Evidence map›Paper›PMID 30894124›Full record

ArticleBMC anesthesiology2019

Supraglottic jet oxygenation and ventilation assisted fiberoptic intubation in a paralyzed patient with morbid obesity and obstructive sleep apnea: a case report.

Hansheng Liang, Yuantao Hou, Huafeng Wei, Yi Feng

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04289597 (Evaluation of Difficult Airway in Obese Patients With Ultrasonography), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04289597 completednot on this mapstarted 2020, after this paper: background citation

Evaluation of Difficult Airway in Obese Patients With Ultrasonography

TypeobservationalSponsorEskisehir Osmangazi UniversityRan2020 to 2022Enrolled128ConditionsDifficult Intubation, ObesityArmsDistance between hyoid bone-skin (DSHB), Vocal cord anterior commissura-skin distance (DSAC), minimum distance of the trachea to the skin at the level of suprasternal notch, Thyroid isthmus-skin distance (DSI), Skin-epiglottic distance (DSE)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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  12. Oxygen therapy strategies and techniques to treat hypoxia in COVID-19 patients.European review for medical and pharmacological sciences · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Hansheng LiangDepartment of Anesthesiology, Peking University People' s Hospital, Beijing, 100044, China.
Yuantao HouDepartment of Anesthesiology, Peking University People' s Hospital, Beijing, 100044, China.
Huafeng WeiDepartment of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Yi FengDepartment of Anesthesiology, Peking University People' s Hospital, Beijing, 100044, China. fengyimzk@163.com.ORCID 0000-0003-2553-7405
Peking University · CNHospital of the University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypoxia is a major concern and cause of morbidity or mortality during tracheal intubation after anesthesia induction in a pathological obese patient with obstructive sleep apnea (OSA). We introduce a case using Supraglottic jet oxygenation and ventilation (SJOV) to promote oxygenation/ventilation during fiberoptic intubation in a paralyzed patient with morbid obesity and OSA. CASE PRESENTATION: A 46-year-old man weighting 176 kg with BMI 53.7 kg/m2 was scheduled for gastric volume reduction surgery to reduce body weight under general anesthesia. SpO2 decreased during induction, and two hand pressured mask ventilation partial failed. We then placed WEI Nasal Jet Tube (WNJ) in the patient's right nostril to provide SJOV. Then fiberoptic bronchoscopy guided endotracheal intubation was performed via mouth approach, and vital signs were stable. The operation was successfully completed after 3 h. Patient recovered smoothly in hospital for 8 days and did not have any recall inside the operating room.

conclusionSJOV via WNJ could effectively maintain adequate oxygenation/ventilation during long time fiberoptic intubation in an apnea patient with morbid obesity and OSA after partial failure of two hand pressured mask ventilation, without obvious complications. This may provide a new effective approach for difficult airway management in these patients.

Indexed as

Airway ManagementBronchoscopyFiber Optic TechnologyHumansIntubation, IntratrachealLaryngeal MasksMaleMiddle AgedObesity, MorbidOxygenParalysisRespiration, ArtificialSleep Apnea, ObstructiveVentilators, MechanicalOxygenDifficult airwayFiberoptic bronchoscopeIntubationJet ventilationObesityOSAOxygenationSupraglottic

Identifiers

PMID30894124
PMCPMC6425646
OpenAlexW2940113088

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.