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HypoxemiaNCT06085859

Anesthesia Endoscope Mask is Applied to Sedation Upper Gastrointestinal Endoscopic Diagnosis and Treatment

A study testing Routine nasal catheter group and Mask group in people with Hypoxemia, run by Sichuan Provincial People's Hospital at 5 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To investigate the efficacy and safety of new-type mask compared with nasal tube oxygen delivery in patients undergoing sedation of upper gastrointestinal endoscopy Read more about this study

Who is it for?
Ages 18 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Hypoxemia
What is being tested?
Routine nasal catheter group and Mask group
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,208 participants
Where
5 sitesChina
Study dates
18 Oct 2023to 8 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age ≥ 18 years;
  • Upcoming upper gastrointestinal sedation procedure;
  • Classification under the American Association of Anesthesiologists (ASA) status I-III;
  • Baseline oxygen saturation (SpO2) ≥95% in ambient air conditions.

Who cannot join

  • Individuals with previously documented difficulties in mask ventilation (DMV);
  • Patients predisposed to aspiration risks or episodes of vomiting;
  • Facial or jaw injuries or congenital abnormalities that render conventional face mask application infeasible;
  • An inability or unwillingness to utilize the novel disposable anesthesia face mask.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

China5 sites, 5 recruiting
  • Sichuan Provincial People's Hospital

    Chengdu, Sichuan

    Mengchang Yang, Doctor, +8618140049936, ymc681@126.com

    Recruiting
  • First People's Hospital of Liangshan Yi Autonomous Prefecture

    Liangshan, Sichuan

    Xiang Shen, 18981561217, 455517537@qq.com

    Recruiting
  • Chengdu Second People's Hospital

    Sichuan

    Shaoxing Liu, +8618030611589, liu110022@126.com

    Recruiting
  • Second People's Hospital of Yibin

    Yibin, Sichuan

    Jinghua Ren, 15351350950, 272171373@qq.com

    Recruiting
  • Ziyang People's Hospital

    Ziyang, Sichuan

    Xinquan Liu, 15892348079, 1355302984@qq.com

    Recruiting

Other trials in China

About this study

Official title: Anesthesia Endoscope Mask is Applied to Sedation Upper Gastrointestinal Endoscopic Diagnosis and Treatment: Multi-center, Prospective, Randomized Control, Open Clinical Research

To investigate the efficacy and safety of new-type mask compared with nasal tube oxygen delivery in patients undergoing sedation of upper gastrointestinal endoscopy

Read the detailed description

This study aims to utilize a large sample, multicenter, prospective clinical trial using a new mask oxygen supply technology. If the study confirms that the new mask can improve the airway safety and effectiveness in patient examinations, while improving examination efficiency and reducing failure rates, it will provide safety assurance for the early diagnosis and treatment of upper gastrointestinal diseases in high-risk populations.

Conditions
Hypoxemia
Being tested
Routine nasal catheter group, Mask group
Keywords
hypoxemia, sedation, gastrointestinal sedation procedure, non-invasive ventilation, endoscopy mask
Medical subject headings
Hypoxia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Routine nasal catheter groupDevice

    The anaesthesia provider supplied oxygen via a nasal cannula at an oxygen flow rate of 8 Litres/minute supplied from an oxygen flowmeter as described in the guide

  • Mask groupDevice

    The study team applied the mask with a head strap to ensure a proper seal,simultaneously ensuring the same oxygen flow rate as the control group

Study groups in NCT06085859
Study groupRoleWhat they receive
Mask oxygen supply groupExperimentalThe anaesthesia provider supplied oxygen via a nasal cannula at an oxygen flow rate of 8 Litres/minute supplied from an oxygen flowmeter
Receives: Device: Mask group
Nasal oxygen supply groupExperimentalThe study team applied the mask with a head strap to ensure a proper seal,simultaneously ensuring the same oxygen flow rate as the control group
Receives: Device: Routine nasal catheter group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of hypoxemia

    Incidences of oxygen saturation falling below 92%

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

Secondary outcomes (11)
  1. Incidence of compromised ventilation mandating primary manual intervention

    For the nasal catheter cohort, this entailed jaw elevation and deploying a standard mask to augment the oxygen concentration inhaled. Concurrently, for the mask cohort, primary intervention involved mandible lifting and secure fastening of the mask sleeve for inflation (while ensuring the operational aperture remains sealed).

