High Flow Nasal Cannula Compared to Standard Oxygen for Endoscopic Ultrasound

N/AEnrolling By InvitationNCT06704867

Mayo Clinic200 enrolled

Overview

The purpose of the study is to evaluate the use of high flow nasal cannula versus standard oxygen therapy for high-risk patients undergoing endoscopy procedures.

Patients with a higher BMI are at greater risk for lower oxygen levels which can delay the endoscopy procedure. This research is being conducted to find out if high risk patients will have a shorter recovery time and improved procedural conditions with a high flow nasal cannula versus standard oxygen therapy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

200

Conditions

Endoscopic Ultrasound

Interventions

High flow nasal cannulaOTHER

Subjects undergoing endoscopic ultrasound will receive high flow nasal cannula during the procedure

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: • All patients age 18 years and older who present to Gonda 2 procedural area for Endoscopic ultrasound (EUS) with or without endoscopy (EGD)/biopsy/tissue sampling. with BMI ≥ 35 kg/m2 (BMI within the past 6 months in electronic medical records or at current procedure) who are able to consent will be approached for potential enrollment. Exclusion Criteria: * Need for general anesthesia for the procedure instead of the standard monitored anesthesia care. * Patients undergoing combined procedure: Therapeutic EUS/combined procedures including EUS/ERCP, EUS/colonoscopy * Patients on home oxygen therapy, or the diagnosis of "severe COPD" * Patients with existing tracheostomy * Inpatients undergoing EUS * Inability to consent * Cognitive impairment * Blocked nasal passages * Trauma/previous surgery to the nasopharynx * Irregularities of the nose, face, or airway such that HFNC cannot be properly fitted

Locations (1)

Mayo Clinic

Rochester, Minnesota, United States

Outcomes

Primary Outcomes

Decrease recovery time

Time measured in minutes for participants to enter post anesthesia care until the nurse marks "ready for discharge" in the medical record.

Time frame: 4 hours

Secondary Outcomes

Improve procedural conditions

Decreased number of times the procedure is paused or delayed.

Time frame: 1 hour

Data from ClinicalTrials.gov

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