Feasibility of Preoxygenation by Supraglottic Jet Ventilation Before Endotracheal Intubation
1 other identifier
interventional
68
1 country
1
Brief Summary
The study assumed that supraglottic jet ventilation is an alternative solution as a safe way to do the preoxygenation before endotracheal intubation by contrasting it with mask pressurized ventilation. The investigators also expected that supraglottic jet ventilation won't increase the occurrence of esophageal reflux.
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 May 2020
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
March 24, 2020
CompletedFirst Posted
Study publicly available on registry
May 13, 2020
CompletedStudy Start
First participant enrolled
May 19, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2020
CompletedMay 21, 2020
May 1, 2020
7 months
March 24, 2020
May 19, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
alveolar oxygen tension(PaO2)
The results comes from blood gas analysis
3 minutes after preoxygenation
alveolar oxygen tension(PaO2)
The results comes from blood gas analysis
baseline (before preoxygenation)
Secondary Outcomes (5)
PaCO2
3 minutes after preoxygenation
PaCO2
baseline (before preoxygenation)
gastric antrum cross section
3 minutes after preoxygenation
gastric antrum cross section
baseline (before preoxygenation)
complications
1 day
Study Arms (2)
supraglottic jet ventilation group
EXPERIMENTALCheck blood gas before induction without preoxygen. Take stomach-ultrasound. Induction with Midazolam 0.02 mg/kg, sufentanil 0.3 \~ 0.5 ug/kg, propofol 2-2.5 mg/kg, rocuronium 0.6 mg/kg.After patients fall asleep and can't be woke up ,the investigators will put the Wei NASAL JET(WNJ)into one's nose to give the supraglottic jet ventilation with the driving pressure 0.01-0.03 megapascal (MPa), respiratory rate 15 beats per minute(BPM), inspiratory/expiratory rate 1-1. 5.Check blood gas,stomach-ultrasound after 3 min, then do the tracheal intubation guided by visual laryngoscope.Stop jet ventilation during intubation.
mask pressurized ventilation group
NO INTERVENTIONCheck blood gas before induction without preoxygen. Take stomach-ultrasound. Induction with Midazolam 0.02 mg/kg, sufentanil 0.3 \~ 0.5 ug/kg, propofol 2-2.5 mg/kg, rocuronium 0.6 mg/kg.After patients fall asleep and can't be woke up ,the investigators will give them 1 min mask pressure respiration, by pressure control "V - E technique" after muscle relaxant. Check blood gas,stomach-ultrasound after 2 min, then do the tracheal intubation guided by visual laryngoscope.
Interventions
patients who were randomized into supraglottic jet ventilation group would be placed Wei Nasal Jet Tube after conducted. Then they will get the supraglottic jet ventilation to make sure their pulse oximetry is over 95%. After 3 minutes, endotracheal intubation was performed via mouth approach.
Eligibility Criteria
You may qualify if:
- scheduled for any surgery under general anesthesia
- adults age range from 18-64 years old
- American Society of Anesthesiologists Physical Status Classification (ASA class) I-II
- voluntary participation in this clinical trail, signed informed consents
You may not qualify if:
- patients with epistaxis, rhinostenosis, the episodes of rhinitis, severe gastroesophageal reflux disease, severe respiratory disease, severe cardiovascular and cerebrovascular disease
- long-term use if anticoagulant drugs
- can't cooperate with intervention
- pulse oximetry \<95% with normal respiration
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Peking University People's Hospital
Beijing, Beijing Municipality, 100044, China
Study Officials
- PRINCIPAL INVESTIGATOR
Hansheng Liang, MD
Peking University People's Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 24, 2020
First Posted
May 13, 2020
Study Start
May 19, 2020
Primary Completion
December 1, 2020
Study Completion
December 1, 2020
Last Updated
May 21, 2020
Record last verified: 2020-05