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  2. Incidence necessitating sophisticated manual ventilatory support during pain-free gastroscopy

    If SpO2 levels further descended to ≤70% or persistently hovered below 85% for a duration exceeding 60 seconds, it mandated an immediate cessation of the ongoing procedure. The endoscope would be retracted, followed by the insertion of a standard oropharyngeal mask for assisted ventilation. In dire circumstances, the anesthesiologist might opt for advanced airway interventions, such as laryngeal mask application or endotracheal intubation.

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  3. Juxtaposition of hypoxemia onset time in both ventilation techniques

    The time span from the start of drug administration by the researcher to the first occurrence of blood oxygen saturation below 92%.

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  4. the temporal span from initial decline to recovery to 92% saturation in both ventilation techniques

    The time span from oxygen saturation below 92% to recovery to 92% after manual ventilatory support. If multiple episodes of hypoxia occur, all times will be added up

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  5. the lowest oxygen saturation in both ventilation techniques

    the lowest oxygen saturation from the start of medication administration to the participants's Aldrete score of 9.

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  6. Evaluation of procedural prolongation due to ventilation issues

    The extension time for examination is defined as the total time from stopping the operation and exiting the endoscope until the endoscope re-enters the digestive tract, to the same anatomical position before stopping the operation, If multiple episodes of withdrawal of endoscopy occur, all times will be added up

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  7. Apnea prevalence in both groups

    The study here we define apnea as 10 second without obvious respiratory movements of mesothorax and abdomen or snoring with paradoxical breathing

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

  8. Satisfaction scores1 from patients, endoscopists, and anesthesiologists

    The scores of satisfaction 1:Are you satisfied with this endoscopic diagnosis and treatment,a score of 0 represents very dissatisfied, while a score of 10 represents very satisfied.

    Measured: Immediately after the procedure.

  9. Satisfaction scores2 from patients, endoscopists, and anesthesiologists

    The scores of satisfaction2:If there is a chance, are you willing to use this non-invasive oxygen device again,a score of 0 indicates a strong unwillingness, while a score of 10 indicates a strong willingness.

    Measured: Immediately after the procedure.

  10. The incidence of upper respiratory tract discomfort manifestations such as oral, nasal, an pharyngeal dryness and hemorrhage in two groups of participants.

    Measured: Immediately after the procedure.

  11. Inaugural insertion success rates in two groups of participants

    If the endoscopic operation fails to pass the pharynx after three attempts, recorded as the first insertion failure.

    Measured: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Oct 2023
  2. Study start18 Oct 2023
  3. Primary completion1 Dec 2023 (estimated)
  4. Study completion8 Dec 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomly assign participants to the standard nasal catheter oxygenation group and the endoscopy mask oxygen inhalation group
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
1,208 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06085859
Sponsor's protocol ID
endoscope mask-1
Status last verified
Nov 2023
First submitted
25 Sep 2023
Last updated
18 Nov 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: After December 2024, the original data can be obtained through the author's email address.

Publications

  • Behrens A, Kreuzmayr A, Manner H, Koop H, Lorenz A, Schaefer C, Plauth M, Jetschmann JU, von Tirpitz C, Ewald M, Sackmann M, Renner W, Kruger M, Schwab D, Hoffmann W, Engelke O, Pech O, Kullmann F, Pampuch S, Lenfers B, Weickert U, Schilling D, Boehm S, Beckebaum S, Cicinnati V, Erckenbrecht JF, Dumoulin FL, Benz C, Rabenstein T, Haltern G, Balsliemke M, de Mas C, Kleber G, Pehl C, Vogt C, Kiesslich R, Fischbach W, Koop I, Kuehne J, Breidert M, Sass NL, May A, Friedrich C, Veitt R, Porschen R, Ellrichmann M, Arlt A, Schmitt W, Dollhopf M, Schmidbaur W, Dignass A, Schmitz V, Labenz J, Kaiser G, Krannich A, Barteska N, Ell C. Acute sedation-associated complications in GI endoscopy (ProSed 2 Study): results from the prospective multicentre electronic registry of sedation-associated complications. Gut. 2019 Mar;68(3):445-452. doi: 10.1136/gutjnl-2015-311037. Epub 2018 Jan 3.

