Preoxygenation Using THRIVE Versus Facemask in Parturients
Preoxygenation Using THRIVE and Facemask Oxygenation in Parturients
1 other identifier
interventional
91
1 country
1
Brief Summary
This study aims to determine the duration for pre-oxygenation using THRIVE and facemask for parturients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2018
CompletedFirst Submitted
Initial submission to the registry
December 8, 2018
CompletedFirst Posted
Study publicly available on registry
December 11, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 15, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
April 24, 2020
CompletedResults Posted
Study results publicly available
May 24, 2022
CompletedMay 24, 2022
May 1, 2022
8 months
December 8, 2018
September 8, 2020
May 22, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Preoxygenation Duration
Duration to achieve EtO2 \>=90% after tidal volume breathing using THRIVE and facemask pre-oxygenation.
Maximum 8 minutes
Secondary Outcomes (8)
Proportion to Reach End Tidal Oxygen (ETO2) of 90 Percent at 3 Minutes
3 minutes of pre-oxygenation
Proportion to Reach EtO2 of 90 Percent at 4 Minutes
4 minutes of preoxygenation
Proportion to Reach EtO2 of 90 Percent at 5 Minutes
5 minutes of preoxygenation
Proportion to Reach EtO2 of 90 Percent at 6 Minutes
6 minutes of preoxygenation
Proportion to Reach EtO2 of 90 Percent at 7 Minutes
7 minutes of preoxygenation
- +3 more secondary outcomes
Study Arms (2)
THRIVE
EXPERIMENTALTHRIVE preoxygenation (tidal volume breathing with the OptiFlow system applied at 100% oxygen).
Facemask
ACTIVE COMPARATORFacemask preoxygenation (tidal volume breathing via a face mask set at 100% oxygen).
Interventions
Preoxygenation using transnasal humidified rapid insufflation ventilatory exchange (THRIVE).
Eligibility Criteria
You may qualify if:
- Pregnant patients ≥36 weeks gestation.
- Non-laboring patients admitted for elective Cesarean delivery under neuraxial anesthesia or induction of labor.
- American Society of Anesthesiologists (ASA) class 2.
You may not qualify if:
- Any medical conditions that are likely to affect gas exchange.
- Obstructed nasal passage.
- Unable to tolerate a tight fitting facemask.
- Body Mass Index ≥40 kg/m2.
- Patients who are in active labor (i.e. cervical dilation ≥4cm).
- Patients who are unable to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
BC Women's Hospital
Vancouver, British Columbia, V6H 3N1, Canada
Related Publications (1)
Au K, Shippam W, Taylor J, Albert A, Chau A. Determining the effective pre-oxygenation interval in obstetric patients using high-flow nasal oxygen and standard flow rate facemask: a biased-coin up-down sequential allocation trial. Anaesthesia. 2020 May;75(5):609-616. doi: 10.1111/anae.14995. Epub 2020 Feb 11.
PMID: 32048278DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Our results are specific to healthy parturients using standard facemasks, or a high oxygen flow rate of 50L/min, and cannot be generalized to other techniques or populations. 9 parturients left the study due to discomfort, which may bias outcomes
Results Point of Contact
- Title
- Dr. Anthony Chau
- Organization
- BC Women's Hospital
Study Officials
- PRINCIPAL INVESTIGATOR
Anton Chau, MD MMSc
University of British Columbia
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Assistant Professor
Study Record Dates
First Submitted
December 8, 2018
First Posted
December 11, 2018
Study Start
December 1, 2018
Primary Completion
July 15, 2019
Study Completion
April 24, 2020
Last Updated
May 24, 2022
Results First Posted
May 24, 2022
Record last verified: 2022-05
Data Sharing
- IPD Sharing
- Will not share