High Frequency Jet Ventilation Versus Conventional Positive Pressure Ventilation for EBUS
Comparison of High Frequency Jet Ventilation and Conventional Positive Pressure Ventilation for Endobronchial Ultrasound Examinations
1 other identifier
observational
428
1 country
1
Brief Summary
Endobronchial ultrasound (EBUS) is frequently used in pneumology for diagnostic procedures like mediastinal biopsies. This procedure is usually done under general anesthesia. Different methods of ventilation are used according to center and physician preferences. In this retrospective study, complications of 2 types of ventilation will be analyzed:
- High frequency jet ventilation (HFJV)
- Conventional intermittent positive pressure ventilation (IPPV) Descriptive statistics will be used to present the data. Both ventilation techniques will be compared after propensity score matching. For HFJV patients from 2019 will be analyzed and for IPPV patients from 2023, as the team changed its practice over time.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2024
Shorter than P25 for all trials
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
August 1, 2024
CompletedFirst Posted
Study publicly available on registry
August 5, 2024
CompletedStudy Start
First participant enrolled
August 15, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2025
CompletedMay 21, 2025
May 1, 2025
8 months
August 1, 2024
May 20, 2025
Conditions
Outcome Measures
Primary Outcomes (6)
Hypoxia
defined as an SpO2 \< 90% for more than 1 min
24 hours
Severe hypoxia
defined as an SpO2 (oxygen saturation by pulse oximetry) \< 85% for more than 1 min
24 hours
Hemodynamic instability
defined as a systolic arterial blood pressure \< 90/60 mm Hg
24 hours
Cardiac arrythmia
Any cardiac rhythm other than sinus rhythm
24 hours
Laryngospasm
Any occurence of laryngospasm
24 hours
ICU admission
Necessity for admission to the intensive care unit (ICU)
24 hours
Study Arms (1)
EBUS_cohort
All patients who underwent EBUS between January 1st 2019 and december 31st 2019 or January 1st 2023 and december 31st 2023 at Erasme University Hospital
Interventions
Type of ventilation used during the EBUS procedure, either HFJV or IPPV
Eligibility Criteria
All patients who underwent EBUS for any indication at Erasme University Hospital using either HFJV or IPPV between january 1st 2019 and december 31st 2019 or january 1st 2023 and december 31st 2023.
You may qualify if:
- All patients who underwent EBUS at Erasme University Hospital using either HFJV or IPPV between january 1st 2019 and december 31st 2019 or january 1st 2023 and december 31st 2023.
You may not qualify if:
- Incomplete medical chart
- Patients who expressed an opposition to the use of their medical data
- Age \< 18 years
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hôpital Universitaire de Bruxelles - Hôpital erasme
Brussels, 1070, Belgium
Related Publications (5)
Prasad KT, Sehgal IS, Gupta N, Singh N, Agarwal R, Dhooria S. Endoscopic ultrasound (with an echobronchoscope)-guided fine-needle aspiration for diagnosis of a mediastinal lesion in a mechanically ventilated patient: A case report and systematic review of the literature. Indian J Crit Care Med. 2016 Oct;20(10):608-612. doi: 10.4103/0972-5229.192057.
PMID: 27829719BACKGROUNDAnwar M, Fritze R, Base E, Wasserscheid T, Wolfram N, Koinig H, Hackner K, Lambers C, Schweiger T, Errhalt P, Hoda MA. Infraglottic versus supraglottic jet-ventilation for endobronchial ultrasound-guided transbronchial needle aspiration: A randomised controlled trial. Eur J Anaesthesiol. 2020 Nov;37(11):999-1007. doi: 10.1097/EJA.0000000000001220.
PMID: 32453167BACKGROUNDPoling HE, Wolfson B, Siker ES. A technique of ventilation during laryngoscopy and bronchoscopy. Br J Anaesth. 1975 Mar;47(3):382-4. doi: 10.1093/bja/47.3.382.
PMID: 1138745BACKGROUNDKlain M, Smith RB. High frequency percutaneous transtracheal jet ventilation. Crit Care Med. 1977 Nov-Dec;5(6):280-7. doi: 10.1097/00003246-197711000-00007. No abstract available.
PMID: 338247BACKGROUNDHautmann H, Gamarra F, Henke M, Diehm S, Huber RM. High frequency jet ventilation in interventional fiberoptic bronchoscopy. Anesth Analg. 2000 Jun;90(6):1436-40. doi: 10.1097/00000539-200006000-00034.
PMID: 10825336BACKGROUND
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 1, 2024
First Posted
August 5, 2024
Study Start
August 15, 2024
Primary Completion
March 30, 2025
Study Completion
May 1, 2025
Last Updated
May 21, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share