Airway Obstruction Clinical Trial
Official title:
Mandibular Advancement Bite Block Efficacy Observational Study
The purpose of this study is to compare the effect of mandibular advancement bite block to standard bite block for prevention of hypoxemia, intervention events and adverse effects during endoscopic examinations.
During endoscopic examinations, especially upper gastrointestinal, bile duct, or
bronchoscopic examinations, the endoscope need to be placed through the mouth. A bite block
is used to protect vulnerable endoscope and protect patient's teeth. During sedative
endoscopic exams, respiratory depression, apnea or upper airway obstruction will occur under
the influence of the sedative medications. Serious adverse events may occur such as
hypoxemia. A nasal airway, Larson's maneuver, jaw thrust or chin lift may be needed to open
airways.
Mandibular advancement devices has been widely used in treating obstructive sleep apnea. A
modified bite block that provides mandibular advancement could provide entry inlet of
endoscope as well as provide mandibular advancement to provide patent airway during sedative
endoscopy. In this study, we group the patients into test group using mandibular advancement
bite block and a control group using standard bite block. After anesthetic induction,
gastric endoscopy was performed. Degree of upper airway obstruction will be evaluated and
recorded. Differences between the two groups will be evaluated.
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Observational Model: Case Control, Time Perspective: Prospective
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