Evidence map›Paper›PMID 31993422›Full record

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A Randomized Controlled Trial Comparing a Mapleson Circuit with Nasal Trumpet to Standard Oxygen Supplementation during EBUS Bronchoscopy under Monitored Anesthesia Care.

Wissam Abouzgheib, Talia K Ben-Jacob, Amit Borah, Rocco Terrigno, Karla Cruz-Morel, Robert Dy, Irwin Gratz, Ziad Boujaoude

Open access · goldAbstract read
In one paragraph

Article in Biomedicine hub. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. [Painless fiberoptic bronchoscopy in patients with COVID-19: analysis of 33 cases].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2021
    Article
  3. Article
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

8 authors at 3 institutions in 1 country.

Wissam AbouzgheibInterventional Pulmonary Section, Cooper Medical School at Rowan University, Camden, New Jersey, USA.
Talia K Ben-JacobDepartment of Anesthesiology, Cooper University Hospital, Camden, New Jersey, USA.
Amit BorahInterventional Pulmonary Section, Cooper Medical School at Rowan University, Camden, New Jersey, USA.
Rocco TerrignoInterventional Pulmonary Section, Cooper Medical School at Rowan University, Camden, New Jersey, USA.
Karla Cruz-MorelPulmonary and Critical Care, Palmetto Health, University of South Carolina, Columbia, South Carolina, USA.
Robert DyDepartment of Anesthesiology, Cooper University Hospital, Camden, New Jersey, USA.
Irwin GratzDepartment of Anesthesiology, Cooper University Hospital, Camden, New Jersey, USA.
Ziad BoujaoudeInterventional Pulmonary Section, Cooper Medical School at Rowan University, Camden, New Jersey, USA.
Cooper Medical School of Rowan University · USCooper University Hospital · USPalmetto Health Richland · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial ultrasound (EBUS) procedures tend to be longer than routine bronchoscopies. Increased duration and sedative dosing put patients at increased risk for -hypoxic events.

objectiveTo determine whether oxygen supplementation via a nasal trumpet connected to a Mapleson B circuit (NTM) was effective in decreasing hypoxic events when compared with the standard of care, oxygen supplementation with a nasal cannula (NC).

methodsPatients referred for EBUS-guided transbronchial needle aspiration with monitored anesthesia care (MAC) were randomized 1:1 to NTM or to NC. Hypoxia-related procedural interruptions, the primary endpoint of the study, were documented for all patients. Patients in the NC group who had refractory desaturations were allowed to cross over to the NTM group. Secondary endpoints included: number of crossovers from NC to NTM, sedative dosing, total procedure times, whether procedure goals were achieved, complications apart from hypoxia, patient discharge status.

resultsFifty-two patients were randomized to NC and 48 to NTM. Baseline characteristics were comparable. The NC group had significantly more interruptions than did the NTM group (

conclusionFor patients undergoing EBUS with MAC, oxygen supplementation with NTM significantly decreased the incidence of hypoxic events when compared with NC. NTM may also be of value for other subsets of patients who are at increased risk for desaturation when undergoing bronchoscopy.

Indexed as

BronchoscopyDesaturationEBUS procedureMapleson circuitOxygenSedation

Identifiers

PMID31993422
PMCPMC6985884
OpenAlexW2969278044

What OpenQuestion holds

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LicenceCC BY-NC
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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.