Nasopharyngeal airway plus high-flow nasal oxygen during painless gastroscopy for people with obesity
Official title: The Application of Nasopharyngeal Airway Combined With Nasal High-flow Oxygen Therapy During Painless Gastroscopy in Patients With Obesity
Run by Nanjing First Hospital, Nanjing Medical University · NCT06966934 · Data updated 2026-11-12
This will test whether using a nasopharyngeal airway together with high-flow nasal oxygen keeps oxygen levels safer for adults with obesity during sedated (painless) gastroscopy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 364 (estimated) |
| Sponsor | Nanjing First Hospital, Nanjing Medical University Academic / other |
| Locations | 1 site (Nanjing) |
| Status | Recruiting |
| Started | May 14, 2025 |
| Main results expected | May 15, 2026 |
| Study ends | May 31, 2026 |
| Registry record updated | July 22, 2025 |
| Trial ID | NCT06966934 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults older than 18 years with BMI >28 kg/m², ASA I–III, who are scheduled for painless (sedated) gastroscopy and can give informed consent.
✕Probably not a fit
Patients with acute upper respiratory infection, severe cardiorespiratory disease, gastrointestinal obstruction, allergy to anesthetic agents, severe hepatic or renal failure, or those who refuse sedation are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study enrolls adults with BMI over 28 who are scheduled for sedated (painless) gastroscopy and are ASA physical status I–III. Participants receive a nasopharyngeal airway combined with high-flow nasal oxygen during the procedure, and clinicians monitor oxygen saturation and respiratory events. The main goal is to reduce the incidence of hypoxia and related airway complications during sedated endoscopy in obese patients. The trial is conducted at Nanjing First Hospital as a single-center protocol with periprocedural monitoring and follow-up.
Why it matters
Potential benefit: If successful, the approach could reduce low-oxygen events and make sedated gastroscopy safer and more comfortable for obese patients.
How similar studies have gone: High-flow nasal oxygen alone has shown benefits in reducing hypoxia during sedated endoscopy in prior studies, while the specific combination with a nasopharyngeal airway is less well studied.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients undergoing painless gastroscopy; 2. Patients with an age greater than 18 years old; 3. American Society of Anesthesiologists (ASA) physical status classification from Grade I to Grade III; 4. Body Mass Index (BMI) greater than 28 kg/m² Exclusion Criteria: 1. Patients with contraindications to endoscopic procedures or those who refuse sedation/anesthesia; 2. Patients allergic to propofol, eggs, soybeans, milk, etc.; 3. Patients with gastrointestinal tract obstruction and gastric emptying disorders; 4. Patients with acute pharyngitis, tonsillitis, and upper respiratory tract infections; 5. Patients in the acute exacerbation stage of respiratory diseases such as asthma, bronchitis, and chronic obstructive pulmonary disease (COPD); 6. Patients with acute arrhythmia and those with severe heart diseases (congenital diseases, valvular diseases); 7. Patients with severe hepatic and renal insufficiency who require alternative treatment; 8. Patients with severe mental disorders who need medications to control their symptoms; 9. Patients with moderate or above anemia, abnormal coagulation function, and hematological diseases; 10. Patients with nasal cavity lesions leading to severe nasal congestion; 11. Pregnant and lactating patients.
Where it's running
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Nanjing First Hospital
Nanjing, China Recruiting
Study contacts
- Study coordinator: Jing Hu, Master
- Email: hujingmz@163.com
- Phone: 15366110201
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.