Can a simple oxygen device prevent breathing trouble in obese patients during endoscopy?
NCT ID NCT06585306
First seen Aug 28, 2026 ยท Last updated Aug 28, 2026
Summary
Obese patients often have extra tissue in the airway and reduced lung capacity, making them prone to low oxygen levels during sedated endoscopy. This trial tests high-flow nasal oxygen at three flow rates, 30, 50, and 70 liters per minute, to see which best prevents hypoxia. Researchers will enroll 864 obese adults undergoing sedative gastrointestinal endoscopy and compare the rates of oxygen drops and related complications. The goal is to find the safest and most comfortable oxygen setting for this common procedure.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- High-flow nasal oxygen therapy at three flow rates (30, 50, and 70 L/min)
- What this could lead to
- If it works, this could identify the best oxygen flow rate to prevent dangerous drops in blood oxygen during sedative endoscopy in obese patients, improving safety for a common procedure.
- What could go wrong
- The trial is early and focuses on a specific patient group, so results may not apply broadly. Higher flow rates may cause nasal discomfort, and the optimal rate may vary by individual.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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864 people
The number who actually took part.
- Started
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Oct 2024
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patients undergoing sedative gastrointestinal endoscopy 2. Aged over 18. 3. ASA classification I-III 4. BMI\>28kg/m2 5. Compliance with ethics, patient willing to participate in the trial, signed informed consent form Exclusion Criteria: 1. Contraindications for endoscopic procedures or patients refusing sedation/anesthesia. 2. Patients with allergies to propofol, eggs, soybeans, or milk. 3. Patients with gastrointestinal obstruction and gastric emptying disorders. 4. Patients with acute pharyngitis, tonsillitis, and upper respiratory tract infections. 5: Patients with acute exacerbations of respiratory diseases such as asthma, bronchitis, and COPD. 6. Patients with acute arrhythmias and severe heart disease (congenital, valvular disease). 7. Patients requiring replacement therapy for severe liver or kidney dysfunction. 8\. Patients with severe mental illnesses requiring medication to control symptoms. 9\. Patients with moderate to severe anemia, coagulation disorders, and hematological diseases. 10. Patients with severe nasal congestion caused by nasal cavity lesions. 11. Pregnant and lactating patients.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Nanjing First Hospital
Nanjing, Jiangsu, 210006, China
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