Procedure
33 minutes
Interval 29.0 to 44.0
33.5 minutes
Interval 26.0 to 40.5

SECONDARY outcome

Timeframe: at time of discharge( about one hour from end of procedure)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Recovery Time as Assessed by the Time When Subject Was Ready for Discharge
48 minutes
Interval 36.0 to 57.0
46.5 minutes
Interval 33.0 to 56.5

SECONDARY outcome

Timeframe: at time of discharge( about one and a half hour from end of procedure)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Recovery Time as Assessed by the Actual Time When Subject Was Discharged
81 minutes
Interval 70.0 to 96.0
77 minutes
Interval 66.0 to 92.5

SECONDARY outcome

Timeframe: at time of discharge(about one hour from end of procedure)

Population: Data were not collected from 3 participants in the Group B: SuperNO2VA™EtCO2 arm because the participants did not complete the survey. Data were not collected from 1 participant in the Group A: Standard care with a facemask arm because the participant did not complete the survey.

This will be scored from 0-10, a higher score indicating more satisfaction

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=68 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=67 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Patient Satisfaction as Assessed by the Visual Analog Scale (VAS)
10 score on a scale
Interval 10.0 to 10.0
10 score on a scale
Interval 10.0 to 10.0

SECONDARY outcome

Timeframe: from start of procedure to end of procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Number of Participants That Tolerated the SuperNO2VA™EtCO2
69 Participants

SECONDARY outcome

Timeframe: end of procedure (about 45 minutes from start)

This will be scored from 0-10, a higher score indicating more satisfaction

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Anesthesiologist Satisfaction Score as Assessed by the Visual Analog Scale (VAS)
8.5 score on a scale
Interval 7.0 to 10.0
8 score on a scale
Interval 7.0 to 10.0

SECONDARY outcome

Timeframe: during the procedure (about 45 minutes)

Outcome measures

Outcome measures
Measure
Group B: SuperNO2VA™EtCO2
n=71 Participants
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 Participants
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Number of Participants That Had Incidences of Cardiac Complications
0 Participants
0 Participants

Adverse Events

Group B: SuperNO2VA™EtCO2

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Group A: Standard Care With a Facemask.

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

Serious adverse events

Serious adverse events
Measure
Group B: SuperNO2VA™EtCO2
n=71 participants at risk
SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus): The anesthesia provider will attach the SuperNO2VA™ EtCO2 circuit port to the hyperinflation bag with the oxygen flow rate to 10 L/min. The oxygenation, continuous positive airway pressure, and ventilation of the subject will be done via SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Group A: Standard Care With a Facemask.
n=68 participants at risk
Standard care with a facemask.: The anesthesia provider will supply oxygen via the closed facemask at 10 liters per minute (LPM)
Injury, poisoning and procedural complications
needed supplemental oxygen after procedure
1.4%
1/71 • From baseline to discharge (up to 24 hours)
0.00%
0/68 • From baseline to discharge (up to 24 hours)
Injury, poisoning and procedural complications
concern for bleeding after polyp removal
1.4%
1/71 • From baseline to discharge (up to 24 hours)
0.00%
0/68 • From baseline to discharge (up to 24 hours)

Other adverse events

Adverse event data not reported

Additional Information

Erikka Washington, MD

The University of Texas Health Science Center at Houston

Phone: 713-500-6202

Results disclosure agreements

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