Effects of Different Ventilatory Strategy During Bronchoscopy
Study Details
Study Description
Brief Summary
The execution of diagnostic-therapeutic investigations by bronchial endoscopy can expose the patient to hypoxemia. For this reason, oxygen therapy is administered at low or high flows during the course of bronchoscopic procedures.
Our study aim was to evaluate the efficacy and complications of High-flow nasal oxygen (HFNO) via Supraglottic jet oxygenation and ventilation (SJOV)during flexible bronchoscopy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Group I Conventional Oxygen Therapy |
Device: Conventional Oxygen Therapy
Conventional Oxygen Therapy will be administered through Nasal catheter
|
Experimental: Group II High-flow nasal oxygen |
Device: High-flow nasal oxygen
High Flow Nasal Cannula will be administered
|
Experimental: Group III Supraglottic jet oxygenation and ventilation |
Device: Supraglottic jet oxygenation and ventilation
Nasal jet tube will be administered
|
Outcome Measures
Primary Outcome Measures
- Compare the intraoperative oxygenation. [During bronchoscopy, an average of 0.5 hour.]
The study will monitor the SpO2, heart rate(HR) and mean arterial pressure (MAP) during the procedure.
Secondary Outcome Measures
- Arterial blood gases [At end of of bronchoscopy,an average of 0.5 hour after bronchoscope insertion.]
Arterial blood gas analysis will be monitored at end of of procedure.
- Assess the regional ventilation distribution by Electrical impedance tomography . [During bronchoscopy, an average of 0.5 hour.]
Measurements will be done after bronchoscope insertion and at the end of the procedure.
Eligibility Criteria
Criteria
Inclusion Criteria:
- need for bronchial endoscopy
Exclusion Criteria:
- life-threatening cardiac aritmia or acute miocardical infarction within 6 weeks need for invasive or non invasive ventilation presence of pneumothorax or pulmonary enphisema or bullae recent (within 1 week) thoracic surgery presence of chest burns presence of tracheostomy pregnancy nasal or nasopharyngeal diseases dementia lack of consent or its withdrawal
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- The First Affiliated Hospital of Guangzhou Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 20230618