NCT05046223

Comparison of iGel and THRIVE on Bronchoscopic Interventions

Analysis of Intraoperative Homeostasis and Postoperative Recovery After Interventional Bronchoscopy With Different Anesthetic Management

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 160 (actual)
• Sponsor: National Taiwan University Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

THRIVE and iGEL were applied for maintain oxygenation in bronchoscopic interventions which could not performed with an endotracheal tube. However, besides the risk of desaturation, the differences on difficulties to approach vocal cords, the responses to spay of local anesthetics including cough or spasm, the CO2 elimination, the hemodynamic changes, and the effects on postoperative recovery are rarely investigated.

Detailed description

THRIVE and iGEL were applied for maintain oxygenation in bronchoscopic interventions which could not performed with an endotracheal tube. Unlike the nasal cannula with THRIVE, the tips of iGel are located in upper esophagi, it may affect the postoperative swallowing, especially for the aged group. However, the bronchoscopic approach may be easier for an established route to vocal cords. With shared airway for ventilation and interventions, CO2 elimination is hardly monitored besides the risk of desaturation. In this study, THRIVE or iGel was planned to be randomized used for bronchoscopic interventions in an adult group (age 20-65) and an aged group (age over 65). The difficulties to approach vocal cords, the responses to spay of local anesthetics including cough or spasm, the CO2 elimination, the hemodynamic changes, and the effects on postoperative recovery are compared between THRIVE and iGel groups.

Conditions

• Lung Diseases
• Total Intravenous Anesthesia
• Tracheal Diseases

Interventions

Type	Name	Description
PROCEDURE	The responses to bronchoscopic insertion for bronchoscopic interventions such asTBNA, Cryotherapy, etc.	cough response, the changes of BP, HR, SpO2, Trans dermal CO2 during bronchoscopic interventions
PROCEDURE	postoperative recovery	anesthetic recovery in postoperative care unit recovery of swallowing by questionnaire in POD1

Timeline

• Start date: 2021-08-20
• Primary completion: 2022-12-31
• Completion: 2023-01-31
• First posted: 2021-09-16
• Last updated: 2023-02-16

Locations

1 site across 1 country: Taiwan