Actively Recruiting
POM vs HFNC for Hypoxemia Prevention in Children
Led by Bedirhan Günel · Updated on 2026-03-06
30
Participants Needed
1
Research Sites
12 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Upper gastrointestinal endoscopy is a commonly performed diagnostic and therapeutic procedure in children, allowing evaluation of the esophagus, stomach, and duodenum, as well as interventions such as biopsy, foreign body removal, and polypectomy. Sedation is routinely used, often at greater depths than for standard examinations. Due to anatomical and physiological differences, including smaller airway diameter, higher oxygen consumption, and lower functional residual capacity, pediatric patients are at higher risk of airway obstruction, hypoxemia, and hypoventilation compared to adults. The passage of the endoscope through the mouth further limits airway access and increases the risk of desaturation. Oxygenation during pediatric endoscopy is typically supported using nasal cannulas, high-flow systems, or procedural oxygen masks (POM™). This pilot randomized study aims to compare POM™ and high-flow nasal cannula in preventing hypoxemia during sedated pediatric upper gastrointestinal endoscopy, contributing evidence for safer sedation and airway management practices in children.
CONDITIONS
Official Title
POM vs HFNC for Hypoxemia Prevention in Children
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patients who consented to participate in the study
- Aged between 6 and 16 years
- Body weight >30 kg
- ASA physical status I-II
- Children scheduled to undergo procedural sedation for non-emergency upper gastrointestinal endoscopy
You will not qualify if you...
- Lack of parental consent or refusal to sign the participant consent form
- History of endotracheal intubation within the past 3 months
- History of lower respiratory tract infection within the past 3 months
- History of intensive care unit (ICU) admission within the past 3 months
- Presence of a tracheostomy
- History of tracheostomy placement
- Patients with oxygen dependency due to any underlying disease
- Known pulmonary or cardiac disease
- Known congenital craniofacial anomalies
- Congenital or acquired upper airway malformations
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Kocaeli City Hospital
Kocaeli, Izmit, Turkey (Türkiye), 41100
Actively Recruiting
Research Team
B
Bedirhan Günel, MD
CONTACT
M
Mehmet Yilmaz, Ass. Prof.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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