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Trial Title: The Efficacy and Safety of the COMBO Endoscopy Oropharyngeal Airway in Gastrointestinal Endoscopy Procedure

NCT ID: NCT06081647

Condition: Hypoxia
Gastric Polyp
Colon Cancer
Esophageal Cancer

Conditions: Official terms:
Hypoxia

Conditions: Keywords:
the COMBO Endoscopy Oropharyngeal Airway
Hypoxia
Gastrointestinal Endoscopy
Propofol
Sedation

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: None (Open Label)

Intervention:

Intervention type: Device
Intervention name: the COMBO Endoscopy Oropharyngeal Airway
Description: Using the COMBO Endoscopy Oropharyngeal Airway for oxygenation.
Arm group label: the COMBO Endoscopy Oropharyngeal Airway Group

Intervention type: Device
Intervention name: Regular Nasal Cannula
Description: Using regular nasal cannula for oxygenation.
Arm group label: Regular Nasal Cannula Group

Summary: Hypoxia represents the prevailing adverse occurrence during the sedation of patients undergoing gastrointestinal endoscopy with propofol. A recent innovation in this domain is the COMBO Endoscopy Oropharyngeal Airway-a multifaceted device that encompasses capnography monitoring, bite block , oxygenation support, and oropharyngeal airway management. This device has been purposefully designed to cater to the unique requirements of endoscopic procedures. The principal objective of our randomized study is to assess the efficacy and safety of the COMBO Endoscopy Oropharyngeal Airway reduce the incidence of hypoxia on patients undergoing gastrointestinal endoscopy under propofol sedation.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age 18≤ Age ≤60. - Patients undergoing gastroendoscopy and/or colonoscopy procedure. - Patients have signed the informed consent form. - The ASA classification ranges from I to II. - The estimated duration of the procedure does not exceed 45 minutes. Exclusion Criteria: - Patients who exhibit contraindications to oropharyngeal airway ventilation, such as coagulation disorders, a predisposition to oral and nasal bleeding, mucosal damage, or anatomical constraints impeding oropharyngeal channel placement. - Severe cardiac insufficiency, defined as a maximal exercise capacity of less than 4 metabolic equivalents (METs). - Profound renal insufficiency necessitating preoperative dialysis. - A confirmed severe liver dysfunction. - Patients diagnosed with chronic obstructive pulmonary disease (COPD) or those presently experiencing other acute and chronic pulmonary conditions necessitating prolonged or intermittent oxygen therapy. - Elevated intracranial pressure. - Upper respiratory tract infections, encompassing the oral, nasal, and pharyngeal regions. - Fever, defined as a core body temperature exceeding 37.5 degrees Celsius. - Pregnancy or lactation. - Hypersensitivity reactions to sedatives like propofol or medical equipment such as adhesive tape. - Urgent surgical intervention. - Polytrauma. - Peripheral oxygen saturation (SpO2) levels below 95% while breathing room air preoperatively. - BMI<18.5 or BMI>30. - Patients with a documented history of substance abuse, specifically drugs and/or alcohol, within the two years preceding the commencement of the screening period. Substance abuse in this context is defined as consuming more than three standard alcoholic beverages daily, roughly equivalent to 10g of alcohol or 50g of Chinese Baijiu. - Patients with a history of mental and neurological disorders, including but not limited to depression, severe central nervous system depression, Parkinson's disease, basal ganglia lesions, schizophrenia, epilepsy, Alzheimer's disease, and myasthenia gravis. - Presently engaged in concurrent participation in additional clinical trials. - Patients considered ineligible by researchers for inclusion in this clinical trial.

Gender: All

Minimum age: 18 Years

Maximum age: 60 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: The First Affiliated Hospital with Nanjing Medical University

Address:
City: Nanjing
Zip: 210029
Country: China

Contact:
Last name: Cunming Liu, Dr.
Email: 1335587409@qq.com

Facility:
Name: Shangdong Provincial Qianfoshan Hospital

Address:
City: Jinan
Zip: 250014
Country: China

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Zip: 200032
Country: China

Contact:
Last name: Jun Zhang, Dr.
Email: snapzhang@aliyun.com

Facility:
Name: Renji Hospital

Address:
City: Shanghai
Zip: 200127
Country: China

Contact:
Last name: Diansan Su, Dr.

Phone: +862168383702
Email: diansansu@yahoo.com

Facility:
Name: The First Affliated Hospital of Xi'an Jiangtong University

Address:
City: Xi'an
Zip: 710061
Country: China

Facility:
Name: Tianjin Mediacal University General Hospital

Address:
City: Tianjin
Zip: 300052
Country: China

Contact:
Last name: Yonghao Yu, Dr.
Email: yuyonghao@126.com

Start date: October 9, 2023

Completion date: October 9, 2024

Lead sponsor:
Agency: RenJi Hospital
Agency class: Other

Collaborator:
Agency: Tianjin Medical University General Hospital
Agency class: Other

Collaborator:
Agency: The First Affiliated Hospital with Nanjing Medical University
Agency class: Other

Collaborator:
Agency: First Affiliated Hospital Xi'an Jiaotong University
Agency class: Other

Collaborator:
Agency: Qianfoshan Hospital
Agency class: Other

Collaborator:
Agency: Fudan University
Agency class: Other

Source: RenJi Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06081647

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