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High Flow Nasal Cannula Compared to Standard Oxygen for Endoscopic Ultrasound

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Mayo Clinic

Status

Not yet enrolling

Conditions

Endoscopic Ultrasound

Treatments

Other: High flow nasal cannula

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT06704867
24-003924

Details and patient eligibility

About

The purpose of the study is to evaluate the use of high flow nasal cannula versus standard oxygen therapy for high-risk patients undergoing endoscopy procedures.

Full description

Patients with a higher BMI are at greater risk for lower oxygen levels which can delay the endoscopy procedure. This research is being conducted to find out if high risk patients will have a shorter recovery time and improved procedural conditions with a high flow nasal cannula versus standard oxygen therapy.

Enrollment

200 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

• All patients age 18 years and older who present to Gonda 2 procedural area for Endoscopic ultrasound (EUS) with or without endoscopy (EGD)/biopsy/tissue sampling. with BMI ≥ 35 kg/m2 (BMI within the past 6 months in electronic medical records or at current procedure) who are able to consent will be approached for potential enrollment.

Exclusion criteria

  • Need for general anesthesia for the procedure instead of the standard monitored anesthesia care.
  • Patients undergoing combined procedure: Therapeutic EUS/combined procedures including EUS/ERCP, EUS/colonoscopy
  • Patients on home oxygen therapy, or the diagnosis of "severe COPD"
  • Patients with existing tracheostomy
  • Inpatients undergoing EUS
  • Inability to consent
  • Cognitive impairment
  • Blocked nasal passages
  • Trauma/previous surgery to the nasopharynx
  • Irregularities of the nose, face, or airway such that HFNC cannot be properly fitted

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

200 participants in 2 patient groups

Standard oxygen therapy
No Intervention group
Description:
Standard oxygen therapy will be initiated utilizing 2-4 liters of oxygen with a nasal cannula.
High Flow Nasal Cannula
Experimental group
Description:
A high flow oxygen device with 100% FiO2 will be initiated prior to endoscopic ultrasound.
Treatment:
Other: High flow nasal cannula

Trial contacts and locations

1

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Central trial contact

Anesthesia Clinical Research Unit

Data sourced from clinicaltrials.gov

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