Use of noninvasive positive pressure ventilation in patients with severe obesity undergoing esophagogastroduodenoscopy: a randomized controlled trial

Gedeon, Makram; Gomes, Sheldon B.; Roy, Karen M.; Duclos-Miller, Patricia; Rose, Jennifer

doi:10.1016/j.soard.2019.06.027

Cited by 10 publications

(9 citation statements)

References 16 publications

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“…Therefore, the greatest challenge of providing adequate oxygenation in high-risk patients undergoing sedation is the inability to provide appropriate positive airway pressures. In recent years, by creating new types of masks or ventilation systems, device manufacturers have stepped in to fill this void, and some masks such as endoscopic nasal mask [ 50 ] and SuperNO2VA™ nasal PAP ventilation system [ 51 ] had been proven useful in these high-risk patients during sedated digestive endoscopy.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: a systematic review and meta-analysis

Zhang

Chen

et al. 2022

Eur J Med Res

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Background Studies evaluating the role of high-flow nasal cannula (HFNC) in sedated digestive endoscopy have reported conflicting results. This meta-analysis evaluates the effectiveness of HFNC in patients undergoing digestive endoscopy procedures under sedation. Methods PubMed, Medline, EMBASE, Cochrane Central Register of Controlled Trials and Web of Science, were searched from inception to 31 July 2021. Only randomized clinical trials comparing HFNC with standard nasal cannula oxygen (SNC) during sedated digestive endoscopy were included. The incidence of hypoxemia was the primary outcome, and the secondary outcome was the percentage of patients who needed airway interventions. Results Seven studies that enrolled 2998 patients were included. When compared to SNC, HFNC was associated with a significant reduction in hypoxemia incidence (OR 0.24, 95% CI 0.09 to 0.64) and airway intervention requirements (OR 0.15, 95% CI 0.03 to 0.69), with both high heterogeneity (I2 = 81% and 94%). In subgroup analysis, when hypoxemia was defined as pulse oxygen saturation (SpO2) < 90%, low risk of hypoxemia subjects who received HFNC were associated with a significant reduction in hypoxemia incidence (OR 0.02, 95% CI 0.00 to 0.07; heterogeneity I2 = 39%) and airway intervention requirements (OR 0.02, 95% CI 0.01 to 0.04; heterogeneity I2 = 15%). However, in the high risk of hypoxemia subjects, there were no significant differences between the two oxygen administration techniques in both primary (OR 0.81, 95% CI 0.36 to 1.78; heterogeneity I2 = 0%) and secondary outcomes (OR 0.85, 95% CI 0.46 to 1.59; heterogeneity I2 = 0%). Conclusions Compared to SNC, HFNC not only reduce the incidence of hypoxemia but also reduce the requirements for airway interventions during sedated digestive endoscopy procedures, especially in patients at low risk for hypoxemia. In high risk of hypoxemia patients, there were no significant differences between the two oxygen administration techniques. Trial registration PROSPERO International prospective register of systematic reviews on 28 July 2021, registration no. CRD42021264556.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: a systematic review and meta-analysis

Zhang

Chen

et al. 2022

Eur J Med Res

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“…3 There are numerous studies that advocate the use of noninvasive positive pressure ventilation or high flow nasal cannula because they improve oxygenation and reduce adverse respiratory events when compared with patients with nasal cannula. [35][36][37] These results may be attributed to the improved airway patency with positive pressure by these forms of oxygen delivery. However, studies assessing the efficacy of high-flow nasal cannula in surgical patients with OSA are lacking.…”

Section: Supplemental Oxygenmentioning

confidence: 98%

Ambulatory surgical patients and sleep apnea

Azizad

Joshi²

2022

International Anesthesiology Clinics

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“…La frecuencia de eventos como hipotensión, desaturación, bradicardia, hipertensión, arritmia y aspiración en pacientes sometidos a sedación continua con propofol es del 0.1% 103 .…”

Section: Cuidados Preprocedimiento Transprocedimiento Y Posprocedimie...unclassified

“…El uso de MNPP es comparable con métodos de ventilación invasiva (p. ej., IOT o mascarilla laríngea) 103 , aunque la IOT en pacientes de alto riesgo disminuye significativamente la aparición de complicaciones relacionadas con la sedación 104 .…”

Section: Cuidados Preprocedimiento Transprocedimiento Y Posprocedimie...unclassified

Posicionamiento científico de la Asociación Mexicana de Endoscopia Gastrointestinal en procedimientos anestésicos en endoscopia

Angulo-Molina¹,

Peláez-Luna²,

Blanco-Vela³

et al. 2022

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La sedación en procedimientos endoscópicos tiene el objetivo de disminuir la ansiedad y las molestias que el paciente pueda experimentar producto del procedimiento, así como facilitar la exploración endoscópica. En México todo procedimiento de sedación deberá ser realizado y supervisado por un anestesiólogo certificado. Sin embargo la Asociación Mexicana de Endoscopia Gastrointestinal considera importante que los endoscopistas tengan conocimientos generales sobre las indicaciones, contraindicaciones y complicaciones de los procedimientos anestésicos en endoscopia, por lo que se realizó un posicionamiento al respecto.

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Use of noninvasive positive pressure ventilation in patients with severe obesity undergoing esophagogastroduodenoscopy: a randomized controlled trial

Cited by 10 publications

References 16 publications

The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: a systematic review and meta-analysis

The effectiveness of high-flow nasal cannula during sedated digestive endoscopy: a systematic review and meta-analysis

Ambulatory surgical patients and sleep apnea

Posicionamiento científico de la Asociación Mexicana de Endoscopia Gastrointestinal en procedimientos anestésicos en endoscopia

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