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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

The University of Texas System (UT) logo

The University of Texas System (UT)

Status

Completed

Conditions

Obstructive Sleep Apnea, Obesity

Treatments

Device: SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)
Device: Standard care with a facemask.

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT05524220
HSC-MS-22-0351

Details and patient eligibility

About

The purpose of this study is to to compare oxygenation and ventilation on spontaneously ventilating obese patients or those with diagnosed or undiagnosed Obstructive sleep apnea (OSA) undergoing day colonoscopy under Propofol based sedation, between the SuperNO2VA Et™ nasal positive airway pressure (PAP) device and routine care with face mask for oxygen (O2).

Enrollment

139 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients undergoing colonoscopy
  • American Society of Anesthesiology (ASA) Physical Status I-III
  • BMI ≥30 kg/m2 or suspected Obstructive Sleep Apnea

Exclusion criteria

  • Inpatient status
  • Active Congestive Heart Failure Exacerbation
  • Untreated ischemic heart disease
  • Acute exacerbation of respiratory disorders, including Chronic obstructive pulmonary disease (COPD) and asthma
  • Emergent procedures
  • Pregnancy
  • Previous enrollment in this study
  • Inability to provide informed consent
  • Additional medical testing planned for the same day
  • History of allergic reaction to Propofol
  • Tracheostomy
  • Supra-glottic or sub-glottic tumor
  • Gastrointestinal tract obstruction or delayed transit (including delayed gastric emptying, gastric bezoar, achalasia, toxic megacolon).
  • Prisoners
  • Unable to fit SuperNoVa

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

139 participants in 2 patient groups

Group A: Standard care with a facemask.
Active Comparator group
Treatment:
Device: Standard care with a facemask.
Group B: SuperNO2VA™EtCO2
Experimental group
Treatment:
Device: SuperNO2VA™EtCO2 (Nasal Oxygenating Ventilating Apparatus)

Trial documents
1

Trial contacts and locations

1

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Central trial contact

Erikka Washington, MD; Ranganathan Govindaraj

Data sourced from clinicaltrials.gov

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