Prospective Study to Evaluate High Flow Nasal Cannula With Monitored Anesthesia Care During EBUS Bronchoscopy
Sponsored by The Cooper Health System
About this study
Our objective is to assess whether the use of high flow nasal cannula (Vapotherm, Exeter, NH) with monitored anesthesia care (MAC) during an endobronchial ultrasound (EBUS) bronchoscopy procedure will lead to less procedure interruptions, less hypoxic episodes, shorter duration of hypoxic episodes and shorter procedural durations when compared to regular MAC using a regular nasal canula.
Background: MAC is a type of conscious sedation delivered by an anesthesiologist, during which different sedative medications are given, usually via the intravenous route, to obtain varying levels of sedation depending on the surgery or procedure. This is routinely done for all EBUS procedures at Cooper University Hospital. Since a MAC anesthesia does not include having a secure airway, occasionally the patient may develop episodes in which their oxygen level drops. During these episodes, the anesthesiologist will stop the procedure temporarily until the oxygen level returns to a normal range. Often, changes in sedation amount is also required during this time. In a traditional MAC, the patient receives oxygen via a nasal cannula or a capnomask. If oxygen is delivered via a capnomask, th…
Where this study is enrolling
- I'm interested
Cooper University Hospital
Camden, New Jersey
Who can participate
Inclusion criteria
- ✓age\>18 years
- ✓patient undergoing EBUS bronchoscopy with moderate conscious sedation.
Exclusion criteria
- ✕subjects with previous nasal surgeries
- ✕subjects with oxygen saturation \<90% on room air prior to procedure
- ✕subjects who are pregnant
- ✕subjects with known facial fractures or recent facial trauma
- ✕subjects on any anticoagulation that cannot be discontinued prior to the procedure
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Trial data sourced from ClinicalTrials.gov.