Recovery Hypoxemia After Sedated Upper Gastrointestinal Endoscopy

ConditionHypoxemia
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorIstinye University

About this trial

Sedation during upper gastrointestinal endoscopy may lead to respiratory events not only during the procedure but also in the early recovery period. Although most hypoxemic episodes are considered transient, their frequency, duration, and clinical consequences during recovery remain insufficiently defined.

This prospective observational study aims to evaluate the incidence, duration, and clinical impact of recovery-period hypoxemia following sedated upper gastrointestinal endoscopy. Hypoxemia is defined as SpO₂ \<90% lasting ≥10 seconds. Associated respiratory events and potential risk factors will be analyzed without altering routine clinical practice.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged ≥18 years

Scheduled for upper gastrointestinal endoscopy (EGD) under anesthesiologist-administered sedation

Able to undergo post-procedure monitoring in the recovery unit

Provided written informed consent for participation and data use

Disqualifiers

Colonoscopy or combined procedures (EGD + colonoscopy)

Emergency procedures or procedures performed under intensive care conditions

Requirement for endotracheal intubation, noninvasive ventilation, or advanced airway support during the procedure

Known severe upper airway anatomical abnormalities, facial deformity, or tracheostomy

Trial population

Adult patients undergoing elective upper gastrointestinal endoscopy (EGD) under anesthesiologist-administered sedation at a single tertiary care endoscopy unit. Participants will be enrolled consecutively and followed prospectively during the immediate recovery period without alteration of routine clinical management.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Sedated Upper Gastrointestinal Endoscopy

    Other intervention

    Routine upper gastrointestinal endoscopy performed under anesthesiologist-administered sedation. No experimental intervention is applied; the study prospectively observes respiratory events during the recovery period as part of standard clinical care.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Recovery-Period Respiratory Events

Occurrence of respiratory events during the recovery period following sedated upper gastrointestinal endoscopy, defined as at least one of the following: SpO₂ \<90% lasting ≥10 seconds Requirement for airway maneuver (jaw-thrust, chin-lift, OPA/NPA, mask ventilation) Escalation or re-initiation of supplemental oxygen

Time frame
From end of procedure (scope-out) until discharge from recovery unit

Secondary outcomes

Other outcomes

Sponsors and contacts

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