    PubMed 29298872
  • Nay MA, Fromont L, Eugene A, Marcueyz JL, Mfam WS, Baert O, Remerand F, Ravry C, Auvet A, Boulain T. High-flow nasal oxygenation or standard oxygenation for gastrointestinal endoscopy with sedation in patients at risk of hypoxaemia: a multicentre randomised controlled trial (ODEPHI trial). Br J Anaesth. 2021 Jul;127(1):133-142. doi: 10.1016/j.bja.2021.03.020. Epub 2021 Apr 28.

    PubMed 33933271
  • Goudra B, Nuzat A, Singh PM, Borle A, Carlin A, Gouda G. Association between Type of Sedation and the Adverse Events Associated with Gastrointestinal Endoscopy: An Analysis of 5 Years' Data from a Tertiary Center in the USA. Clin Endosc. 2017 Mar;50(2):161-169. doi: 10.5946/ce.2016.019. Epub 2016 Apr 29.

    PubMed 27126387
  • Qin Y, Li LZ, Zhang XQ, Wei Y, Wang YL, Wei HF, Wang XR, Yu WF, Su DS. Supraglottic jet oxygenation and ventilation enhances oxygenation during upper gastrointestinal endoscopy in patients sedated with propofol: a randomized multicentre clinical trial. Br J Anaesth. 2017 Jul 1;119(1):158-166. doi: 10.1093/bja/aex091.

    PubMed 28974061
  • Bell GD, Bown S, Morden A, Coady T, Logan RF. Prevention of hypoxaemia during upper-gastrointestinal endoscopy by means of oxygen via nasal cannulae. Lancet. 1987 May 2;1(8540):1022-4. doi: 10.1016/s0140-6736(87)92282-3.

    PubMed 2883355
  • Terblanche NCS, Middleton C, Choi-Lundberg DL, Skinner M. Efficacy of a new dual channel laryngeal mask airway, the LMA(R)Gastro Airway, for upper gastrointestinal endoscopy: a prospective observational study. Br J Anaesth. 2018 Feb;120(2):353-360. doi: 10.1016/j.bja.2017.11.075. Epub 2017 Dec 1.

    PubMed 29406183
  • King AB, Alvis BD, Hester D, Taylor S, Higgins M. Randomized trial of a novel double lumen nasopharyngeal catheter versus traditional nasal cannula during total intravenous anesthesia for gastrointestinal procedures. J Clin Anesth. 2017 May;38:52-56. doi: 10.1016/j.jclinane.2017.01.025. Epub 2017 Jan 22.

    PubMed 28372678
  • Hung KC, Chang YJ, Chen IW, Soong TC, Ho CN, Hsing CH, Chu CC, Chen JY, Sun CK. Efficacy of high flow nasal oxygenation against hypoxemia in sedated patients receiving gastrointestinal endoscopic procedures: A systematic review and meta-analysis. J Clin Anesth. 2022 May;77:110651. doi: 10.1016/j.jclinane.2022.110651. Epub 2022 Jan 12.

    PubMed 35030538

Questions about this trial

What is this clinical trial studying?

A study testing Routine nasal catheter group and Mask group in people with Hypoxemia, run by Sichuan Provincial People's Hospital at 5 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 18 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of hypoxemia (time frame: From the start of drug administration by the researcher to the completely withdraw from the endoscopy by the end of the examination.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06085859, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Nov 2023.

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