Safety Study of Different High-flow Nasal Oxygen Rates During Sedative Gastroscopy in Obese Adults

What this Trial Is About

Obese patients undergoing sedative gastroscopy often face increased risks of hypoxemia due to fat accumulation in the head and neck, increased soft tissue in the oropharynx, reduced lung compliance and volumes, and sometimes obstructive sleep apnea. This research aims to evaluate the safety and optimal flow rate of high-flow nasal cannula oxygen therapy HFNC at 30 Lmin, 50 Lmin, and 70 Lmin in obese patients during painless gastroscopy to reduce hypoxia risk without causing discomfort. The study compares three intervention groups where patients receive HFNC oxygen therapy starting with pre-oxygenation at 30 Lmin for one minute, then sedation is administered. Oxygen flow is maintained at 30 Lmin in one group, increased to 50 Lmin in another, and to 70 Lmin in the last group after sedation begins. If hypoxemia occurs, behavioral interventions such as jaw lift, increased oxygen flow, mask ventilation, and intubation may be used sequentially to improve oxygenation. Participants will undergo assessments during the procedure focusing on the incidence of hypoxia and related complications such as respiratory depression, airway obstruction, adverse events, paradoxical responses, and airway interventions within six minutes before gastroscopy completion. The study involves monitoring oxygen levels and patient safety throughout the procedure to determine the best HFNC flow rate. The total participation duration corresponds with the gastroscopy procedure and monitoring period.

High-flow Nasal Oxygen Therapy in Obese Patients Undergoing Sedative Gastroscopy