The purpose of this study is to identify patient and provider-chosen factors that put patients at risk for the development of hypoxemia (oxygen saturation \< 90% for 5 seconds) during endoscopy and to use this knowledge to develop a treatment protocol for specific causes of hypoxemia in adult esophagogastroduodenoscopy outpatients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
57
Suctioned prophylactically when clinically indicated by copious secretions, coughing, choking or desaturatation
Three Rivers Endoscopy
Moon Township, Pennsylvania, United States
Incidence of laryngospasm during EGDs
Determine if prophylactic suctioning after sedation but prior to introduction of endoscope changes the incidence of laryngospasm during EGDs.
Time frame: 2 hours
Identify risk factors for the development of hypoxemia during EGD
These risk factors include both patient factors (ASA class, history of cardiopulmonary disease, BMI, social history, Obstructive Sleep Apnea, STOP-BANG scores and age) and provider-chosen factors (medications given, airway interventions, percent and flow of oxygen in liters per minute, and whether or not the patient was suctioned prior to or during the procedure).
Time frame: 2 hours
Incidence of copious secretions, choking, desaturation, and shortened or aborted procedures
Determine if prophylactic suctioning after sedation but prior to introduction of endoscope changes the incidence of copious secretions, choking, desaturation, and shortened or aborted procedures.
Time frame: 2 hours
Identify the various causes of hypoxemia during EGD
These risk include apnea, hypoventilation, laryngospasm, or other cause of airway obstruction
Time frame: 2 hours
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.