PANNIV: Using Positive Pressure Ventilation for Preoxygenation During Panendoscopy.
Study Details
Study Description
Brief Summary
the aim of the study is to determine if Spontaneous Ventilation with Positive Pressure Ventilation (PPV) preoxygenation allows a longer non hypoxemic apnea time during panendoscopy compared to spontaneous breathing preoxygenation.
the hypothesis is PPV extends the residual functional capacity of lung so it provides more oxygen during apnea.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: positive pressure ventilation Positive Pressure Ventilation with a 4 cmH2O inhale pressure, a positive end-expiratory pressure of 4 cm H2O, a trigger 2, an inspiratory slope of 0, an inhaled oxygen fraction of 100% administered at a 10 L / min flow. |
Device: positive pressure ventilation
Positive Pressure Ventilation with a 4 cmH2O inhale pressure, a positive end-expiratory pressure of 4 cm H2O, a trigger 2, an inspiratory slope of 0, an inhaled oxygen fraction of 100% administered at a 10 L / min flow.
Other Names:
|
Active Comparator: Oxygenation with simple breathing mask spontaneously breathing preoxygenation with adapted face mask, to restrict leakage, at 10L/min oxygen, with inhaled fraction of 100% and a 2 L balloon volume. |
Procedure: Oxygenation with simple breathing mask
Spontaneously breathing preoxygenation with adapted face mask, to restrict leakage, at 10L/min oxygen, with inhaled fraction of 100% and a 2 L balloon volume.
|
Outcome Measures
Primary Outcome Measures
- non hypoxemic apnea time [up to 5 minutes after stopping oxygenation]
time the oxygen saturation is going down to 90% during apnea
Secondary Outcome Measures
- surgical laryngoscopy frequency [up to 15 minutes after stopping oxygenation]
number of stopped surgical laryngoscopy because of a low oxygen saturation under 90% with necessity to ventilate the patients during apnea
- preoxygenation time [up to 10 min after the start of oxygenation]
time to reach expired oxygen fraction to 90%
Eligibility Criteria
Criteria
Inclusion Criteria:
- patient going for scheduled panendoscopy under general anesthesia
Exclusion Criteria:
-
BMI upper to 35 kg/m2
-
pregnancy
-
requirement of jet ventilation
-
tracheostomy
-
acute respiratory failure: pneumonia, pulmonary embolism
-
health insurance careless
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU Amiens | Amiens | France | 80000 |
Sponsors and Collaborators
- Centre Hospitalier Universitaire, Amiens
Investigators
- Principal Investigator: Osama ABOU ARAB, MD, CHU Amiens
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PI12-DR-DIMOV
- 2012-A01053-40