Nasopharyngeal Versus Nasal Cannula Oxygen Supplementation in Surgery Patients

Study Overview
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Brief Summary
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The investigators plan to conduct a randomized, controlled trial comparing nasopharyngeal oxygen supplementation to traditional nasal cannula in patients undergoing oral surgery under moderate sedation.

Official Title
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Nasopharyngeal Versus Nasal Cannula Oxygen Supplementation in Surgery Patients

Conditions
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Oxygen Administration During Deep Sedation

Intervention / Treatment
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* Device: Nasopharyngeal catheter
* Device: Nasal Cannula
* Procedure: Oxygen Supplementation
* Procedure: Sedation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients greater than 16 years of age Patients who present for oral surgery or esophagoduodenography and colonoscopy Patients who undergo intravenous sedation Exclusion Criteria: Patients who require endotracheal intubation ASA class 4 or higher Existing esophageal disease such as a perforation or varices

Ages Eligible for Study
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Minimum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Nasopharyngeal catheter<br>Patients in this arm will receive oxygen supplementation through the use of a Nasopharyngeal catheter. Sedation will be standardized to ensure consistency between groups. | Device: Nasopharyngeal catheter<br> <br> Procedure: Oxygen Supplementation<br>* Initially set at 3 liters/minute<br>Procedure: Sedation<br>* Midazolam 2mg IV, Fentanyl 100mcg IV, Propofol 100 mcg/kg/min. Additional doses of propofol at the discretion of the attending anesthesiologist.<br>|
| Other: Nasal Cannula<br>Patients will receive oxygen supplementation through the use of a traditional nasal cannula. Sedation will be standardized to ensure consistency between groups. | Device: Nasal Cannula<br> <br> Procedure: Oxygen Supplementation<br>* Initially set at 3 liters/minute<br>Procedure: Sedation<br>* Midazolam 2mg IV, Fentanyl 100mcg IV, Propofol 100 mcg/kg/min. Additional doses of propofol at the discretion of the attending anesthesiologist.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Oxygen Saturations Below 92% |  | During surgical procedure | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants Who Needed Airway Assistance Interventions | (jaw lift, tongue retraction, oral airway placement, mask ventilation, increase in oxygen flow rate, ect.). | During surgical procedure | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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nasopharyngeal catheter, nasal cannula