Randomized clinical trial comparing the use of high-flow nasal catheter vs. traditional nasal catheter after anesthesia for orotracheal intubation of preoperative patients with traumatic orthopedic surgeries

Category Primary study
Registry of TrialsBrazilian Registry of Clinical Trials
Year 2018
INTERVENTION: Device E02.585 E02.880.690 Intervention group: 30 patients will receive a high flow nasal cannula (17l / m, 30% Fio2 with a temperature of 36ºC) for 10 minutes. Once with arterial saturation greater than 95% and hemodynamic stability, they will undergo anesthetic induction Control group: 30 patients will receive oxygen therapy with traditional oxygen catheter (3l / m) 10 minutes. Once with arterial saturation greater than 95% and hemodynamic stability, they will undergo anesthetic induction CONDITION: E02.585 E02.880.690 E03.155.197 H02.403.810.494 Oxygen Inhalation Therapy, anesthetic induction, intubation, traumatic orthopedic surgeries. ; E02.585 ; Q65.070 ; E03.155.197 ; E02.880.690 ; T88 ; H02.403.810.494 Q65.070 PRIMARY OUTCOME: Time (to be measured in minutes, with a digital timer) between anesthetic induction and saturation (to be monitored with finger oximeter) fall to 92%, at which time the orotracheal intubation will be performed; ; SECONDARY OUTCOME: Expected outcome 1: Arterial gasometry; to be performed by the anesthesiologist, by invasive blood pressure catheter; 10 minutes after implantation of the oxygen device (high flow catheter or traditional catheter, according to randomization), before anesthetic induction. ; ; ; Expected outcome 2: Heart rate; to be monitored in the surgical center with electrocardiogram electrodes, connected to the multiparametric monitor; 10 minutes after implantation of the oxygen device (high flow catheter or traditional catheter, according to randomization), before anesthetic induction. Expected outcome 3: Blood pressure; to be monitored in the surgical center, with cuff, connected to the multiparametric monitor; 10 minutes after implantation of the oxygen device (high flow catheter or traditional catheter, according to randomization), before anesthetic induction. Expected outcome 4: Peripheral oxygen saturation, to be monitored in the surgical center and in the RPA with finger oximeter, connected to the multiparametric monitor; 10 minutes after implantation of the oxygen device (high flow catheter or traditional catheter, according to randomization), before anesthetic induction. INCLUSION CRITERIA: Patients of both sexes will be included; older than 18 years; with indication of traumatic orthopedic surgeries.
Epistemonikos ID: 9d0fb709a7d5a7a26abefa22683992065f89e3b7
First added on: Aug 24, 2024