Would patients using an anti-snoring appliance intraoperatively require less airway manipulation, interventions, and rescue maneuvers during anesthetic sedation cases compared to those who do not? The investigators will use anti-snoring appliance devices (specifically the FDA approved Zyppah) to attempt to relieve tissue obstructions that cause snoring during sleep. The application of the devices to the body is less invasive than other common intraoperative rescue airway devices (e.g. nasal trumpets and oral airways) which are not designed to be patient specific.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
25
For group 1, the study team will aid the subject in molding and preparing the device in the pre-operative area. They will wear the device throughout the entirety of the case.
For group 2 there will be no anti snoring device used during the case.
Northwestern Memorial Hospital and Prentice Women's Hospital
Chicago, Illinois, United States
Combined Total Number of Airway Interventions During an Anesthetic Sedation Case
Combined total number of airway interventions during an anesthetic sedation case - including head tilt/rotation, mandible thrust, chin lift, shoulder lift, neck extension or flexion, tongue pull.
Time frame: Through study completion, an average of 1 day
Maximum End-tidal CO2
Maximum end-tidal CO2 using measures the partial pressure or maximal concentration of carbon dioxide (CO2) at the end of an exhaled breath, which is expressed as a percentage of CO2 or mmHg. The normal values are 5% to 6% CO2, which is equivalent to 35-45 mmHg.
Time frame: Through study completion, an average of 1 day
Number of Instances SpO2 Value < 92%
Number of instances the SpO2 drops below 92% during the procedure
Time frame: Through study completion, an average of 1 day
Minimum End-title CO2 in mmHg
Minimum end-tidal CO2 (capnography) using measures the partial pressure or maximal concentration of carbon dioxide (CO2) at the end of an exhaled breath, which is expressed as a percentage of CO2 or mmHg. The normal values are 5% to 6% CO2, which is equivalent to 35-45 mmHg.
Time frame: Through study completion, an average of 1 day
Percent Time During the Case the SpO2 is Below 92%
Percent time during the case the SpO2 is below 92% using pulse oximetry.
Time frame: Through study completion, an average of 1 day
Maximum SpO2 Value During the Case
Maximum SpO2 value during the case using pulse oximetry (percent saturated)
Time frame: Through study completion, an average of 1 day
Minimum SpO2 Value During the Case
Minimum SpO2 value during the case using pulse oximetry (percent saturation)
Time frame: Through study completion, an average of 1 day
Heart Rate Maximum
Maximum heart rate during case using standard operating room cardiac monitor
Time frame: Through study completion, an average of 1 day
Heart Rate Minimum
Minimum heart rate during case using standard operating room cardiac monitor
Time frame: Through study completion, an average of 1 day
Maximum Systolic Blood Pressure
Maximum systolic blood pressure (mmHg) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Minimum Systolic Blood Pressure
Minimum systolic blood pressure (mmHg) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Maximum Diastolic Blood Pressure
Maximum diastolic blood pressure (mmHG) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Minimum Diastolic Blood Pressure
Minimum diastolic blood pressure (mmHG) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Minimum Mean Blood Pressure
Mean minimum diastolic blood pressure (mmHG) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Maximum Mean Blood Pressure
Maximum mean blood pressure (mmHG) using standard operating room blood pressure cuff and monitor.
Time frame: Through study completion, an average of 1 day
Reintubation in the Post Anesthesia Care Unit
Number of participants requiring reintubation with an endotracheal tube post surgery in the Post Anesthesia Care Unit
Time frame: 1 Day
Surgical Length of Time
Surgical length of time in hours.
Time frame: 1 day
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