Wei Nasal Jet Tube vs Gastro Laryngeal Tube in Endoscopic Retrograde Cholangiopancreatography

Bezmialem Vakif University

Status: Completed

Conditions: Supraglottic Airway Efficiency; ERCP Airway Management; Esophagus Injury; Airway Complication of Anesthesia; Airway Aspiration; Bronchospasm; Endoscopic Ergonomics; Complication of Anesthesia; Bleeding Nose

Treatments: Device: Gastro Laryngeal Tube; Device: Wei Nasal Jet Tube

Study type: Interventional

Funder types: Other

Identifiers

NCT05360810

BezmialemVakifU

Details and patient eligibility

About

The most common adverse event in endoscopic procedures is hypoxia. Different airway devices have been investigated in the literature to prevent hypoxia. This study aimed to compare the efficacy and procedural performance of two different airway (GLT and WNJ) devices in ERCP procedures.

Full description

ERCP is a procedure that requires intolerable positioning, prolonged air insufflation, and deep levels of anesthesia. The procedure can be performed under general anesthesia or with deep sedation. It becomes more difficult to maintain airway patency in the prone position under deep sedation. Clinicians prefer supraglottic airway devices developed for endoscopic procedures. GLT requires a deeper level of anesthesia. WNJ, on the other hand, can be tolerated with less depth levels of anesthesia. It has been reported in the literature that GLT and WNJ are effective in maintaining patent airway and preventing hypoxia in ERCP procedures. However, both airway devices have not been compared for airway efficiency and ERCP procedure condition.

In this study, the investigators aimed to compare airway efficiency and procedure condition using GLT and WNJ.

Enrollment: 114 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA Physical Status 1-2
• Elective Procedures
• Body mass index 18.5 - 35 kg/m2

Exclusion criteria

• High risk of pulmonary aspiration
• Pregnancy
• Anesthesic drug allergies
• Difficult airway or facial deformities
• Height <155 cm
• Alcohol or narcotic drug usage
• Restrictive or obstructive pulmonary diseases
• Hepatic cardiac or renal failure
• Neurologic or cognitive deficiencies.
• Previous cervical surgery or cervical radiotherapy
• Previous esophagus surgery
• Psychotic problems

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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114 participants in 2 patient groups

Wei Nasal Jet Tube Group (Group W)

Active Comparator group

Description:

After induction of anesthesia, the Wei Nasal Jet Tube was placed in the patients.

Treatment:

Device: Wei Nasal Jet Tube

Gastro-Laryngeal Tube Group (Group G)

Active Comparator group

Description:

After the induction of anesthesia, the Gastro Laryngeal Tube was placed in the patients.

Treatment:

Device: Gastro Laryngeal Tube