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 volunteersQualifiers
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
Cohort
Prospective
Treatments tested in this trial
Sedated Upper Gastrointestinal Endoscopy
Other interventionRoutine 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
Trial outcomes
Primary outcomes
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
Sponsors and contacts
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