The purpose of this study is to determine the efficacy and safety of nasal high flow oxygen therapy during diagnostic bronchoscopy.
Hypoxemia is frequently seen during diagnostic bronchoscopy. Nasal prong or other existing oxygen supply methods are often difficult to maintain adequate oxygenation during bronchoscopy. In particular, bronchoscopy to patients already showing hypoxemia can be dangerous even though applying conventional oxygen therapy. Thus, we want to elucidate the usefulness of nasal high flow oxygen therapy to hypoxemic patients undergoing diagnostic bronchoscopy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
TRIPLE
Enrollment
136
high flow nasal oxygen therapy
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Success rate of bronchoscopy
Success is defined as completion of planned diagnostic procedure with the oxygen saturation or partial pressure of oxygen in arterial blood was similar to the level of before the procedure. Failure is defined as incompletion of planned diagnostic procedure due to sustained hypoxemia or else. Furthermore failure is defined as hypoxemia(SaO2 \<88%) was developed more than 2 times even though planned procedure was completed.
Time frame: 1 day
Total duration of hypoxia
total duration of hypoxia(oxygen saturation ≤88%) during procedure or after procedure.
Time frame: 1 day
frequency of hypoxia
frequency of hypoxia(oxygen saturation ≤88%) during procedure or after procedure.
Time frame: 1 day
switch to oxygen therapy method
Increase oxygen apply or change of oxygen therapy method to high flow system.
Time frame: 1 day
change of respiratory symptoms
scoring of dyspnea symptoms, patients comfort.
Time frame: 1 day
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