Evidence map›Paper›PMID 31304692›Full record

ArticleKorean journal of anesthesiology2019

Postoperative use of high flow nasal insufflation for obstructive sleep apnea.

Avinash Gobindram, Prit Anand Singh, Kelvin Howyow Quek

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Korean journal of anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Avinash GobindramDepartment of Anesthesia and Surgical Intensive Care, Surgery and Science, Changi General Hospital, Singapore, Singapore.
Prit Anand SinghDepartment of Anesthesia and Surgical Intensive Care, Surgery and Science, Changi General Hospital, Singapore, Singapore.
Kelvin Howyow QuekDepartment of Anesthesia and Surgical Intensive Care, Surgery and Science, Changi General Hospital, Singapore, Singapore.
Changi General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous positive airway pressure (CPAP) therapy is the gold standard treatment for obstructive sleep apnea (OSA), although, associated with poor patient compliance. Conversely, high flow, humidified, temperature-regulated nasal insufflation of oxygen or air is well tolerated. CASE: We describe our experience of three patients with known or suspected moderate to severe OSA who were poorly compliant to CPAP therapy and received high flow nasal insufflation (HFNI) postoperatively. None had significant episodes of desaturation (SpO2 < 95%) and all patients uniformly reported superior comfort levels than with the CPAP therapy. HFNI generates small amounts of positive end-expiratory pharyngeal pressure, increases inspiratory airflow and decreases dead space ventilation. Due to the open system, less difficulty with the patient-mask interface and improved patient comfort is experienced. These factors help prevent hypopnea and lead to enhanced sleep continuity.

conclusionsHFNI may be a promising alternative to CPAP therapy in the perioperative setting.

Indexed as

AdultAgedContinuous Positive Airway PressureFemaleHumansInsufflationMaleMiddle AgedNasal CavityOxygenOxygen Inhalation TherapyPatient CompliancePostoperative CareRespiratory RateSleep Apnea, ObstructiveTonsillectomyOxygenContinuous positive airway pressureHigh flow nasal oxygenHypopneaObstructive sleep apneaOptiflowRespiratory distress indexSTOP-Bang Score

Identifiers

PMID31304692
PMCPMC6900411
OpenAlexW2957724836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.