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

Bezmialem Vakif University114 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

114

Conditions

Supraglottic Airway Efficiency Airway Complication of Anesthesia

Interventions

Wei Nasal Jet TubeDEVICE

comparing efficiency and complications of second generation airway devices which can use for gastrointestinally procedures airway devices which can use for gastrointestinal procedures

Gastro Laryngeal TubeDEVICE

comparing efficiency and complications of second generation airway devices which can use for gastrointestinally procedures

Eligibility

Sex: ALLMin age: 18 YearsMax age: 70 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Hypoxia İncidence

Hypoxia is defined as SpO2 \<92% at any time.

Time frame: Intra-operative; after device insertion

Endoscopist Satisfaction Analysis: Score

It is determined by the endoscopist according to the endoscopy satisfaction scale according to the maneuverability of the duodenoscope and the number of insertion attempts. (0-10 Points) The endocopist satisfaction score is scored on a minimum score of 0 and a maximum of 10 points. A score of 0 means I am not satisfied at all, a score of 10 means very satisfied. A higher score indicates higher satisfaction.

Time frame: Intra-operative, during the procedure

Secondary Outcomes

Blood staining on the device

Whether there is blood on the supraglottic airway device or not

Time frame: Immediately after removing the supraglottic airway device

Presence of sore throat

Sore throat if present, was classified as mild, moderate or severe.

Time frame: One hour after extubation

Incidence of hypercapnia

Hypercapnia is EtCO2 \>45 mmHg at any time during the procedure