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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04481308
Other study ID # non-invasive co2 monitoring
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date October 2022
Est. completion date November 2022

Study information

Verified date February 2022
Source Assiut University
Contact Samar Fouad
Phone 01122205439
Email Samarfouad00@gmail.com
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

CO2 monitoring through non-invasive methods to provide an early warning of hypoventilation during procedural sedation.


Description:

Many patients become hypoxic during endoscopic retrograde cholangiopancreatography (ERCP). Following induced sedation, hypoxia or hypercapnia may follow . Monitoring the CO2 level during respiration (capnography) is non-invasive, easy to do, relatively inexpensive, and has been studied extensively . End-tidal carbon dioxide is the level of CO2 released at the end of an exhaled breath . Capnography provides information about ventilation, perfusion and metabolism . Capnography devices are configured as either side stream or mainstream. Side stream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients . The Dual guard (made in China) sets a standard in endoscopic practices; it incorporates an endoscopy bite block with oxygen delivery and CO2 monitoring for use in upper endoscopy procedures through to recovery . It improves patient safety and meets current guidelines for consciously sedated patients. The Comfort Rest Bite Block fits securely in the mouth, protecting both endoscope and patients' teeth. Simultaneous oral and nasal O2 delivery and CO2 sampling for patients undergoing upper GI endoscopy, in either a lateral or supine position. Arterial blood gas test results show the patient's acid-base balance, which is measured by the hydrogen ion concentration present in the blood, its oxygen saturation, partial pressure of oxygen (PaO2), partial pressure of carbon dioxide (PaCO2), concentration of bicarbonate (HCO3), base excess and base deficit . Itcan provide information about a surgical patient's physiological state, oxygenation, ventilation and indicate the primary source of a disturbance (ie, respiratory or metabolic) in homeostasis .


Recruitment information / eligibility

Status Recruiting
Enrollment 150
Est. completion date November 2022
Est. primary completion date November 2022
Accepts healthy volunteers No
Gender All
Age group 20 Years to 50 Years
Eligibility Inclusion Criteria: - Adult patients aged 20-50 years. - Males or females. - Elective Endoscopic Retrograde Cholangiopancreatography Patients Exclusion Criteria: - Patient with abnormal renal function test. - Patient with history of chronic chest disease like asthma or Chronic obstructed pulmonary diseases. - Patients with a history of systemic illness like hypertension and diabetes. - Cardiac patients.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
propofol (2 mg/kg) and fentanyl (1ug/kg) and 4 liters O2 flow through nasal cannula
propofol (2 mg/kg) and fentanyl (1ug/kg) and 4 liters O2 flow through nasal cannula

Locations

Country Name City State
Egypt Medicin Assiut
Egypt Samar Assiut

Sponsors (1)

Lead Sponsor Collaborator
Assiut University

Country where clinical trial is conducted

Egypt, 

Outcome

Type Measure Description Time frame Safety issue
Primary mparison between CO2 measurement from non-invasive method (Dual guard) during conscious sedation for ERCP and invasive method (arterial blood gases). mparison between CO2 measurement from non-invasive method (Dual guard) during conscious sedation for ERCP and invasive method (arterial blood gases). october 2020
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