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High-flow Nasal Oxygenation in Obese Patients During Apnea

University Health Network, Toronto logo

University Health Network, Toronto

Status

Completed

Conditions

Apneic Oxygenation
High-flow Nasal Cannulae
Anesthesia Induction
Bariatric Surgery

Treatments

Device: CON (control)
Device: HFNC

Study type

Interventional

Funder types

Other

Identifiers

NCT03195504
16-6264.0

Details and patient eligibility

About

Before going off to sleep patients are given oxygen to saturate blood with oxygen to extend time before a decrease in the level of oxygen in the blood occurs. During this period, obese patients have a faster decrease in the level of oxygen in their blood. This study uses a device called "high-flow nasal cannula" (HFNC), which delivers humidified high-flow oxygen through 2 small plastic tubes placed just inside nostrils. In the intensive care unit settings this device has been used extensively and has become a standard practice. Purpose of this study is to determine whether these high-flow nasal cannula increase the time safely when going to sleep during elective surgery.

Enrollment

40 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age more than18 years old
  • ASA status I-III
  • Elective surgery performed under general anesthesia requiring endotracheal intubation
  • BMI more than 40 kg/m2

Exclusion criteria

  • Chronic respiratory disease
  • SpO2 <98% after supplementing oxygen
  • Previous or anticipated difficult intubation
  • Uncontrolled hypertension
  • Ischemic heart disease
  • Congestive heart failure
  • Increased intracranial pressure
  • Uncontrolled GERD
  • Known allergy or contraindication to anesthesia drugs
  • Nasal blockade contraindicating the use of HFNC

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

40 participants in 2 patient groups

HFNC (High Flow Nasal Cannulae)
Experimental group
Description:
High Flow Nasal Cannulae providing humidified, high-flow oxygen during induction of anesthesia
Treatment:
Device: HFNC
CON (control)
Active Comparator group
Description:
Standard flow oxygen during induction of anesthesia
Treatment:
Device: CON (control)

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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