Evidence map›Paper›PMID 34563179›Full record

ReviewRespiratory research2021

Oxygenation strategies during flexible bronchoscopy: a review of the literature.

Corrado Pelaia, Andrea Bruni, Eugenio Garofalo, Serena Rovida, Eugenio Arrighi, Gianmaria Cammarota, Paolo Navalesi, Girolamo Pelaia, Federico Longhini

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

Review in Respiratory research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  19. Oxygenation during Endobronchial Ultrasound: Where do we stand?Sultan Qaboos University medical journal · 2024
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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

9 authors at 3 institutions in 2 countries.

Corrado PelaiaPulmonary Medicine Unit, Department of Health Sciences, "Magna Graecia" University, Catanzaro, Italy.
Andrea BruniAnesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, "Mater Domini" University Hospital, "Magna Graecia" University, Viale Europa, 88100, Catanzaro, Italy.
Eugenio GarofaloAnesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, "Mater Domini" University Hospital, "Magna Graecia" University, Viale Europa, 88100, Catanzaro, Italy.
Serena RovidaDepartment of Emergency Medicine, Royal London Hospital, Barts Health NHS Trust, London, UK.
Eugenio ArrighiPulmonary Medicine Unit, Department of Health Sciences, "Magna Graecia" University, Catanzaro, Italy.
Gianmaria CammarotaAnesthesia and General Intensive Care, "Maggiore Della Carità" University Hospital, Novara, Italy.
Paolo NavalesiDepartment of Medicine-DIMED, Anesthesia and Intensive Care, Padua Hospital, University of Padua, Padua, Italy.
Girolamo PelaiaPulmonary Medicine Unit, Department of Health Sciences, "Magna Graecia" University, Catanzaro, Italy.
Federico LonghiniAnesthesia and Intensive Care Unit, Department of Medical and Surgical Sciences, "Mater Domini" University Hospital, "Magna Graecia" University, Viale Europa, 88100, Catanzaro, Italy. longhini.federico@gmail.com.ORCID http://orcid.org/0000-0002-6970-7202
Magna Graecia University · ITBarts Health NHS Trust · GBUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During flexible fiberoptic bronchoscopy (FOB) the arterial partial pressure of oxygen can drop, increasing the risk for respiratory failure. To avoid desaturation episodes during the procedure several oxygenation strategies have been proposed, including conventional oxygen therapy (COT), high flow nasal cannula (HFNC), continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV). By a review of the current literature, we merely describe the clinical practice of oxygen therapies during FOB. We also conducted a pooled data analysis with respect to oxygenation outcomes, comparing HFNC with COT and NIV, separately. COT showed its benefits in patients undergoing FOB for broncho-alveolar lavage (BAL) or brushing for cytology, in those with peripheral arterial oxyhemoglobin saturation < 93% prior to the procedure or affected by obstructive disorder. HFNC is preferable over COT in patients with mild to moderate acute respiratory failure (ARF) undergoing FOB, by improving oxygen saturation and decreasing the episodes of desaturation. On the opposite, CPAP and NIV guarantee improved oxygenation outcomes as compared to HFNC, and they should be preferred in patients with more severe hypoxemic ARF during FOB.

Indexed as

PliabilityBronchoscopyHumansLung DiseasesNoninvasive VentilationObservational Studies as TopicOxygen Inhalation TherapyOxygen SaturationRandomized Controlled Trials as TopicBronchoscopyContinuous positive airway pressureHigh flow nasal cannulaNon-invasive ventilationOxygen

Identifiers

PMID34563179
PMCPMC8464093
OpenAlexW3204472692

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.